The general responsiveness of human melanoma to immunotherapy has been well
established, but active immunotherapy of melanoma has been hampered by ins
ufficient information on the immunogenicity of melanoma-associated Ags in p
atients. In this study, we isolated a recombinant phage-Fab clone (A10-5) f
rom a phage-Fab library derived from the B cells of a melanoma patient in r
emission after immunotherapy, Purified A10-5 Fab bound at high levels to cu
ltured melanoma cell lines and to tissue sections of metastatic and vertica
l growth phase primary melanoma, but not to radial growth phase primary mel
anoma, nevi, or normal skin. A10-5 Fab bound to both the surface and the cy
toplasm of cultured melanoma cells, but only to the cytoplasm of cultured f
ibroblasts. Western blot analysis revealed A10-5 Fab reactivity with a 33-
and a 23-kDa glycoprotein under nonreducing conditions, and with a 23-kDa p
rotein only under reducing conditions, A cDNA with an open reading frame pr
edicted to encode a 23-kDa protein was cloned by screening a melanoma cell
cDNA library with A10-5 Feb. This protein (p23) is the human homologue of t
he murine tumor transplantation Ag P198 that interacts with the cytoplasmic
domain of ErbB-3 expressed by melanoma cells. Thus, the Ab phage display m
ethod has identified a novel, stage-specific melanoma-associated Ag that ma
y have therapeutic and diagnostic value.