Summary Levels of the nucleotide pathway enzyme thymidine kinase (TK) were assayed in the mononuclear leukocytes and serum of 70 female patients with breast cancer and 98 male and 77 female non-cancer hospital patients. The total TK levels in both mononuclear leukocytes and serum from patients with breast cancer were significantly higher than in controls. The serum TK levels showed a significant correlation with cancer stage. No such correlation was observed with mononuclear leukocyte TK levels. Serum TK from 20 patients with breast cancer and 19 control patients was further assayed to ascertain the relative contributions of the thymidine kinase isozymes TK1 and TK2 to total TK levels. The increase in serum TK from breast cancer patients appears to be due to an increase in both TKl and TK2 levels.The pyrimidine nucleotide salvage pathway enzyme, thymidine kinase (TK), occurs mainly in two forms in human tissue (for review, see Kit, 1976). TKl is the cytosolar TK and has high activity in dividing cells but is absent in resting cells (Bello, 1974). This form of the enzyme has therefore high activity in foetal and neoplastic tissue, but low activity in non-growing adult tissue (Gordon et al., 1968;Machovich & Greengard, 1972;Caron & Unsworth, 1978 Total TK (i.e., TKl + TK2) levels have been found to be elevated in the serum of rats bearing transplanted hepatomas (Taylor et al., 1981). Kreis et al., (1982) found a substantial increase in total TK levels in the plasma of mice with advanced leukaemias and in humans with acute non-lymphocytic leukaemia, chronic myelocytic leukaemia, pancreatic cancer (with metastasis to liver), fibrohistiocytoma, carcinoid syndrome (with metastasis to bone), and prostate cancer (with metastasis to bone). More recently it has been found that there are elevations in serum total TK levels in patients with non-Hodgkin's lymphoma and cancers of bone (metastatic, primary site unknown), squamous cell, prostate, brain and basal cell (O'Neill et al., 1986(O'Neill et al., ,1987. The increases in serum total TK activities appear to be largely the result of increased TKI levels (O'Neill et al., 1987). This is in agreement with the observations of other workers who have found elevated serum TKI levels in patients with adult nonHodgkin's lymphoma (Ellims et al., 1981b;Gronowitz et al., 1983), acute lymphoblastic and non-lymphoblastic leukaemia as well as chronic myelogenous leukaemia (Hagberg et al., 1984), childhood acute lymphoblastic leukaemia (Morgan et al., 1985), Hodgkin's lymphoma (Eriksson et al., 1985), multiple myeloma (Simonsson et al., 1985) and secondary brain tumours (McKenna et al., 1985). Thymidine kinase assays were based on methods previously described (O'Neill et al., 1986;McKenna et al., 1985). After separation the mononuclear leukocytes were washed twice in Hank's BSS, were resuspended in 0.5ml of extraction buffer containing 0.02M Tris (pH7.8) paper discs. The discs were subsequently washed three times (3 x 5min) in 0.00 1M ammonium formate (1Oml/disc), washed in distill...