The transition from ductal carcinoma in situ (DCIS) of the breast to invasive ductal carcinoma is facilitated by proteolytic degradation of basement membrane. The transition can be identified as microinvasive foci in a small proportion of DCIS lesions. We have previously found that MMP-13 is frequently expressed in such foci. To establish whether plasmin-directed proteolysis is likely to be involved in early invasion, we have here studied the expression of urokinase plasminogen activator (uPA) and its receptor (uPAR) in human DCIS lesions with and without microinvasion. uPA mRNA was detected in periductal stromal cells in all of 9 DCIS lesions with microinvasion and in 2 of 9 DCIS lesions without microinvasion by in situ hybridization. The uPA mRNA signal was seen in numerous stromal cells in microinvasive areas together with MMP-13 mRNA expressing cells. Double immunofluorescence analyses, using emission fingerprinting, showed that the uPA expressing stromal cells included both myofibroblasts and macrophages. The early invasive carcinoma cells were negative for uPA. uPAR immunoreactivity was focally upregulated in periductal stromal cells in all of the 9 DCIS lesions with microinvasion and in only 2 of the 9 DCIS lesions without microinvasion. uPAR was seen in both macrophages and myofibroblasts in microinvasive areas, and it was evident that uPA and uPAR colocalized in both fibroblast-like cells and macrophage-like cells. We conclude that periductal macrophages and myofibroblasts are strongly involved in the initial steps of breast cancer invasion by focally upregulating the expression of the plasminogen activation system and MMP-13. ' 2007 Wiley-Liss, Inc.Key words: breast cancer; DCIS; microinvasion; uPA; uPAR Ductal carcinoma in situ (DCIS) of the human breast is a preinvasive lesion where the intraductal neoplastic epithelial cells are situated on a layer of myoepithelial cells and a basement membrane. After introduction of systematic mammography screening the frequency of diagnosed DCIS has increased from around 1% to 20% of the detected cancers.1 Up to 20% of the DCIS lesions contain minor foci of early invasion 2 and therefore display an important tool for studying the transition from noninvasive to invasive carcinoma.The transition from DCIS to invasive ductal breast cancer is accompanied by degradation of the extracellular matrix (ECM) including the basement membrane, allowing the neoplastic cells to invade the interstitial tissue. In a previous study, we found that the expression of the mRNA for the potent collagenase, matrix metalloprotease 13 (MMP-13), is uniquely associated with early invasive events.3 Plasmin is another potent protease, which degrades basement membrane laminin and a number of other ECM proteins like fibrin and fibronectin and also activates several MMPs, including MMP-13. [4][5][6] Plasmin is generated in situ from its proenzyme, plasminogen, after proteolytic cleavage by plasminogen activators (PA). Urokinase-type PA (uPA) is secreted from cells as pro-uPA and binds to cell s...