Urokinase plasminogen activator (uPA) regulates a proteolytic cascade that
facilitates cancer invasion through degradation of the extracellular matrix
, and high levels of uPA in human breast cancer tissue correlate with poor
prognosis. We previously found that, in ductal breast cancer, uPA mRNA is h
ighly expressed by myofibroblasts surrounding invasively growing cancer cel
ls. However, the localization of uPA protein has not been settled in the pu
blished literature, Because uPA is a secreted molecule, it could conceivabl
y be localized differently from its mRNA. We have studied the localization
of uPA immunoreactivity in detail. Twenty-five cases of invasive ductal car
cinoma were analyzed with three different uPA antibody preparations, all of
which gave an essentially identical stromal staining pattern. Using double
immunofluorescence, we identified uPA immunoreactivity in myofibroblasts a
nd macrophages in all cases examined. Additionally, in approximately half o
f the tumors, we saw uPA staining of endothelial cells. In 3 of the 25 case
s, a small subpopulation of the cancer cells was uPA-positive. We conclude
that uPA immunoreactivity is almost exclusively associated with stromal cel
ls, which thus play a major role in generation of proteolytic activity in d
uctal breast cancer.