There is currently substantial interest in the identification of human tumo
r antigens for diagnosis and immunotherapy of cancer. We have implemented a
proteomic approach for the identification of tumor proteins that elicit a
humoral response in cancer patients, which we have applied to neuroblastoma
, Proteins from neuroblastoma tumors and cell lines were separated by two-d
imensional PAGE and transferred to poly(vinylidene difluoride) membranes. S
era from 23 newly diagnosed patients with neuroblastoma, from 12 newly diag
nosed children with other solid tumors, and from 13 normal individuals were
screened for IgG and IgM autoantibodies against neuroblastoma proteins by
means of Western blot analysis. Sera from 11 patients with neuroblastoma an
d from 1 patient with a primitive neuroectodermal tumor, but none of the ot
her controls exhibited IgG-based reactivity against a protein constellation
with an estimated M-r 50,000. NH2-terminal sequence and mass spectrometric
analysis identified the major constituents of this constellation as beta-t
ubulin isoforms I and III. The IgG antibodies were additionally characteriz
ed to be of the subclass IgG1, Neuroblastoma patient sera that contained an
ti-beta-tubulin IgG antibodies also contained IgM antibodies specific again
st the full-length beta-tubulin molecule and against COOH-terminal beta-tub
ulin cleavage products. Neuroblastoma patient sera that reacted with beta-t
ubulin I and LII isoforms in neuroblastoma tissues did not react with beta-
tubulin I and III isoforms found in normal brain tissue. Our findings indic
ate the occurrence of beta-tubulin peptides in neuroblastoma, which are imm
unogenic. The occurrence of immunogenic peptides in neuroblastoma may have
utility in diagnosis and in immunotherapy of this aggressive childhood tumo
r.