Purpose: In an effort to identify cell surface targets and single short-chain antibody (scFv) for ovarian cancer therapy, we used a phage display approach to isolate an antibody with high reactivity against ovarian cancer. Experimental Design: A phage scFv library was subjected to panning against human SK-OV-3 ovarian cancer cells. A clone with high reactivity was selected and tested in immunoperoxidase staining on a panel of normal tissues and ovarian carcinoma. Using immunoprecipitation, a differentially expressed band was analyzed by mass spectrometry. The antigen subclass was characterized with reverse transcription-PCR on cDNA library of normal tissues, and 91 ovarian cancer specimens, and correlated with clinicohistopathologic characteristics. Results: Ninety-six individual scFv clones were screened in ELISA following panning. scFv F7 revealed high reactivity with ovarian cancer cell lines and showed intense staining of 15 fresh ovarian cancer specimens and no staining of a panel of normal tissues. A 40-kDa protein was identified to be translation elongation factor 1a1 (EEF1A1; P < 0.05). The expression of EEF1A2, a highly homologous and functionally similar oncogene, was found to be restricted only to the normal tissues of the heart, brain, and skeletal muscle. Aberrant EEF1A2 mRNA expression was found in 21of 91 (23%) of ovarian cancer specimens and significantly correlated with increased likelihood of recurrence (P = 0.021). Conclusions: scFv F7 may represent an ovarian cancer^specific antibody against translation EEF1A family of translational factors. We propose that EEF1A2 may be a useful target for therapy of human ovarian cancer.Epithelial ovarian cancer (EOC) is the leading cause of gynecologic cancer deaths in the United States (1). Although it is clear that most patients with EOC will respond to platinum-and paclitaxel-based chemotherapy, including complete responses, the relapse rate within 2 years is f85% (2). Once relapse occurs, there is no known curative therapy and management becomes primarily palliative. Thus, there is a need to develop additional therapeutic approaches for the management of this disease. A proposed strategy for minimizing the risk of recurrent disease is immunotherapy. Patients who show complete response to frontline surgery and chemotherapy could be considered for immunotherapy, with the presumption that the majority do in fact have micrometastases. The development of successful immunotherapeutic or targeted therapy strategies requires the identification and characterization of ovarian tumor -associated antigens that will be recognized by the host immune system, leading to tumor rejection. Therefore, there is a need to identify and characterize novel antigens that may be useful for immunotherapy approach against this cancer (3).Antibody therapy has long been sought after as a treatment strategy in cancer care. The classic approach to obtain tumorspecific antibodies has been to immunize mice with tumor cells and to screen the mouse serum for antibodies for their ...