SummaryBreast cancer cells are known to express various proteolytic enzymes, which make them invasive and favour their dissemination to distant sites. However, it is unclear whether breast cancer cells have the ability to produce polymorphonuclear leucocyte elastase (PMN-E). We measured immunoreactive (ir) PMN-E content in the conditioned medium of two breast cancer cell lines, MCF-7 and ZR-75-1, and two normal breast epithelial cell lines, HBL-100 and Hs 578Bst, using a highly specific and sensitive enzyme immunoassay. (4.23 ± 3.74 gg 100 mg-' protein) patients. Breast cancer patients with high levels of ir-PMN-E showed significantly shorter disease-free survival and overall survival than those with low levels of ir-PMN-E at the cut-off point of 8.99 lg 100 mg-' protein. In the multivariate analysis, ir-PMN-E content was found to be a significant prognostic factor for disease recurrence and death in human breast cancer.Considerable evidence suggests that proteolytic enzymes are involved in cancer invasion and metastasis (Mignatti et al., 1986;Persky et al., 1986). Production of tumour cell proteinases, including plasminogen activator (Duffy et al., 1987;Reich et al., 1988;Yamashita et al., 1993a), collagenase (Turpeenniemi-Hujanen et al., 1985), and cathepsin B (Recklies et al., 1980) has been implicated in tumour cell invasion into adjacent tissues and metastasis. Another proteinase that has attracted attention as a mediator of these processes is elastase. Elastase is the only proteinase that is able to degrade insoluble elastin (Janoff & Schere, 1968), a structural component of elastic tissues such as blood vessels, skin, lung and breast tissue.An elastinolytic activity has been demonstrated previously by Hornebeck et al. (1977) in tissue extracts from human breast cancer, but in their study it was not determined whether the activity could be attributed to tumour cells. Thereafter, several investigators have reported that elastinolytic activity is found in the culture medium of mouse mammary tumour cells (Grant et al., 1990;Zeydel et al., 1986) and human breast cancer cells (Kao et al., 1982), suggesting that elastinolytic enzymes are produced by the tumour cells themselves.Very recently, a highly specific and sensitive enzyme immunoassay (EIA) was established for the measurement of human polymorphonuclear leucocyte elastase (PMN-E) (Ikei et al., 1992). Labelled antibody in this assay recognises not only PMN-E complexed a,-proteinase inhibitor but also the free form of PMN-E, which may present in the enzyme samples. In the present study, we examined whether breast cancer cells have the ability to produce immunoreactive (ir)-PMN-E. Furthermore, we have determined the concentration of ir-PMN-E in tissue extracts from human breast cancer, and elucidated the relationship between the tissue content of ir-PMN-E and clinicopathological status in human breast cancer.
Materials and methods
Cell cultureThe human breast cancer cell line MCF-7 was kindly provided by Y. Nomura (National Kyushu Cancer Center Hospital, Fu...