In view of the high incidence of early distant
tumor relapses in apparently completely resected (R0, M0)
non-small cell lung cancer (NSCLC), there is a need for an adjuvant
therapy. Considering the low
tumor burden in these patients, an adjuvant
therapy with
monoclonal antibodies (i.e., the 17-1A MAb) might be appropriate. The purpose of our study was to test whether the
17-1A antigen is expressed on primary and metastatic NSCLC
carcinoma cells. Using immunohistochemistry, the expression of 17-1A was analysed in primary
tumors (n = 60) and in
lymph node metastases (n = 7) of patients with NSCLC. Additionally, we investigated in 6 patients the expression of 17-1A on disseminated
tumor cells in the bone marrow, which were detected by the pan-
cytokeratin MAb A45-B/B3 using a double-labeling technique. The
17-1A antigen was homogeneously expressed in 47 (78.3%) out of 60 primary NSCLCs. The expression of 17-1A was independent from the
tumor histology, the grade of differentiation, and other clinicopathological parameters (ploidy status, TNM-stage).
Lymph node metastases were positive in 4 (57.4%) out of 7 cases. The double-labeling experiments demonstrated that 17-1A is coexpressed on disseminated
tumor cells in the bone marrow in 5 (83%) out of 6 patients. The
17-1A antigen is expressed on the majority of primary, metastatic, and disseminated NSCLC cells. Patients with 17-1A-positive
tumors might benefit from an adjuvant
therapy with
MAb 17-1A after completely resected NSCLC.