In human breast cancer, loss of carcinoma cell-specific response to TGF-β signaling has been linked to poor patient prognosis. However, the mechanisms through which TGF-β regulates these processes remain largely unknown. In an effort to address this issue, we have now identified gene expression signatures associated with the TGF-β signaling pathway in human mammary carcinoma cells. The results strongly suggest that TGF-β signaling mediates intrinsic, stromal-epithelial, and host-tumor interactions during breast cancer progression, at least in part, by regulating basal and oncostatin M-induced CXCL1, CXCL5, and CCL20 chemokine expression. To determine the clinical relevance of our results, we queried our TGF-β-associated gene expression signatures in 4 human breast cancer data sets containing a total of 1,319 gene expression profiles and associated clinical outcome data. The signature representing complete abrogation of TGF-β signaling correlated with reduced relapse-free survival in all patients; however, the strongest association was observed in patients with estrogen receptor-positive (ER-positive) tumors, specifically within the luminal A subtype. Together, the results suggest that assessment of TGF-β signaling pathway status may further stratify the prognosis of ER-positive patients and provide novel therapeutic approaches in the management of breast cancer.Introduction TGF-β ligands are key factors in the regulation of tumor initiation, progression, and metastasis. In human breast cancer, alterations in the carcinoma cell response to TGF-β signaling have been linked to tumor progression. It has been shown, using tissues from women with mammary epithelial hyperplasia lacking atypia, that decreased immunohistochemical staining for the type II TGF-β receptor (TβRII) correlated with an increased risk of developing invasive breast cancer (1). In this study, a 3-fold reduction in the number of TβRII-positive carcinoma cells correlated with an approximately 3-fold increase in the risk of developing subsequent invasive breast cancer (1). The loss of TβRII expression has also been correlated with high-grade human carcinoma in situ and invasive breast cancer (2). These observations are consistent with previously reported data demonstrating that human breast cancer cells with deficient TβRII expression were more tumorigenic than the same tumor cells in which the receptor was experimentally reintroduced (3). Notably, it has been shown that loss of TGFBR2 gene expression can occur through promoter hypermethylation in human breast carcinoma cells (4). In addition, the presence of an activating T29→C polymorphism in the TGFB1 gene increased the serum levels of TGF-β1 ligand and correlated with a reduced risk of developing breast cancer (5).