The following literature describes research
into the use of human proteins for cancer diagnosis:
The use of Tumor Markers
in certain situations is well established. Many of these
markers were originally derived from an attempt to develop
monoclonal antibodies from crude tissue extracts or
cell lines made from specific carcinomas. Many are derived
from glycoproteins associated with mucins, and are commonly
referred to as carbohydrate antigens (CA). Commonly
measured tumor markers include CA15-3, CA-125, CA19-9,
CA72-4, CEA, AFP and PSA. These tumor markers are found
in the serum of patients with varying tumors. It should
be noted that markers are not 100% specific for tumors
and suffer from interferences just like any other biochemical
analysis.
- Elevated serum CA15-3 levels are reliable prognostic
factors for primary breast cancer. CA15-3 has been
used to monitor the clinical course of breast cancer
patients, and elevation of serum CA15-3 implies that
the disease is extended or indicates failure of treatments.
- Most women with ovarian cancer have very high levels
of a protein antigen called CA-125 present in their
blood stream. While almost all healthy people have
CA-125 levels below 35 U/mL of serum, cancer patients
may have levels of 10 to 20,000 U/mL CA-125 when they
are diagnosed. The level of CA-125 has become a key
measurement in monitoring the effectiveness of ovarian
cancer treatment.
- CA19-9 is a carbohydrate antigen expressed by a
majority of colorectal cancers and is associated with
tumor progression. CA19-9 detection in tumor tissue
and serum identifies patients at high risk for cancer
recurrence and may be useful in selecting patients
for additional therapy.
- CA72-4 is a high molecular weight, pancarcinoma
human tumor mucin which is a reliable marker for the
identification and clinical management of patients
with gastric carcinoma. Specific levels of CA72-4
and CA19-9 have been identified which are of value
in the follow-up of patients after operation for gastric
carcinoma; however, combined measurements of CA72-4
and CA19-9 increase sensitivity and prognostic value
of the results.
- Carcino-Embryonic Antigen (CEA) is a tumor associated
antigen which has been characterized as a glycoprotein
of approximately 200,000 molecular weight. Development
of the radio-immunoassay (RIA) made it possible to
detect very low concentrations of CEA in blood, body
fluids, and in normal and diseased tissues. Results
of clinical studies indicate that CEA, although originally
thought to be specific for digestive tract cancers,
may also be elevated in other malignancies and in
some non-malignant disorders. CEA testing can have
significant value in the monitoring of patients with
diagnosed malignancies in whom changing concentrations
of CEA are observed. A persistent elevation in circulating
CEA following treatment is strongly indicative of
occult metastatic and/or residual disease. A persistent
elevation of CEA value may be associated with progressive
malignant disease and poor therapeutic response. A
declining CEA value is generally indicative of a favorable
prognosis and good response to treatment. Patients
who have low pre-therapy CEA levels may later show
elevations in CEA as an indication of progressive
disease. The clinical relevance of CEA monitoring
has been shown in the follow-up management of patients
with colorectal, breast, lung, prostatic, pancreatic,
and ovarian carcinomas. Additionally, studies suggest
that pre-operative CEA levels of patients with colorectal,
breast and lung carcinoma have prognostic significance.
As a point of reference, it has been shown that 99%
of healthy subjects have CEA concentrations of less
than 5 ng/mL.
|