The pS2 protein was first detected in the oestrogen-dependent breast c
ancer cell line MCF-7. It may have prognostic value for primary breast
cancer, and could be used to predict clinical responsiveness to endoc
rine therapy. In a retrospective study, the concentrations of pS2 prot
ein were determined in 434 cytosol specimens using an immunoradiometri
c assay. The median values (4, 6 and 3 ng/mg protein) and the third qu
artiles (27, 26 and 29 ng/mg) in benign breast tumours (n=17), and in
primary (n=325) and recurrent (n=37) breast carcinomas were of the sam
e order of magnitude. In primary breast cancer, high pS2 values (>26 n
g/mg) correlated significantly with a positive oestrogen receptor (ER)
status and a high grade of tumour differentiation (P=0.01). As many a
s 85% of the pS2 positive tumours were ER positive. A marginally signi
ficant correlation (P=0.06) was also found between pS2 status and the
quantitative expression of the ER. However, the pS2 values in ER posit
ive endometrial carcinomas (n=12) as well as in other benign and malig
nant genital tumours (n=43) were more than 30 times lower than those m
easured in breast tumours. The results reveal a close association betw
een pS2 protein and ER status which appears to be limited to breast ca
ncer.