Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1982 Feb;45(2):217–222. doi: 10.1038/bjc.1982.36

Circulating immune complexes as markers of response to chemotherapy in malignant teratomas and gestational trophoblastic tumours.

R H Begent, K A Chester, L C Walker, D F Tucker
PMCID: PMC2010888  PMID: 6174138

Abstract

Concentrations of circulating immune complexes (CIC) were measured serially during chemotherapy of 22 patients with gestational trophoblastic tumours (GTT) and 11 patients with malignant teratoma (MT) by the polyethylene glycol precipitation and CIq solid-phase assays. Results were correlated with tumour response as measured by serum concentrations of human chorionic gonadotrophin (hCG) and alpha-foetoprotein (AFP). CIC concentrations correlated with disease status in the early stages of treatment in 4/22 patients with GTT and 5/11 with MT. CIC assays were less sensitive than hCG and AFP as a monitor of disease, and also less specific, in that 8 patients with GTT and 5 with MT developed raised CIC concentrations during chemotherapy in spite of sustained complete remission. Measurements of CIC concentrations by present methods are neither sufficiently sensitive nor specific to be of clinical value as a tumour marker in GTT and MT, and this casts doubt on their potential value in other malignancies. Attention should be directed to identification of the components of CIC, some of which may be more cancer-specific.

Full text

PDF
217

Selected References

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

  1. Athanassiades P. H., Platts-Mills T. A., Asherson G. L., Oliver R. T. Effect of antileukaemic chemotherapy on helper and suppressor activity of T cells on immunoglobulin production by B cells. Eur J Cancer. 1978 Sep;14(9):971–976. doi: 10.1016/0014-2964(78)90024-5. [DOI] [PubMed] [Google Scholar]
  2. Bagshawe K. D. Computer controlled automated radioimmunoassay. Lab Pract. 1975 Sep;24(9):573–575. [PubMed] [Google Scholar]
  3. Hardin J. A., Walker L. C., Steere A. C., Trumble T. C., Tung K. S., Williams R. C., Jr, Ruddy S., Malawista S. E. Circulating immune complexes in Lyme arthritis. Detection by the 125I-C1q binding, C1q solid phase, and Raji cell assays. J Clin Invest. 1979 Mar;63(3):468–477. doi: 10.1172/JCI109324. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. 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]
  5. Kardana A., Bagshawe K. D. A rapid, sensitive and specific radioimmunoassay for human chorionic gonadotrophin. J Immunol Methods. 1976;9(3-4):297–305. doi: 10.1016/0022-1759(76)90204-0. [DOI] [PubMed] [Google Scholar]
  6. Kazatchkine M. D., Sultan Y., Burton-Kee E. J., Mowbray J. F. Circulating immune complexes containing anti-VIII antibodies in multi-transfused patients with haemophilia A. Clin Exp Immunol. 1980 Feb;39(2):315–320. [PMC free article] [PubMed] [Google Scholar]
  7. Magarey C. J., Baum M. Reticulo-endothelial activity in humans with cancer. Br J Surg. 1970 Oct;57(10):748–752. doi: 10.1002/bjs.1800571013. [DOI] [PubMed] [Google Scholar]
  8. Newlands E. S., Begent R. H., Kaye S. B., Rustin G. J., Bagshawe K. D. Chemotherapy of advanced malignant teratomas. Br J Cancer. 1980 Sep;42(3):378–391. doi: 10.1038/bjc.1980.248. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Nydegger U. E., Davis J. S., 4th Soluble immune complexes in human disease. CRC Crit Rev Clin Lab Sci. 1980;12(2):123–170. doi: 10.3109/10408368009108728. [DOI] [PubMed] [Google Scholar]
  10. Roitt I. M., Cooke A., Male D. K., Hay F. C., Guarnotta G., Lydyard P. M., de Carvalho L. P., Thanavala Y., Ivanyi J. Idiotypic networks and their possible exploitation for manipulation of the immune response. Lancet. 1981 May 9;1(8228):1041–1045. doi: 10.1016/s0140-6736(81)92199-1. [DOI] [PubMed] [Google Scholar]
  11. Sharbaugh R. J., Grogan J. B. Suppression of reticuloendothelial function in the rat with cyclophosphamide. J Bacteriol. 1969 Oct;100(1):117–122. doi: 10.1128/jb.100.1.117-122.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. 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]
  13. Twomey J. J., Rossen R. D., Lewis V. M., Laughter A. H., Douglass C. C. Rheumatoid factor and tumor-host interaction. Proc Natl Acad Sci U S A. 1976 Jun;73(6):2106–2108. doi: 10.1073/pnas.73.6.2106. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Walker L. C., Ahlin T. D., Tung K. S., Williams R. C., Jr Circulating immune complexes in disseminated gonorrheal infection. Ann Intern Med. 1978 Jul;89(1):28–33. doi: 10.7326/0003-4819-89-1-28. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES