A new enzyme-linked lectin/mucin antibody sandwich assay (CAM 17.1/ WGA) assessed in combination with CA 19-9 and peanut lectin binding assay for the diagnosis of pancreatic cancer

作者: N. Parker , C. A. Makin , C. K. Ching , D. Eccleston , O. M. Taylor

DOI: 10.1002/1097-0142(19920901)70:5<1062::AID-CNCR2820700509>3.0.CO;2-P

关键词: LectinPancreatic diseaseWheat germ agglutininPancreatic cancerMolecular biologyCA19-9MedicineRadioimmunoassayPeanut agglutininImmunologyLigand binding assayCancer researchOncology

摘要: Background. Mucus glycoproteins are often present in the sera of patients with pancreatic cancer, and their detection quantification can be used serologic diagnosis. Methods. A novel enzyme-linked “sandwich” assay (CAM 17.1/WGA) has been developed which a lectin, wheat germ agglutinin (WGA), is bound to solid phase capture serum glycoproteins, after addition test sera, monoclonal antimucin antibody 17.1) peroxidase-tagged second as system. Results. The applied from 79 cancer 120 controls. CAM 17.1/WGA alone had sensitivity 78% specificity 76% diagnosis cancer. Combination previously described peanut lectin binding (PNA/ELLA) provided 92% 70%, whereas combination CA 19-9 radioimmunoassay 85% 76%. all three tests 94% 66%. In nonjaundiced patients, PNA/ELLA 93% 79% cancer. Conclusions. This new adds significantly armamentarium for These particularly effective when detect different mucin-borne carbohydrate antigens. They deserve more widespread use, examining unexplained abdominal pain or weight loss.

参考文章(30)
William M. Steinberg, Richard Gelfand, Kimberly K. Anderson, Jerry Glenn, Scott H. Kurtzman, William F. Sindelar, Philip P. Toskes, Comparison of the sensitivity and specificity of the CA19-9 and carcinoembryonic antigen assays in detecting cancer of the pancreas. Gastroenterology. ,vol. 90, pp. 343- 349 ,(1986) , 10.1016/0016-5085(86)90930-3
Ulrika Harmenberg, Britta Wahren, Karl-Ludvig Wiechel, Tumor markers carbohydrate antigens CA 19-9 and CA-50 and carcinoembryonic antigen in pancreatic cancer and benign diseases of the pancreatobiliary tract. Cancer Research. ,vol. 48, pp. 1985- 1988 ,(1988)
Victor Ginsburg, Zenon Steplewski, Hilary Koprowski, John L. Magnani, Identification of the gastrointestinal and pancreatic cancer-associated antigen detected by monoclonal antibody 19-9 in the sera of patients as a mucin Cancer Research. ,vol. 43, pp. 5489- 5492 ,(1983)
S. Carrel, B. Sordat, C. Merenda, Establishment of a Cell Line (Co-115) from a Human Colon Carcinoma Transplanted into Nude Mice Cancer Research. ,vol. 36, pp. 3978- 3984 ,(1976)
C A Makin, L G Bobrow, W F Bodmer, Monoclonal antibody to cytokeratin for use in routine histopathology. Journal of Clinical Pathology. ,vol. 37, pp. 975- 983 ,(1984) , 10.1136/JCP.37.9.975
Hisako Yamamura, Masaharu Tatsuta, Michiko Ito, Hiroyasu Iishi, Sanai Noguchi, Shigeru Okuda, Mototsugu Yoshida, Effectiveness of discriminant analysis of serum CA 19-9 and elastase 1 in diagnosis of pancreatic carcinoma. Pancreas. ,vol. 4, pp. 401- 405 ,(1989) , 10.1097/00006676-198908000-00002
J N Thompson, Diagnosing cancer of the pancreas. BMJ. ,vol. 301, pp. 775- 776 ,(1990) , 10.1136/BMJ.301.6755.775
N A Habib, M J Hershman, F Haberland, L Papp, C B Wood, R C Williamson, The use of CA-50 radioimmunoassay in differentiating benign and malignant pancreatic disease British Journal of Cancer. ,vol. 53, pp. 697- 699 ,(1986) , 10.1038/BJC.1986.116
Tetsuo Hayakawa, Takaharu Kondo, Tokimune Shibata, Hirotsugu Hamano, Motoji Kitagawa, Yuzo Sakai, Hideki Ono, Sensitive serum markers for detecting pancreatic cancer. Cancer. ,vol. 61, pp. 1827- 1831 ,(1988) , 10.1002/1097-0142(19880501)61:9<1827::AID-CNCR2820610918>3.0.CO;2-8