The oestrogen receptor (ER) interacts with coactivator proteins to modulate genes central to breast tumour progression. Oestrogen receptor is encoded for by two genes, ER-a and ER-b. Although ER-a has been well characterized, the role of ER-b as a prognostic indicator remains unresolved. To determine isoform-specific expression of ER and coexpression with activator proteins, we examined the expression and localisation of ER-a, ER-b and the coactivator protein steroid receptor coactivator 1 (SRC-1) by immunohistochemistry and immunofluorescence in a cohort of human breast cancer patients (n ¼ 150). Relative levels of SRC-1 in primary breast cultures derived from patient tumours in the presence of b-oestradiol and tamoxifen was assessed using Western blotting (n ¼ 14). Oestrogen receptor-b protein expression was associated with disease-free survival (DFS) and inversely associated with the expression of HER2 (P ¼ 0.0008 and Po0.0001, respectively), whereas SRC-1 was negatively associated with DFS and positively correlated with HER2 (Po0.0001 and Po0.0001, respectively). Steroid receptor coactivator 1 protein expression was regulated in response to b-oestradiol or tamoxifen in 57% of the primary tumour cell cultures. Protein expression of ER-b and SRC-1 was inversely associated (P ¼ 0.0001). The association of ER-b protein expression with increased DFS and its inverse relationship with SRC-1 suggests a role for these proteins in predicting outcome in breast cancer.