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ARTICLE |

Carcinoembryonic Antigen in Patients With Different Cancers FREE

Gustavo Reynoso, MD; Tsann Ming Chu, PhD; Douglas Holyoke, MD; Elias Cohen, PhD; Takuma Nemoto, MD; J-J Wang, MD; J. Chuang, MD; Patrick Guinan, MD; Gerald P. Murphy, MD
[+] Author Affiliations

Reprint requests to 666 Elm St, Buffalo 14203 (Dr. Reynoso).


JAMA. 1972;220(3):361-365. doi:10.1001/jama.1972.03200030021005
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Carcinoembryonic antigen (CEA) is a cancer-specific antigen described by Gold in 1965. It is a glycoprotein present in malignant entodermal tissues, in fetal colonic mucosa, and in the plasma of patients with gastrointestinal tract cancers. We have measured plasma CEA levels in 346 patients using a new procedure which detects an ion-sensitive antigenic site in the carcinoembryonic molecule. Levels in 39 of 48 patients with gastrointestinal tract cancer and 90 of 281 with nonentodermally derived malignancies were abnormal. Following successful therapy CEA level returns to normal (colon, four of four; neuroblastoma, three of three). The identity between the antigen measured in the present study and the carcinoembryonic antigen of Gold has not been established. The assay appears to be useful in the follow-up of patients with cancer and may eventually be of diagnostic value in the asymptomatic patient.

REFERENCES

Gold P, Freedman SO:  Demonstration of tumor-specific antigens in human colonic carcinomata by immunological tolerance and absorption techniques . J Exp Med 121:439-459, 1965;.
Gold P, Freedman SO:  Specific carcinoembryonic antigens of the human digestive system . J Exp Med 122:467-481, 1965;.
Krupey J, Gold P, Freedman SO:  Physiochemical studies of the carcinoembryonic antigens of the human digestive systems . J Exp Med 125:387-397, 1965;.
Gold P, Gold M, Freedman SO:  Cellular location of carcinoembryonic antigens of the human digestive system . Cancer Res 28:1331-1334, 1968;.
Thomson DMP, Krupey J, Freedman SO, et al:  The radioimmunoassay of circulating carcinoembryonic antigen of the human digestive system . Proc Nat Acad Sci USA 64:161-167, 1969;.
Hansen HJ, Lance KP, Krupey J:  Demonstration of an ion sensitive antigenic site on carcinoembryonic antigen using zirconyl phosphate gel , abstracted. Clin Res 19:143, 1971;.
Hansen HJ, Hager HJ, Cohen H, et al:  Induction of an antisera monospecific for carcinoembryonic antigen , abstracted. Clin Res 19:53, 1971;.
Berson SA, Yalow RS:  General principles of radioimmunoassay . Clin Chim Acta 22:51-69, 1968;.
Huestis DN: Determination of ABH Secretor Status: Technical Methods and Procedures of the American Association of Blood Banks , ed 5. 1970;, pp 61-63.
LoGerfo P, Krupey J, Hansen HJ:  Demonstration of a common neoplastic antigen , abstracted. Clin Res 19:143, 1971;.
Moore DL, Kupchik HZ, Marcon N, et al:  Carcinoembryonic antigen assay in cancer of the colon and pancreas and other digestive tract disorders . Dig Dis 16:1-7, 1971;.
Stonehill EH, Bendich A:  Retrogenetic expression: The appearance of embryonal antigens in cancer cells . Nature 228:370-372, 1970;.

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Gold P, Freedman SO:  Demonstration of tumor-specific antigens in human colonic carcinomata by immunological tolerance and absorption techniques . J Exp Med 121:439-459, 1965;.
Gold P, Freedman SO:  Specific carcinoembryonic antigens of the human digestive system . J Exp Med 122:467-481, 1965;.
Krupey J, Gold P, Freedman SO:  Physiochemical studies of the carcinoembryonic antigens of the human digestive systems . J Exp Med 125:387-397, 1965;.
Gold P, Gold M, Freedman SO:  Cellular location of carcinoembryonic antigens of the human digestive system . Cancer Res 28:1331-1334, 1968;.
Thomson DMP, Krupey J, Freedman SO, et al:  The radioimmunoassay of circulating carcinoembryonic antigen of the human digestive system . Proc Nat Acad Sci USA 64:161-167, 1969;.
Hansen HJ, Lance KP, Krupey J:  Demonstration of an ion sensitive antigenic site on carcinoembryonic antigen using zirconyl phosphate gel , abstracted. Clin Res 19:143, 1971;.
Hansen HJ, Hager HJ, Cohen H, et al:  Induction of an antisera monospecific for carcinoembryonic antigen , abstracted. Clin Res 19:53, 1971;.
Berson SA, Yalow RS:  General principles of radioimmunoassay . Clin Chim Acta 22:51-69, 1968;.
Huestis DN: Determination of ABH Secretor Status: Technical Methods and Procedures of the American Association of Blood Banks , ed 5. 1970;, pp 61-63.
LoGerfo P, Krupey J, Hansen HJ:  Demonstration of a common neoplastic antigen , abstracted. Clin Res 19:143, 1971;.
Moore DL, Kupchik HZ, Marcon N, et al:  Carcinoembryonic antigen assay in cancer of the colon and pancreas and other digestive tract disorders . Dig Dis 16:1-7, 1971;.
Stonehill EH, Bendich A:  Retrogenetic expression: The appearance of embryonal antigens in cancer cells . Nature 228:370-372, 1970;.
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