We previously demonstrated that TIB recognize tumor antigens and produce antibodies against them. In the present study, we identified three tumor antigens recognized by TIB in lung cancer and evaluated whether changes in the antibody titer against these antigens correlated with the patient's clinical course. A lung cancer cell line, G603L, was established from a primary lung tumor of a patient, G603. Seven months later, adrenal metastasis was detected and surgically resected. The latter tumor was mildly infiltrated with B cells and xenotransplanted into SCID mice to obtain human IgG. A cDNA library was constructed from G603L and SEREX was carried out using TIB-derived IgG. The seroreactive clones were sequenced and one of these antigens was revealed to be MAGE-B2 whereas the others were novel antigens. In the immunomonitoring of the patient's sera, high antibody titer against MAGE-B2 was observed before operation and the titer decreased after resection of the primary tumor. It was elevated again at the time of adrenal metastasis, but then decreased after resection. The change in antibody titer against the second antigen was similar to MAGE-B2, and the antibody titer against the third antigen was low before the primary operation but increased at the time of recurrence. Our results suggest that TIB recognized tumor antigens and the antibody titers against these antigens were changed along with the patient's clinical course. Therefore, these antibodies could be used as tumor markers for the patient. (1) Among all of the malignant neoplasms, lung cancer is also one of the highest causes of death in Japan, accounting for 22.0% of all cancer deaths for men and 12.7% for women.(2) The incidence and mortality of lung cancer continues to increase worldwide. Lung cancer is classified into two groups: NSCLC and SCLC. For NSCLC patients, a complete surgical resection is the standard way to obtain a cure. However, the recurrence rate after a complete resection remains high even for early stage cases of NSCLC.(3-5) Chemotherapy and radiotherapy are fundamental modalities for advanced and recurrent lung cancer after surgery; however, their effectiveness remains unsatisfactory.(6-9) In addition to these conventional treatments, alternative therapies have also been developed, including immunotherapy, molecular targeting therapy and gene therapy.To improve the effectiveness of immunotherapy, the identification of highly immunogenic tumor antigens is very important. The cDNA expression cloning method has been used to identify genes coding for tumor antigens using CTL.(10-12) Another method to detect tumor antigens is serological analysis of recombinantly expressed cDNA clones, named SEREX. A number of tumor antigens have been identified by the SEREX method using patients' sera. SEREX analysis has shown that vigorous humoral immune responses have been elicited in cancer patients due to a variety of cellular antigens, including differentiation antigens, mutational antigens, cancer-testis antigens and overexpressed tumor antigens. (1...