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Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1984 Dec;58(3):685–693.

Circulating immune complexes (CIC), carcinoembryonic antigen (CEA) and CIC containing CEA as markers for colorectal cancer.

K A Chester, R H Begent
PMCID: PMC1577103  PMID: 6509799

Abstract

It has been suggested that circulating immune complexes (CIC) would provide a useful tumour marker system and that carcinoembryonic antigen (CEA) may form an antigen component of CIC found in patients with colorectal cancer. In this study the clinical usefulness of CIC and CIC containing CEA (CEA-IC) was investigated. Concentrations of CIC were measured in 30 patients with colorectal cancer. Fourteen patients were studied sequentially at approximately 1 month intervals after apparent curative resection of the primary tumour. Results were correlated with those obtained from serum CEA and compared to clinical status. CEA-IC were measured using a novel assay and compared with CIC and CEA values in 29 patients. CIC concentrations were elevated in patients with known disease and predicted clinical relapse in four of 14 patients. In two patients CIC remained elevated despite sustained remission. CEA-IC were not detectable in any of the patients studied. CIC estimations may augment CEA measurements as indicators of disease recurrence but lack of specificity makes them of little practical value as tumour markers in colorectal cancer. No evidence was found to support previous reports that CEA was an antigen component of CIC in this disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abuelo J. G., Tolkan S. R., DiSciullo S. O., Pezzulo J. C., Sambandam S. T. Circulating immune complexes in unselected patients admitted to the medical service of a general hospital. J Clin Lab Immunol. 1982 Jan;7(1):27–32. [PubMed] [Google Scholar]
  2. Begent R. H., Chester K. A., Walker L. C., Tucker D. F. Circulating immune complexes as markers of response to chemotherapy in malignant teratomas and gestational trophoblastic tumours. Br J Cancer. 1982 Feb;45(2):217–222. doi: 10.1038/bjc.1982.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Costanza M. E., Pinn V., Schwartz R. S., Nathanson L. Carcinoembryonic antigen-antibody complexes in a patient with colonic carcinoma and nephrotic syndrome. N Engl J Med. 1973 Sep 6;289(10):520–522. doi: 10.1056/NEJM197309062891007. [DOI] [PubMed] [Google Scholar]
  4. Dent P. B., Louis J. A., McCulloch P. B., Dunnett C. W., Cerottini J. C. Correlation of elevated C1q binding activity and carcinoembryonic antigen levels with clinical features and prognosis in bronchogenic carcinoma. Cancer. 1980 Jan 1;45(1):130–136. doi: 10.1002/1097-0142(19800101)45:1<130::aid-cncr2820450123>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  5. GOLD P., FREEDMAN S. O. DEMONSTRATION OF TUMOR-SPECIFIC ANTIGENS IN HUMAN COLONIC CARCINOMATA BY IMMUNOLOGICAL TOLERANCE AND ABSORPTION TECHNIQUES. J Exp Med. 1965 Mar 1;121:439–462. doi: 10.1084/jem.121.3.439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. GREENWOOD F. C., HUNTER W. M., GLOVER J. S. THE PREPARATION OF I-131-LABELLED HUMAN GROWTH HORMONE OF HIGH SPECIFIC RADIOACTIVITY. Biochem J. 1963 Oct;89:114–123. doi: 10.1042/bj0890114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gold J. M., Freedman S. O., Gold P. Human anti-CEA antibodies detected by radioimmunoelectrophoresis. Nat New Biol. 1972 Sep 13;239(89):60–62. doi: 10.1038/newbio239060a0. [DOI] [PubMed] [Google Scholar]
  8. Goldenberg D. M., Neville A. M., Carter A. C., Go V. L., Holyoke E. D., Isselbacher K. J., Schein P. S., Schwartz M. CEA (carcinoembryonic antigen): its role as a marker in the management of cancer. J Cancer Res Clin Oncol. 1981;101(3):239–242. doi: 10.1007/BF00410109. [DOI] [PubMed] [Google Scholar]
  9. Harvey S. R., Van Dusen L. R., Douglass H. O., Holyoke E. D., Chu T. M. Identification of a macromolecule containing an anticarcinoembryonic antigen-reactive substance and immunoglobulin M in human pancreatic cancer. J Natl Cancer Inst. 1978 Nov;61(5):1199–1204. doi: 10.1093/jnci/61.5.1199. [DOI] [PubMed] [Google Scholar]
  10. Hobbiss J., Cooper K. M., Moore M., Gowland E., Schofield P. F. Limitations of immune complex measurements in colorectal disease. Br J Surg. 1983 Aug;70(8):473–477. doi: 10.1002/bjs.1800700808. [DOI] [PubMed] [Google Scholar]
  11. Jennette J. C. Consistent fluctuations in quantities of circulating immune complexes during progressive and regressive phases of tumor growth. Am J Pathol. 1980 Aug;100(2):403–410. [PMC free article] [PubMed] [Google Scholar]
  12. Jennette J. C., Feldman J. D. Sequential quantitation of circulating immune complexes in syngeneic and allogeneic rats bearing Moloney sarcomas. J Immunol. 1977 Jun;118(6):2269–2274. [PubMed] [Google Scholar]
  13. Kapsopoulou-Dominos K., Anderer F. A. An approach to the routine estimation of circulating carcinoembryonic antigen immune complexes in patients with carcinomata of the gastrointestinal tract. Clin Exp Immunol. 1979 Jul;37(1):25–32. [PMC free article] [PubMed] [Google Scholar]
  14. Kapsopoulou-Dominos K., Anderer F. A. Circulating carcinoembryonic antigen immune complexes in sera of patients with carcinomata of the gastrointestinal tract. Clin Exp Immunol. 1979 Feb;35(2):190–195. [PMC free article] [PubMed] [Google Scholar]
  15. Keep P. A., Leake B. A., Rogers G. T. Extraction of CEA from tumour tissue, foetal colon and patients' sera, and the effect of perchloric acid. Br J Cancer. 1978 Feb;37(2):171–182. doi: 10.1038/bjc.1978.25. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. MacSween J. M. The antigenicity of carcinoembryonic antigen in man. Int J Cancer. 1975 Feb 15;15(2):246–252. doi: 10.1002/ijc.2910150210. [DOI] [PubMed] [Google Scholar]
  17. Mach J. P., Vienny H., Jaeger P., Haldemann B., Egely R., Pettavel J. Long-term follow-up of colorectal carcinoma patients by repeated CEA radioimmunoassay. Cancer. 1978 Sep;42(3 Suppl):1439–1447. doi: 10.1002/1097-0142(197809)42:3+<1439::aid-cncr2820420811>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  18. Mavligit G. M., Stuckey S. Colorectal carcinoma. Evidence for circulating CEA-anti-CEA complexes. Cancer. 1983 Jul 1;52(1):146–149. doi: 10.1002/1097-0142(19830701)52:1<146::aid-cncr2820520126>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  19. Minton J. P., Martin E. W., Jr The use of serial CEA determinations to predict recurrence of colon cancer and when to do a second-look operation. Cancer. 1978 Sep;42(3 Suppl):1422–1427. doi: 10.1002/1097-0142(197809)42:3+<1422::aid-cncr2820420807>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  20. Moertel C. G., Schutt A. J., Go V. L. Carcinoembryonic antigen test for recurrent colorectal carcinoma. Inadequacy for early detection. JAMA. 1978 Mar 13;239(11):1065–1066. [PubMed] [Google Scholar]
  21. Pompecki R. Presence of immunoglobulin G in human sera binding to carcinoembryonic antigen (CEA) and non-specific cross-reacting antigen (NCA). Eur J Cancer. 1980 Jul;16(7):973–974. doi: 10.1016/0014-2964(80)90339-4. [DOI] [PubMed] [Google Scholar]
  22. Pressman D., Chu T. M., Grossberg A. L. Carcinoembryonic antigen-binding immunoglobulin isolated from normal human serum by affinity chromatography. J Natl Cancer Inst. 1979 Jun;62(6):1367–1371. [PubMed] [Google Scholar]
  23. Rossen R. D., Reisberg M. A., Hersh E. M., Gutterman J. U. The C1q binding test for soluble immune complexes: clinical correlations obtained in patients with cancer. J Natl Cancer Inst. 1977 May;58(5):1205–1215. doi: 10.1093/jnci/58.5.1205. [DOI] [PubMed] [Google Scholar]
  24. Soltis R. D., Hasz D. E. The effect of serum immunoglobulin concentration on immune complex detection by polyethylene glycol. J Immunol Methods. 1983 Feb 25;57(1-3):275–282. doi: 10.1016/0022-1759(83)90087-x. [DOI] [PubMed] [Google Scholar]
  25. Staab H. J., Anderer F. A., Stumpf E., Fischer R. Are circulating CEA immune complexes a prognostic marker in patients with carcinoma of the gastrointestinal tract? Br J Cancer. 1980 Jul;42(1):26–33. doi: 10.1038/bjc.1980.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Steele G., Jr, Lahey S., Rodrick M., Ross D., Deasy J., Zamcheck N., Osteen R., Wilson R. Circulating immune complexes in patients with colorectal cancer. Am J Surg. 1983 Apr;145(4):549–553. doi: 10.1016/0002-9610(83)90056-9. [DOI] [PubMed] [Google Scholar]
  27. Steele G., Jr, Sonis S., Stelos P., Rittgers R., Zamcheck N., Finn D., Maltz J., Mayer R., Lokich J., Wilson R. E. Circulating immune complexes in patients following clinically curative resection of colorectal cancer. Surgery. 1978 Jun;83(6):648–654. [PubMed] [Google Scholar]
  28. Sugarbaker P. H., Zamcheck N., Moore F. D. Assessment of serial carcinoembryonic antigen (CEA) assays in postoperative detection of recurrent colorectal cancer. Cancer. 1976 Dec;38(6):2310–2315. doi: 10.1002/1097-0142(197612)38:6<2310::aid-cncr2820380618>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  29. Tate H. Plasma CEA in the post-surgical monitoring of colorectal carcinoma. Br J Cancer. 1982 Sep;46(3):323–330. doi: 10.1038/bjc.1982.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Theofilopoulos A. N., Dixon F. J. The biology and detection of immune complexes. Adv Immunol. 1979;28:89–220. doi: 10.1016/s0065-2776(08)60800-7. [DOI] [PubMed] [Google Scholar]
  31. Vellacott K. D., Baldwin R. W., Balfour T. W., Hardcastle J. D. Circulating immune complexes in patients with benign and malignant colorectal tumours. Br J Surg. 1981 Jun;68(6):402–404. doi: 10.1002/bjs.1800680612. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Wanebo J. H., Stearns M., Schwartz M. K. Use of CEA as an indicator of early recurrence and as a guide to a selected second-look procedure in patients with colorectal cancer. Ann Surg. 1978 Oct;188(4):481–493. doi: 10.1097/00000658-197810000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]

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