Dear Sir,We read with interest the article by Straughn et al.,"Expression of sperm protein 17 (Sp17) in ovarian cancer". 1 Although this study is a significant contribution to the field of cancer research, the following observations need to be made.Sperm protein 17 (Sp17) is a highly conserved mammalian protein detected in mouse, monkey, baboon, macaque and human (HSp17) testis and spermatozoa. Using a pair of sequence-specific primers, the presence of HSp17 mRNA has been clearly shown in 17% of patients with multiple myeloma and in the primary tumor cells from 70% of patients with ovarian carcinoma. 2-4 Chiriva-Internati et al. 5 have further shown that HSp17 contains functional cytotoxic T-lymphocyte epitopes. These results indicate that HSp17 is a cancer-testis (CT) antigen in multiple myeloma and ovarian carcinoma and suggest its suitability as a target for immunotherapy of these 2 neoplastic diseases.CT antigens constitute a group of proteins expressed in histologically different types of neoplasia and whose expression in normal tissues is limited to germ cells of the testis, with occasional expression in female reproductive organs. 6,7 Although Sp17 has been frequently reported to be expressed solely in the testis, transcripts have recently been detected in murine somatic tissues by RT-PCR, albeit in much lower amounts when compared to testis. 8 Despite Lim et al. 4 having failed to detect mRNA encoding HSp17 in human somatic tissues other than the testis, Frayne and Hall 9 have clearly detected HSp17 transcripts of the predicted size in a panel of human cDNAs including the brain, heart, kidney, liver, lung, pancreas, placenta and testis.In clinical materials, the expression of CT antigens has mostly been studied at the level of gene expression by RT-PCR. However the information provided by this approach is limited because of the impossibility of quantifying cancer cells that are positive for CT antigens. 7,10 On the contrary, by means of specific antibodies it is possible to recognize the presence of the antigen within examined tissues, highlighting not only the quantity but also the type of cells immunopositive for that antigen.By using self-produced mouse anti-HSp17 antibodies, normal human seminiferous tubules were highly positive for HSp17 as well as the flagella of the ejaculated spermatozoa. 11 Since the flagella of spermatozoa are similar to cilia, we then investigated whether HSp17 was identifiable in human ciliated epithelia. We detected a strong presence of HSp17 in ciliated epithelia of the respiratory airways and both the male and female reproductive system. 12 These data extend recent reports in which a proteomic analysis of human airways cilia revealed the expression of HSp17 13 and in which a RT-PCR analysis from a panel of human cDNAs showed HSp17 transcripts in all human tissues examined, including lung and other organs that contain different amounts of ciliated cells. 9 Since cilia have been adapted as versatile tools for many biological processes, such as left-right axis pattern formati...