We have generated a monoclonal antibody (MAb), FS01, which inhibits th
e procoagulant activity (CCA-1) produced by a human squamous cell carc
inoma cell line, LK52. Expression of the antigen recognized by FS01 MA
b in various cancer cell lines correlated well with the procoagulant a
ctivities of the expressing cell lines. Our objective was to character
ize the molecule reacting with FS01 MAb and to analyze its involvement
in the CCA-1 procoagulant activity. The molecule was identified as a
glycolipid and found to be involved in the procoagulant activity becau
se both procoagulant activity and reactivity to FS01 MAb were lost aft
er endoglycoceramidase treatment of CCA-1. Furthermore, FS01 MAb recog
nized the Lewis Y (Le(y)) antigen. To confirm the involvement of a gly
colipid incorporating the Le(y) antigen in the procoagulant activity,
we attempted to purify CCA-1 from LK52 culture supernatant. In one of
the purification steps, a fraction containing low procoagulant activit
y (CCA-1p) separated from the Le(y)-positive fraction (CCA-1c). Althou
gh CCA-1c alone did not show procoagulant activity, the procoagulant a
ctivity of CCA-1p was augmented by CCA-1c and this augmentation was in
hibited by FS01 MAb. Furthermore, CCA-1c enhanced the procoagulant act
ivity of 33 cell lines tested as well as CCA-1p. In addition, purified
Le(y) glycolipid from canine intestine augmented the procoagulant act
ivity of CCA-1p, and this augmentation also could be inhibited by FS01
MAb. We conclude that Le(y) glycolipid is a co-factor for the procoag
ulant activity derived from cancer cells. (C) 1997 Wiley-Liss, Inc.