Serological analysis of cDNA expression libraries (SEREX) has proven to be a useful technique in the quest to elucidate the repertoire of immunogenic gene products in human cancer. We have applied the SEREX method to human renal cell carcinoma (RCC) in order to identify associated immunogenic gene products. cDNA expression libraries were prepared from a RCC tumor, a RCC cell line and human testis. The 3 libraries were screened with sera from 35 RCC patients and 15 healthy controls. Approximately 4.5 3 10 6 phage plaques were screened resulting in 234 positive clones, which corresponded to 74 different gene products. The seroreactivity toward 49 of these antigens was assessed. Seroreactivity to 21 (43%) of the antigens was similar in RCC patients and healthy controls, 9 antigens (18%) elicited antibodies more frequently and 19 antigens (39%) solely in RCC patients. In the reverse setting, reactivity of RCC patients' sera was tested against a panel of 44 previously identified ''tumor-associated'' antigens via the SADA (serum antibody detection array) method; 6 antigens reacted with RCC patients' and healthy donors' sera, 8 were reactive only with RCC patients' sera. From the 27 antigens identified by SEREX and SADA, which did not react with sera from healthy controls, 10 antigens reacted with a significant proportion of RCC patients' sera and 77% of RCC patients' sera reacted at least with one of these antigens. Sera from patients with nonmalignant renal diseases or an autoimmune disease did not react with these 10 antigens. ' 2005 Wiley-Liss, Inc.Key words: human renal cell carcinoma; SEREX; SADA; cancertestis antigen; immunome Renal cell carcinoma accounts for up to 3% of all adult malignancies and is the most common neoplasm in the adult kidney. The incidence of RCC is increasing yearly.1 There is no internationally standardized treament for metastatic RCC and the only curative option for localized RCC is radical nephrectomy, 2 as RCC is highly chemoresistant 3 and radioresistant. 4 However, RCC is thought to be immunogenic, as there are reports of spontaneous regression, albeit extremely rare.5 Identification of RCCassociated immunogenic molecules is therefore a priority in order to understand the underlying mechanisms of immunogenicity and to identify potential diagnostic, prognostic and therapeutic targets.The repertoire of tumor antigens recognized by the immune system is referred to as the cancer immunome. 6 The immunome comprises antigens defined by T cell epitope cloning, 7-9 MHC peptide elution [10][11][12] and serological methods such as SEREX (serological analysis of recombinant cDNA expression libraries) [13][14][15] or SERPA (serological proteome analysis). 16 All of these methods have been used successfully to identify antigens in a wide range of cancers. However, in comparison with other cancers such as melanoma, relatively few antigens have been identified to date in RCC.One of the RCC-associated antigens identified by the T cell epitope cloning method is RAGE-1. 17 The frequency of its expressio...