title: Evidence for the elevation of serum carcinoembryonic antigen and tumor-associated glycoprotein-72 levels in patients administered interferons.
abstract: Sera were collected from 111 patients diagnosed with adenocarcinoma or nonadenocarcinoma malignancies who received different schedules of interferon (IFN)-gamma or IFN-beta ser alone or in combination. Serum carcinoembryonic antigen (CEA) and tumor-associated glycoprotein-72 (TAG-72) antigen levels were measured to determine whether interferon could enhance the tumor shedding and, thereby, the serum level of either tumor antigen. Less than 10% of the sera samples from patients diagnosed with nonadenocarcinoma malignancies (e.g., hairy cell leukemia, melanoma) had positive titers of TAG-72 or CEA, and interferon neither increased nor resulted in the appearance of either tumor antigen in those sera. In contrast, 59.2% and 75.4% of the patients with adenocarcinoma had positive serum levels of TAG-72 and CEA, respectively, prior to interferon. IFN-gamma and IFN-beta ser alone or in combination significantly increased serum TAG-72 or CEA in approximately 65% of those patients. The results suggest that interferon administration to patients with adenocarcinoma can result in increased serum levels of selected tumor-associated antigens used in the diagnosis of malignancy. These preliminary findings may be important in the development of new strategies to obtain more sensitive tumor antigen serum assays for the diagnosis and monitoring for disease progression of adenocarcinoma.
authors.affiliation: Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892.
authors.forename: J W
authors.initials: JW
authors.lastname: Greiner
authors.forename: F
authors.initials: F
authors.lastname: Guadagni
authors.forename: D
authors.initials: D
authors.lastname: Goldstein
authors.forename: E C
authors.initials: EC
authors.lastname: Borden
authors.forename: R E
authors.initials: RE
authors.lastname: Ritts
authors.forename: P
authors.initials: P
authors.lastname: Witt
authors.forename: A F
authors.initials: AF
authors.lastname: LoBuglio
authors.forename: M N
authors.initials: MN
authors.lastname: Saleh
authors.forename: J
authors.initials: J
authors.lastname: Schlom
mesh_terms: D000230:Adenocarcinoma / Q000097:blood / Q000276:immunology / Q000628:therapy*; D000951:Antigens, Neoplasm / Q000032:analysis*; D014408:Biomarkers, Tumor / Q000097:blood*; D002272:Carcinoembryonic Antigen / Q000032:analysis*; D005260:Female; D006023:Glycoproteins / Q000032:analysis*; D006801:Humans; D007370:Interferon Type I / Q000627:therapeutic use*; D007371:Interferon-gamma / Q000627:therapeutic use*; D009369:Neoplasms / Q000097:blood / Q000276:immunology / Q000628:therapy*
chemical_list: D000951:Antigens, Neoplasm; D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen; D006023:Glycoproteins; D007370:Interferon Type I; C047052:tumor-associated antigen 72; D007371:Interferon-gamma