The authors have found that retroviral sequences with 85% to 95% homology to the mouse mammary tumor virus were present in 40% of the sporadic breast cancers of American women. These sequences were not found in normal breasts or other tumors. A whole proviral structure was detected in 2 tumors. Breast cancer cells in culture were shown to contain and shed betaretroviral particles. This virus was designated human mammary tumor virus (HMTV). The authors have investigated the presence of HMTV sequences in a variety of breast conditions and geographic locations. Here they report that inflammatory breast cancer from American women shows a higher incidence of viral sequences (71%) than sporadic breast cancers. Similar incidence has been found in inflammatory breast cancers from Tunisia, and in gestational breast cancers. Because these conditions represent highly invasive malignancies, it is concluded that HMTV is sometimes associated with a particularly malignant phenotype. Cancer 2010;116(11 suppl):2741-4. V C 2010 American Cancer Society.KEYWORDS: inflammatory breast cancer, human mammary tumor virus, mouse mammary tumor virus, viral oncogenesis, breast cancer.Since Bittner 1 described the mouse mammary tumor virus (MMTV) as the agent involved in mouse mammary carcinogenesis in 1936, MMTV has been regarded as a potential model for human disease.In the 1970s and 1980s, several reports claimed that MMTV-like sequences were present in breast cancer samples but absent in normal tissues (reviewed in Pogo and Holland 2 ), that immunoreactivity was found in breast cancer tissue against the envelope protein (Env) of MMTV that was absent in normal tissue, [3][4][5][6][7] and that antibodies against Env were found in patients with breast cancer. 8 Furthermore, viral particles with morphological characteristics of a retrovirus were detected in 60% of milk from patients with a history of breast cancer but only in 5% of milk from normal individuals. 9 However, the possibility of an exogenous infection by a virus similar to MMTV was challenged by the finding of Westley and May 10 that the human genome contains retroviral sequences that are 50% homologous to MMTV. There were also reports questioning the specificity of the antigen used in immunological studies. 11 Furthermore, contrary to previous findings, retroviral particles were found in a pool of 300 normal human milk samples from which viral particles were purified and their proteins characterized. 12 In the early 1990s, we started to investigate this problem using a drastically different approach. We applied the then new PCR technology using primers for the MMTV env gene, whose sequences were not present in the human genome, and analyzed only breast cancer samples obtained directly from the operating room to avoid contamination. Most previous research was done with established cell lines whose origins and history were dubious. The competence of these established cell lines to represent the original tissue has recently been challenged by us. 13,14 Our first publication on the...