Identification of β-Tubulin Isoforms as Tumor Antigens in Neuroblastoma

There is currently substantial interest in the identification of human tumor 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-dimensional PAGE and transferred to poly(vinylidene difluoride) membranes. Sera from 23 newly diagnosed patients with neuroblastoma, from 12 newly diagnosed 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 and from 1 patient with a primitive neuroectodermal tumor, but none of the other controls exhibited IgG-based reactivity against a protein constellation with an estimated M r 50,000. NH 2 -terminal sequence and mass spectrometric analysis identified the major constituents of this constellation as β-tubulin isoforms I and III. The IgG antibodies were additionally characterized to be of the subclass IgG1. Neuroblastoma patient sera that contained anti-β-tubulin IgG antibodies also contained IgM antibodies specific against the full-length β-tubulin molecule and against COOH-terminalβ -tubulin cleavage products. Neuroblastoma patient sera that reacted with β-tubulin I and III isoforms in neuroblastoma tissues did not react with βtubulin I and III isoforms found in normal brain tissue. Our findings indicate the occurrence of β-tubulin peptides in neuroblastoma, which are immunogenic. The occurrence of immunogenic peptides in neuroblastoma may have utility in diagnosis and in immunotherapy of this aggressive childhood tumor.