This report describes a tumor-associated antigen, termed CML66, initially cloned from a chronic myelogenous leukemia (CML) cDNA expression library. CML66 encodes a 583-aa protein with a molecular mass of 66 kDa and no significant homology to other known genes. CML66 gene is localized to human chromosome 8q23, but the function of this gene is unknown. CML66 is expressed in leukemias and a variety of solid tumor cell lines. When examined by Northern blot, expression in normal tissues was restricted to testis and heart, and no expression was found in hematopoietic tissues. When examined by quantitative reverse transcription-PCR, expression in CML cells was 1.5-fold higher than in normal peripheral blood mononuclear cells. The presence of CML66-specific antibody in patient serum was confirmed by Western blot and the development of high titer IgG antibody specific for CML66 correlated with immune induced remission of CML in a patient who received infusion of normal donor lymphocytes for treatment of relapse. CML66 antibody also was found in sera from 18 -38% of patients with lung cancer, melanoma, and prostate cancer. These findings suggest that CML66 may be immunogenic in a wide variety of malignancies and may be a target for antigen-specific immunotherapy.T he therapeutic benefits of allogeneic bone marrow transplantation (BMT) derive in part from the antitumor effect of high-dose chemotherapy and radiation (1, 2). However, several clinical observations provide convincing evidence that donor immune elements also contribute to the elimination of residual leukemia after BMT. These observations include the reduced risk of relapse after BMT in patients who develop graft-versus-host disease and the increased risk of relapse in patients who receive T cell-depleted donor marrow (3,4). It also has been demonstrated that relapse after BMT often can be successfully treated by donor lymphocyte infusion (DLI) without additional therapy (5-7). The demonstration that adoptive immunotherapy with donor T cells can provide long-lasting remissions provides compelling evidence that these cells play an important role in mediating a graft-versusleukemia (GVL) response after allogeneic BMT (8, 9). Appreciation of the importance of GVL has led to the development of less intensive nonmyeloablative approaches for transplantation of allogeneic hematopoietic stem cells with subsequent infusion of donor T cells to enhance antitumor immunity (10-12). Initial reports using these approaches are encouraging and provide evidence that the therapeutic effects of DLI can be extended to provide effective immunity against solid tumors as well as hematopoietic malignancies (13).Although reconstitution with allogeneic stem cells can provide effective antitumor immunity, the mechanisms whereby donor T cells exert this activity are unknown and the target antigens of this response have not been well defined. To better characterize the antitumor effect of DLI we previously examined the reconstitution of T and B cell immunity in patients with chronic myelocyt...