Normal human breast epithelial cells show a Studies in the rodent have shown that the extracellular matrix regulates the growth and differentiation of normal mammary epithelial cells in vivo and in culture (6-13).The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.Thus far, efforts to study early events in human breast tumor development have been hampered by the lack of adequate means to distinguish between normal and transformed cells in culture and have relied on the criteria of senescence and immortalization (14-19)-phenomena that as yet do not have clear counterparts in vivo and take a considerable amount of time to establish.We asked whether normal human breast epithelial cells could respond to BM and recapitulate certain aspects of their normal growth and differentiation program as has been shown using rodent models (8-12). We show that human mammary epithelial cells can indeed express a normal pattern of growth and differentiation when cultured within a reconstituted BM derived from the Englebreth-Holm-Swarm (EHS) tumor. Furthermore, in response to exogenous BM, the cells basally deposit an endogenous BM. In contrast, carcinoma cell lines and biopsies from primary breast tumors were not capable of responding appropriately to BM nor were they able to deposit an intact endogenous BM.Other investigators have also used an EHS matrix to study human cell lines, including metastatic breast tumor cells (20)(21)(22)(23)(24)(25). These studies have focused on morphology of the cells on an EHS matrix. By including primary tissues and addressing growth as well as three-dimensional architecture in normal and malignant cell lines and primary cultures, we have been able to exploit cell-extracellular matrix interaction as an assay not only to distinguish between normal and malignant breast cells but also possibly to "grade" atypia and malignancy. In addition, the system can be used to define differentiation markers and to delineate early changes in transformation assays or preneoplastic lesions.
MATERIALS AND METHODSCell Culture. Primary breast epithelia were prepared from 12 reduction mammoplasties and three breast carcinoma biopsies (two primaries and one lymph node metastasis). The primary specimens were selected, disaggregated, and cultured in serum-free CDM3 medium (26) without Hepes or phenol red in the basal medium (Dulbecco's modified Eagle's medium/F12) and with triiodothyronine at 10 nM. We used two normal breast epithelial cell lines and MCF-1OA (28)], another "normal" line [HBL-100 (29)], and six tumorigenic breast cell lines. These included HMT-3909S13 (30, 31), MCF-7 (including subline 9), ZR75, T47-D, and 33), and CAMA-1 (34). These were cultured as described initially except for MCF-10A, which was cul- tTo whom reprint requests should be sent at the * address.9064