Relative expression of ERC4 messenger RNA in matched normal and breast tumor tissues A recently described triple-primer PCR assay was used to compare the relative expressions of ERC4 messenger RNA between adjacent normal and tumor components [19,24]. In this assay, three primers are used simultaneously during the PCR: the upper primer is able to recognize both WT-ER and ERC4 complementary DNA sequences, whereas the two lower primers are specific for each complementary DNA. Competitive amplification of two PCR products occurs, giving a final PCR product ratio related to the initial input of target complementary DNAs. This approach has been validated previously both by competitive amplification of spiked complementary DNA preparations [19] and by comparison to RNAse protection assays [24]. As shown Figure 1a, two PCR products were obtained, which migrated at the apparent size of 149 and 536 base pairs. These products have been shown to correspond to WT-ER and ERC4 messenger RNAs, respectively [24]. One should note the presence, in samples where WT-ER and ERC4 signals are high (Fig 1a, lane 5), of minor additional bands, one of which has been previously identified as corresponding to exon 2-duplicated ER-α variant complementary DNA [24]. The presence of these minor PCR products did not interfere with the quantitative aspect of the triple-primer PCR assay [24]. For each case, the mean of the ratios obtained in at least three independent PCR experiments, expressed in arbitrary units, is shown for both normal and tumor compartments (Fig 1b). A higher clone 4 messenger RNA relative expression in the tumor compartment was observed in 12 out of 18 cases. This difference did not, however, reach statistical significance (P = 0.47, Wilcoxon signed-rank test). When considering only the ER-positive/PR-positive subset (n = 9), as measured by the ligand-binding assay, a statistically higher ERC4 messenger RNA relative expression was found in the neoplastic components, as compared with matched adjacent normal tissues (P = 0.019, Wilcoxon signed-rank test).