In our effort to find diagnostic markers and to develop therapeutic approaches for prostate cancer, we have identified an mAb that is capable of binding to a cell surface antigen specifically expressed on both androgen-dependent and androgen-independent prostate cancer cells. Immunohistological studies revealed that this mAb, called F77, stained 112 of 116 primary and 29 of 34 metastatic human prostate cancer specimens. Although the mAb F77 alone directly promotes prostate cancer cell death, it also mediates complementdependent cytotoxicity and antibody-dependent cellular cytotoxicity. In addition, mAb F77 can significantly inhibit androgenindependent PC3 and Du145 tumor growth in nude mice. Antigen characterization revealed that mAb F77 recognizes a very small molecular species with glycolipid properties. F77 antigen is concentrated in the lipid-raft microdomains, which serve as platforms for the assembly of associating protein complexes. Thus, the present study indicates that mAb F77 defines a unique prostate cancer marker and shows promising potential for diagnosis and treatment of prostate cancer, especially for androgen-independent metastatic prostate cancer.androgen-independent tumor | antibody therapy | prostate cancer lipid antigen (PCLA) | antibody-dependent cellular toxicity | lipid rafts P rostate cancer is the second leading cause of cancer-related death in men in the United States. Thirty percent to 45% of patients with clinically localized disease are found to have extracapsular extension (1), and cancer may relapse and metastasize after local therapy. Despite the effectiveness of hormone therapy, most patients with metastatic disease eventually progress to an androgen-independent state, at which time the disease is incurable. The 5-y survival rate for metastatic prostate cancer is only 34% (2). New therapeutic approaches are clearly needed for the treatment of advanced and metastatic prostate cancer.Targeted monoclonal antibody therapy has proven efficacious in clinical cancer treatment. Certain mAbs, such as the anti-CD20 mAb (rituximab) used to treat B cell lymphoma and the antip185Her2/neu mAb (trastuzumab) for metastatic breast cancer, have been reasonably efficacious on their own (3, 4). Our laboratory showed that mAbs to p185Her2/neu can reverse the malignant phenotype and render tumors more susceptible to concomitant genotoxic therapies (5).The antibodies currently available for detection and treatment of prostate cancers are limited. The mAb 7E11-C5.3, which binds to prostate-specific membrane antigen (PSMA), has been developed for clinical trials (6). The ProstaScint scan (Cytogen), based on 111