The S100A4 protein, which is involved in the metastasis process, is a member of the S100 superfamily of Ca-binding proteins. Members of this family are multifunctional signaling proteins with dual extra and intracellular functions involved in the regulation of diverse cellular processes. Several studies have established a correlation between S100A4 protein expression and worse prognosis for patients with various malignancies including breast cancer. In this article, we have used specific antibodies in combination with immunohistochemistry (IHC) to identify the cell types that express S100A4 in human breast cancer biopsies obtained from high-risk patients. IHC analysis of 68 tumor biopsies showed that the protein is expressed preferentially by various cell types present in the tumor microenvironment (macrophages, fibroblasts, activated lymphocytes), rather than by the tumor cells themselves. Moreover, we show that the protein is externalized by the stroma cells to the fluid that bathes the tumor microenvironment, where it is found in several forms that most likely correspond to charge variants. Using a specific ELISA test, we detected a significant higher concentration of S100A4 in the tumor interstitial fluid (TIF) as compared to their corresponding normal counterparts (NIF). ' 2007 Wiley-Liss, Inc.Key words: breast cancer; tumor stroma; S100A4The S100 protein family is the largest subgroup within the superfamily of proteins carrying the Ca 21 -binding EF-hand motif. Members of this family are multifunctional signaling proteins that are involved in the regulation of diverse cellular processes such as contraction, motility, cell growth, differentiation, cell cycle progression, transcription, and secretion. 1 Diseases such as cardiomyopathies, neurodegenerative and inflammatory disorders, as well as cancer are associated with altered S100 protein levels. 2 Despite their small molecular size and their conserved functional domain of 2 distinct EF-hands, these proteins exhibit a wide-range of tissue-specific intra and extracellular functions.Similar to the other members of this protein family, S100A4 exhibits diverse functions. 1 Several lines of evidence based either on spontaneous metastasis formation in rodent or experimental models utilizing human cancer cell lines have suggested a causative role for this protein in the metastatic process. 3,4 In particular, experiments with transgenic mouse models of breast cancer have shown that the expression levels of S100A4 correlates with metastasis. 5,6 Moreover, recent studies by Xue et al. have shown that transgenic mice expressing the Polyoma virus middle T antigen when crossed with mice carrying null alleles for S100A4 exhibit a significant decrease in lung metastases. 7 It has been hypothesized that S100A4 stimulates metastatic spread of tumor cells by stimulating motility via interaction with its target proteins, such as nonmuscle myosin. [8][9][10][11][12] S100A4 has also, from studies on renal diseases in mice, been identified as the fibroblast specific protein 1 (...