A new member of the lysyl oxidase (LOX) family, lysyl oxidase-like 4 (LOXL4), is overexpressed in head and neck squamous cell carcinoma (HNSCC) compared to normal squamous epithelium. A monoclonal antibody (mAb) derived from fusion of Balb/ c mouse splenocytes immunized with LOXL4 specific peptide was used to evaluate its therapeutic efficacy in 15 HNSCC cell lines associated with LOXL4 overexpression. For xenograft experiments 41 severe combined immunodeficient (SCID) mice were used to analyze LOXL4-mAb mediated tumor regression. Cell viability was analyzed using cytotoxicity-, and clonogenic-assays. Significant suppression of tumor cell growth was observed in 12 out of 15 (80%) tumor cell lines after 48 hr exposure to the mAb (LD50 of 15 mg/ml to 45 mg/ml). The effect induced by the antibody could be blocked by pre-incubation of the antibody with the peptide used for immunization of the mice and antibody generation, indicating that the effect of the antibody is specific. In mice inoculated with HNSCC cells, i.v. injections of the LOXL4-mAb resulted within 70 days in extensive tumor destruction in all treated animals whereas no tumor regression occurred in control animals. In mice pre-immunized i.v. with LOXL4-mAb and subsequently injected with HNSCC cells, tumor development was considerably delayed in contrast to non LOXL4-mAb pre-immunized animals. These results demonstrate that the LOXL4-mAb has potent antitumor activity and suggest its suitability as a therapeutic immune agent applicable to HNSCC exhibiting tumor specific upregulation of LOXL4.Lysyl oxidases are a family of five copper-dependent amine oxidases including LOX, LOXL, LOXL2, LOXL3 and LOXL4 that catalyze the oxidation of peptidyl lysine to d-aminoadipic b-semialdehyde, the intermediate precursor during the formation of covalent crosslinkages that stabilize fibres of elastin and collagen, and contribute to the development and maintenance of the extracellular matrix. [1][2][3] LOX is expressed in several human tumor cells such as melanoma cells, fibrosarcoma and rhabdosarcoma cells, and in prostate and breast carcinoma. 4-6 It has been found both extracellular and intracellular, 7,8 and has multiple functions in stromal and epithelial cells and tissues, for example, maturation of fibrillar matrix proteins in fibrosing processes and dictates their stability against metalloproteinases. 9-11 Studies investigating the role of LOX in invasive breast carcinoma cells revealed that LOX activity was essential in promoting the invasive phenotype of breast carcinoma cells 12,13 and the metastatic behavior in mice. 14 It was also demonstrated that hydrogen peroxide generated during LOX-catalyzed reactions mediated FAK/Scr activation, turnover of focal adhesions, and increased cell migration. 13 A recent study showed that LOXL4 is induced by transforming growth factor b1 (TGF-ß1) and plays a role in ECM remodeling. 15 We have found selective upregulation and amplification of the LOXL4 gene, overexpression of LOXL4 protein in primary and metastatic HNSCC cell ...