Increase of serum tumor marker concentrations by interferon-alpha.
Since it has been shown that the addition of interferon-alpha to ovarian cancer cells in vitro leads to an increase of CA125 in the cell culture supernatant it was the aim of our study to investigate whether the CA125 serum concentrations of patients with ovarian tumors could also be increased by injection of interferon-alpha in vivo. Nine patients with cystic ovarian tumors received 6 million IU interferon-alpha subcutaneously. CA125, CA15-3, and CEA were measured in defined time intervals during the following three days after interferon-alpha injection. In one patients with T1a N0 M0 ovarian cancer with normal serum levels of all markers before interferon-alpha application a massive increase of CA125 serum concentration was detected three days after injection. In the other 8 patients (5 benign tumors, 3 ovarian cancers) no marker increase was observed. In concordance with observations in cell cultures an increase of CA125 serum concentration after interferon-alpha injection was seen in one patient with early ovarian cancer and initially normal CA125 levels. If by the injection of interferon-alpha an increase of CA125 could regularly be induced in ovarian cancer patients, earlier detection of ovarian cancer seems possible.
Gebauer
G
G
Department of Obstetrics and Gynecology, University of Erlangen-Nuremberg, Erlangen, Germany.
Jaeger
W
W
Thiel
G
G
Lang
N
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000097:blood*; D018394:CA-125 Antigen / Q000097:blood; D002272:Carcinoembryonic Antigen / Q000097:blood; D005260:Female; D006801:Humans; D016898:Interferon-alpha / Q000494:pharmacology* / Q000627:therapeutic use; D008875:Middle Aged; D018396:Mucin-1 / Q000097:blood; D010051:Ovarian Neoplasms / Q000097:blood* / Q000188:drug therapy; D013997:Time Factors
D014408:Biomarkers, Tumor; D018394:CA-125 Antigen; D002272:Carcinoembryonic Antigen; D016898:Interferon-alpha; D018396:Mucin-1