Breast cancer is a leading cause of cancer death for women in the United States (1) and metastasis, or spread of the disease beyond the breast is the central reason women with breast cancer die (2). We utilized a systems-level approach to discover genes associated with breast cancer survival by comparing primary and metastatic tumor transcriptomes based on survival greater or less than 24 months using published datasets (3, 4). We found that the autophagy cargo receptor Neighbor to BRCA1 gene, NBR1 was among the genes most significantly differentially expressed between the tumors of women with disease-free survival more or less than 24 months (3). Analysis of a separate dataset (4), here comparing metastatic tissues of women with breast cancer based on overall survival, again identified NBR1 among the genes whose expression was most significantly different, genome-wide, between women surviving more than 24 months as compared to women who expired before 24 months. NBR1 was recently reported as a regulator of metastasis in mouse models of breast cancer (5). Our findings reveal that NBR1 is expressed at significantly higher levels in women who survive stage IV metastatic breast cancer greater than 24 months as compared to those who will expire from the disease before 24 months, and are in distinct opposition with recently published mechanistic studies in mice suggesting that NBR1 inhibition is anti-metastatic (5). The fact that NBR1 is among the genes whose expression is most significantly higher in the primary and metastatic tumors of patients based on survival outcomes greater than 24 months and expressed significantly higher among survivors, suggests that NBR1 inhibition will not be effective in halting metastasis and should be approached with caution.