Serological screening approaches have allowed for the identification of a large number of potentially relevant
tumor antigens in
cancer patients. Within this group,
cancer testis antigens represent promising targets for
cancer immunotherapy, since they are widely expressed in a variety of human
cancer entities. In
pancreatic cancer, however, there are only few data available about the expression pattern and serological response to
cancer testis antigens and other serological-defined
tumor antigens. Therefore, we investigated the
IgG antibody response against 11
cancer testis antigens (SCP-1, GAGE, LAGE-1a,-1b, CT-7, NY-ESO-1, SSX-1-5) recombinantly expressed on yeast surface (RAYS) in patients with
pancreatic cancer (n = 96),
chronic pancreatitis (n = 18) and healthy donors (n = 48). We found in 14% of all patients antibody responses to
SCP-1, but not to other
cancer testis antigens (GAGE, LAGE-1a,-1b, CT-7, NY-ESO-1, SSX-1-5). Antibody response correlated with the expression of
SCP-1 in the primary
tumor of the respective patient as shown by RT-PCR, immunohistochemistry and Western blot. In contrast, no serological response to
cancer testis antigens was observed in healthy donors. The humoral immune response against
SCP-1 was associated with the size of
tumor, but not with other clinico-pathological parameters such as histology, stage, presence of
lymph node metastases, grading, age, gender or
gemcitabine treatment. In conclusion, antibody response to
cancer testis antigen SCP-1 is found in a proportion of
pancreatic carcinoma patients. These results indicate that identification of additional
tumor antigens by serological screening of
tumor cDNA expression libraries by RAYS is a promising goal in
pancreatic cancer.