Recent evidence indicates that growth hormone-releasing hormone (GHRH) functions as an autocrine/paracrine growth factor for various human cancers. A splice variant (SV) of the full-length receptor for GHRH (GHRHR) is widely expressed in various primary human cancers and established cancer cell lines and appears to mediate the proliferative effects of GHRH. To investigate in greater detail the role of SV1 in tumorigenesis, we have expressed the full-length GHRHR and its SV1 in MCF-7 human breast cancer cells that do not possess either GHRHR or SV1. In accordance with previous findings, the expression of both GHRHR and SV1 restored the sensitivity to GHRH-induced stimulation of cell proliferation, with SV1 being more potent than the GHRHR. Furthermore, MCF-7 cells transfected with SV1 proliferated more quickly than the controls, even in the absence of exogenously added GHRH, suggesting the existence of intrinsic, ligand-independent activity of SV1 after its transfection. In agreement with the stimulation of cell proliferation, the levels of proliferation markers cyclin D1, cyclin E, and proliferating cell nuclear antigen were elevated in MCF-7 cells treated with GHRH, cultured in both serum-free and serumcontaining media. In addition, SV1 caused a considerable stimulation of the ability of MCF-7 cells to grow in semisolid medium, an assay considered diagnostic for cell transformation. Collectively, our findings show that the expression of SV1 confers oncogenic activity and provide further evidence that GHRH operates as a growth factor in breast cancer and probably other cancers as well.carcinogenesis ͉ intrinsic activity ͉ transfection G rowth hormone-releasing hormone (GHRH), produced by the hypothalamus, regulates the secretion of growth hormone (GH) by binding to specific receptors in the pituitary (1). In addition to this neuroendocrine action, recent studies also indicate that GHRH functions as an autocrine/paracrine growth factor in various cancers (2-5). The evidence for this concept includes the detection of GHRH expression in several extrapituitary tissues, especially primary human cancers and experimental tumors, and the ability of antagonistic analogs of GHRH to inhibit cancer cell growth by mechanisms that do not involve the GH-induced stimulation of production of hepatic insulin-like growth factor I (2-6).Our understanding of how GHRH acts in extrapituitary tissues, and especially cancers, is restricted by poor functional characterization of the receptor(s) that mediates its mitogenic effects, especially in view of the limited expression of GHRH receptor (GHRHR) by extrapituitary tissues (7-9). Recently, it has been demonstrated that a splice variant (SV) of GHRHR (designated SV1, which differs from GHRHR in a short segment of the extracellular ligand-binding domain of the receptor protein) is widely expressed by different primary human and experimental cancers and can elicit mitogenic responses in the presence of GHRH (10-12). The suppression of the expression of SV1 by antisense RNA-based approache...