Meenakshi A, Kumar N S, Vijayshanker S G
Department of Biochemical Oncology, Cancer Institute (WIA), Chennai-600020, India.
Hum Antibodies. 2000;9(4):223-9.
Carcinoembryonic antigen (CEA) is an oncofoetal protein first identified by Gold and Freedman (1965) in colorectal cancer. It is a cell surface tumor marker which has been characterised as a heterogenous group of glycoproteins. It is also present in a variety of benign and non-neoplastic diseases like ulcerative colitis, Adenomatous polyp, Liver cirrhosis and other cancers like GI tract tumors, Cancer of the breast, lung, ovary, pancreas, prostate, hepatoma etc. Elevated CEA levels serve as clinical tool in the diagnosis, monitoring, detecting early any recurrence or metastasis and in prognostication for confirmed colorectal cancers. In order to develop an Enzyme Immuno Assay and immunocytochemical assay for CEA, an MAb designated as CIBCHTB1 has been generated using CEA isolated from a cell line HT115, human adenocarcinoma of the colon, as immunogen by the conventional Hybridoma technology. This MAb of IgG1 isotope was selected by screening of culture supernatents by ELISA and then by its high binding affinity with HT115 cells as revealed by flowcytometric analysis. By ABC method of immunocytochemical assay, this Ab exhibited strong staining of cells in frozen tissue sections of normal colon and malignant colorectal lesions and various other types of human cancers. This MAb has useful application to study the expression of CEA in human cancers. Serum CEA levels of patients with colorectal cancers and other CEA producing cancers and controls determined by EIA using this MAb were in good correlation with the results obtained using commercial kit. The diagnostic potential of this Mab in the management of colorectal cancers is discussed.
癌胚抗原(CEA)是一种癌胚蛋白,由戈尔德和弗里德曼于1965年在结直肠癌中首次发现。它是一种细胞表面肿瘤标志物,被鉴定为一组异质性糖蛋白。它也存在于多种良性和非肿瘤性疾病中,如溃疡性结肠炎、腺瘤性息肉、肝硬化以及其他癌症,如胃肠道肿瘤、乳腺癌、肺癌、卵巢癌、胰腺癌、前列腺癌、肝癌等。CEA水平升高可作为诊断、监测、早期检测任何复发或转移以及确诊结直肠癌预后的临床工具。为了开发一种针对CEA的酶免疫测定法和免疫细胞化学测定法,通过传统的杂交瘤技术,使用从人结肠腺癌HT115细胞系中分离的CEA作为免疫原,产生了一种名为CIBCHTB1的单克隆抗体。通过ELISA筛选培养上清液,然后通过流式细胞术分析显示其与HT115细胞具有高结合亲和力,选择了这种IgG1同位素的单克隆抗体。通过免疫细胞化学测定的ABC法,该抗体在正常结肠和恶性结直肠病变以及各种其他类型人类癌症的冰冻组织切片中表现出强烈的细胞染色。这种单克隆抗体在研究CEA在人类癌症中的表达方面具有有用的应用。使用该单克隆抗体通过酶免疫测定法测定的结直肠癌和其他产生CEA的癌症患者及对照的血清CEA水平与使用商业试剂盒获得的结果具有良好的相关性。讨论了这种单克隆抗体在结直肠癌管理中的诊断潜力。