Centrosomal abnormalities have been found in various cancer types. We sought to determine whether centrosomal dysfunctions occur in the atypical ductal hyperplasia (ADH)-carcinoma sequence of breast cancer. As a and g-tubulins are the structural components of centrosomes, we performed real time quantitative polymerase chain reaction (qPCR), in situ hybridization (ISH) and immunnohistochemistry (IHC) to determine the DNA copy levels, messenger RNA (mRNA) expression, and protein expression of a and g-tubulins respectively. g-tubulin staining was used for the localization and quantification of centrosomes. We found that a-tubulin or g-tubulin mRNA was increasingly expressed from normal breast tissue (NBT) to ADH, ductal carcinoma in situ (DCIS), and infiltrative ductal carcinoma (IDC), respectively, with the highest expressions being found in DCIS. The expression profiles of a, γ-tubulin proteins were concordant with that of mRNA, except that the highest expression was found in IDC. Similarly, DNA copies of a, g-tubulins showed a rising tendency, with the highest level for γ-tubulin attained in IDC and that for a-tubulin was found in DCIS. However, there was no significant difference of a, g-tubulin DNA copy levels, mRNA expression, and protein expression between DCIS and IDC. Our results demonstrate that centrosomal aberrations may play key roles in the early stage of breast tumorogenesis. The malignant transformation sequence is probably attributable to the amplification of centrosomal DNA leading to mRNA and protein over-expression of these centrosomal proteins. Furthermore, determination of a, g-tubulins using combined qPCR with ISH may be useful in assisting the diagnosis of premalignant lesions of the breast. (Cancer Sci 2009; 100: 580-587) B reast cancer is the leading cancer among women in Europe and America. In China, epidemiologic studies showed that the incidence of breast cancer has been increasing over the last 20 years, and the standardized rate of the annual incidence has greatly increased from 17 to 24 per 100 000 from 1980 to 2000,(1) with a higher increasing rate for young patients. The role of centrosomes in a wide range of tumor types has been investigated (2,3) and centrosome aberration (supernumerary and structurally altered centrosomes) may play a potentially causative role in malignant progression. Centrosomes are involved in diverse cellular activities, especially in the assembly of the bipolar mitotic spindle and maintaining the genomic fidelity of the daughter cells.(4) It has been hypothesized that dysfunction of centrosomes may lead to chromosomal instability (5,6) and other cellular changes that may be important in the development of malignant tumors.(7) Some researchers found that centrosome defects were present in a significant fraction of precursor lesions, including in situ carcinomas of the uterine cervix, prostate, and female breast by detecting centrosome proteins, pericentrin and γ-tubulin using immunohistochemistry.(8-10) Moreover, supernumerary centrioles (more than four cent...