We investigated the expression levels of human lactoferrin (Lf), a steroid hormone-inducible gene product the expression of which is often altered during oncogenesis, and of ⌬-lactoferrin (⌬Lf), its alternative isoform, which has been shown to be absent from tumor cell lines in commonly used human breast epithelial cell lines, using semiquantitative RT-PCR. Both mRNAs were detected but with levels of expression lower than those found in normal breast epithelial cells. This downregulation was much more visible for ⌬Lf since its expression was either significantly diminished (BT-20, MCF-7 cell lines) or practically absent (MDA-MB-231, T-47D, HBL 100 cell lines). In order to determine whether Lf gene products are useful prognosic tools, we further analyzed their expression levels in 99 primary breast cancer biopsies. ⌬Lf transcripts were found in all of the samples, whereas Lf transcripts were found in 88% of them. Lf and ⌬Lf expression levels were positively correlated (p ؍ 0.003). Lf expression was related to tumor type with a higher recovery in lobular-type tumors (p ؍ 0.04). ⌬Lf expression was related to the histoprognostic grading (p ؍ 0.02). In univariate analyses, ⌬Lf and Lf expressions were prognosis parameters, high concentrations being associated with a longer overall survival.