ATF5, a transcription factor important in differentiation, proliferation and survival, has been found to be highly expressed in neural progenitor cells and in certain tumors including glioblastomas (GBMs), but its expression in other normal and neoplastic tissues has not been extensively investigated. A tissue microarray immunostained for ATF5 showed diffuse nuclear expression (as defined by the presence in greater than 25% of cells) in 63% (117/186) of neoplastic samples, when compared to only 32% (20/62) in nonneoplastic tissues. When analyzed by histologic subtype, a significantly greater proportion of adenocarcinomas, transitional cell carcinomas, squamous cell carcinomas and metastatic carcinomas of various tissue origins had nuclear staining when compared to nonneoplastic tissues. There was no significant difference in ATF5 expression in renal cell carcinomas, lymphomas and seminomas, when compared to nonneoplastic tissues. An expanded series of nonarray breast resection specimens revealed a significantly greater proportion of ATF5 positivity in ductal and lobular carcinomas, when compared to normal breast tissue. Past work found that loss of ATF5 function triggers death of GBM cells, but not of normal activated astrocytes. Here, we observed that loss of ATF5 function caused significant apoptotic death of neoplastic breast cell lines, but not of nonneoplastic breast cell lines. Our data demonstrate elevated ATF5 expression in a wide variety of neoplasms and that interference with ATF5 function selectively triggers death of breast carcinoma cells. Such findings may have potential therapeutic application. ' 2007 Wiley-Liss, Inc.Key words: ATF5; cancer; microarray; cancer tissue microarray; breast cancer; apoptosis; ductal carcinoma; lobular carcinoma Activating transcription factor 5 (ATF5; also referred to as ATFx) is a transcription factor in the ATF/CREB family of basic leucine zipper (bZip) proteins, which has not been extensively studied. Although ATF5 expression has been studied in the brain, 1-5 there are only limited reports describing ATF5 expression in other tissues. [6][7][8][9][10] Previous experiments have shown that ATF5 is expressed in neuroprogenitors 2,3 and, when constitutively expressed in these cells, prevents them from differentiating and allows them to continue to proliferate.2,3,5 Conversely, interference with ATF5 function with a dominant-negative construct or siRNA causes neuroprogenitors to prematurely exit the cell cycle and to differentiate. [2][3][4] In contrast to its presence in neuroprogenitors, ATF5 is undetectable in postmitotic neurons or in mature glial cells. 2,3,5 Because neoplasias may derive from mitotically active pools of stem or progenitor cells, the presence of ATF5 in neuroprogenitors and its capacity to block cell cycle exit and differentiation raised it as a potentially attractive molecule to consider in the context of tumors. Recently, ATF5 was found to be expressed in all series of 29 human glioblastomas (GBMs), in addition to and all 7 human and rodent GBM ce...