MUC1, a heavily glycosylated mucin, has generated considerable interest as a target for tumor killing because of its overexpression in malignancies. Full-length MUC1 (MUC1/TM) is proteolytically cleaved after synthesis generating a and b subunits, which specifically bind in a noncovalent interaction. Although the b chain remains on the cell surface, the a chain binds in an on-and-off interaction. Most anti-MUC1 antibodies (Abs) described to date recognize epitopes within the highly immunogenic a-chain tandem repeat. Because the a-chain is shed, such Abs are sequestered and fail to reach MUC1-expressing cells. Immunizing with cDNA encoding MUC1/TM and the spliced MUC1/X isoform from which the tandem repeat has been deleted yielded antibodies to the MUC1 a/b junction. Pseudomonas toxin PE38 linked to polyclonal anti-MUC1 a/b junction Abs both bound and killed MUC1-positive malignant cells. Monoclonal DMC209 binds the MUC1 a/b junction in both MUC1/X and MUC1/TM. When injected into SCID mice xenotransplanted with human breast cancer MDA-MB-231, monoclonal DMC209 showed significant in vivo tumorsuppressive activity. The MUC1/X a/b junction presents a biologically-significant target in MUC1-expressing malignancies because (i) antibodies directed against cell-bound a/b junction epitopes reach the intended cellular target, (ii) antibodies to junction epitope are internalized into cells, (iii) anti a/b junction antibodies can effectively kill high MUC1-expressing cancer cells as antibody-toxin conjugates and (iv) antibodies targeting the MUC1 cell-bound a/b junction results in tumor suppression in vivo. Our results indicate that cell-bound MUC1 a/b junction, unlike shed alpha chain, represents a highly effective moiety for targeting and killing MUC1-expressing malignancies. ' 2008 Wiley-Liss, Inc.Key words: MUC1; a/b; junction; oncogene; cancer cell killing; target-specific therapy Mucins are heavily glycosylated proteins found on both normal and malignantly transformed epithelial cells and preferentially expressed by a variety of adenocarcinomas, including breast, prostate, ovarian and pancreatic carcinomas, as well as on the malignant plasma cells of multiple myeloma. 1-5 Because of their presence on the cell surface, mucins play an important role in cell adhesion and matrix formation. 6 In addition to cell-to-cell functions, the transmembrane mucin molecule undergoes phosphorylation on its intracellular cytoplasmic tail, 7 thereby initiating intracellular transduction cascades that influence cellular proliferation and survival. 8-14 MUC1 mucin, because of its high expression on a number of different human tumor types, is widely recognized as a potentially important target for targeting human epithelial cancer cells. [15][16][17][18][19][20] The most intensively studied MUC1 protein is a type I transmembrane protein (MUC1/TM) composed of extracellular, transmembrane and cytoplasmic domains. 5,21 MUC1/TM is proteolytically cleaved soon after its synthesis, 22-26 generating two subunits, a and b, which specifically reco...