We have investigated the suitability of proteomics for identification of tu
mor-associated antigens. First, we compared the proteomes of nontumorous ki
dney and renal cell carcinoma (RCC) by two-dimensional get electrophoresis
(2-DE) and silver staining. Protein patterns were markedly different (simil
ar to 800 spots in RCCs versus similar to 1400 spots in kidney). 2-DE immun
oblotting revealed five RCC-specific spots, reproducibly reactive with RCC-
patient but not healthy donor control sera. Two of these antigens were isol
ated by preparative 2-DE, and identified by Edman sequencing of tryptic pep
tides. The first antigen, smooth muscle protein 22-alpha (SM22-alpha), is a
n actin-binding protein of unknown function predominantly expressed in smoo
th muscle cells. In situ hybridization revealed that SM22-alpha is not expr
essed in the malignant cells but in mesenchymal cells of the tumor stroma.
The second antigen represents carbonic anhydrase I (CAI), an isoform usuall
y not expressed in kidney. Interestingly, a different isoform (CAXII) has p
reviously been identified by serological expression cloning as an antigen o
verexpressed in some RCCs. In additional assays, antibodies to recombinant
CAI or SM22-alpha were detected in sera from 3/11 or 5/11 RCC patients, res
pectively, whereas sera from 13 healthy individuals did not react. In concl
usion, serological proteome analysis may be a new tool for the identificati
on of tumor-associated antigens.