The CC-chemokine receptor CCR5 has been associated with cancer progression and metastasis. CCR5 blockers such as Maraviroc are tested in metastatic cancer patients. A mutant allele of CCR5, CCR5-delta32 (CCR5del32), which encodes for a protein with a trans-dominant negative effect on the wildtype protein, is frequently found in populations of northern European origin. We set out to determine if the CCR5del32 genotype is associated with progression of breast cancer. Here, we genotyped 414 breast cancer patients and investigated whether the CCR5 genotype had an association with the likelihood to metastasize within specific subgroups of this cohort. The findings were subsequently confirmed in an independent cohort of 1,017 breast cancer patients. Specifically within the postmenopausal subgroup of the initial cohort (n 5 325) individuals carrying the CCR5del32 genotype exhibited a significantly longer metastasis-free survival (MFS, p 5 0.038). In an independent cohort, CCR5del32 genotype was confirmed to be associated with prolonged MFS only in postmenopausal patients (n 5 579, hazard ratio [HR] 5 0.61, 95% confidence interval [95% CI] 5 0.38-0.99, p 5 0.044), and not in premenopausal patients (n 5 438, HR 5 1.01, 95% CI 5 0.70-1.48, p 5 0.94). Our results indicate that CCR5del32 genotype is associated with good prognosis in postmenopausal breast cancer patients. Considering this result, postmenopausal breast cancer patients who are wildtype for CCR5 genotype might benefit from CCR5 blockers, such as Maraviroc.Despite the improved treatment modalities for early breast cancer, a significant proportion of patients experience disease relapse and ultimately die of metastastic disease owing to intrinsic or acquired resistance to systemic treatment. 1 Adjuvant systemic treatment for early breast cancer consists of chemotherapy, whereas targeted options consist of endocrine treatment in case of estrogen receptor (ER)/progesterone receptor (PR) expression and trastuzumab in case of HER2 overexpression in the primary tumor. Adjuvant systemic treatment decisions are currently further guided by clinical characteristics such as tumor size, differentiation grade and axillary lymph node involvement, which may be supported by multigene tests such as OncoTypeDX, MammaPrint and PAM50. 2 Although these clinical characteristics and gene tests allow for the identification of specific risk groups, they do not necessarily predict adjuvant treatment efficacy. New biomarkers with prognostic potential are therefore highly sought after to delineate which patients should be preferentially treated or not, whereas at the same time identifying new targets for therapy.The CC-chemokine receptor CCR5 and its ligands (CCL5 [RANTES], MIP-1a and MIP-1b) have been reported to be associated with cancer progression and metastasis. 3 Overexpression of CCR5 increases cell migration, and knockdown of CCR5 attenuates hypoxia-mediated cell migration. 4 A mutant allele of CCR5, CCR5del32, is frequently found in populations of northern European origin and encod...