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Proceedings of the National Academy of Sciences of the United States of America logoLink to Proceedings of the National Academy of Sciences of the United States of America
. 1981 Dec;78(12):7754–7758. doi: 10.1073/pnas.78.12.7754

Human chorionic gonadotropin radioantibodies in the radioimmunodetection of cancer and for disclosure of occult metastases.

D M Goldenberg, E E Kim, F H DeLand
PMCID: PMC349349  PMID: 6278487

Abstract

Radioimmunodetection (RaID) of tumors containing human chorionic gonadotropin (hCG; choriogonadotropin) was evaluated in 25 patients by injecting 131I-labeled goat antibody IgG against hCG and performing total-body photoscans with a gamma scintillation camera 24 and 48 hr later. All 10 testicular cancer patients with proven tumor sites had positive RaID results, whereas three cases without known tumor were negative. Four patients with hydatidiform mole and one with degenerative products of conception showed positive RaID results consistent with elevated serum hCG titers. Two putatively false-positive results were obtained in patients with lung or ovarian cancer, whereas a false-negative metastasis to the liver of a patient with lung cancer and an elevated serum hCG titer was observed. Of 14 tumor sites found by RaID in 10 testicular cancer patients, 4 were revealed by RaID prior to any other detection method used and provided a lead time to definitive diagnosis by other measures of a few days to greater than 1 yr. Although a number of patients had high serum hCG levels, even exceeding 3 microgram/ml, the xenogeneic antibody was capable of localizing in tumor. No adverse effects were noted in any of the patients studied. Thus, hCG RaID appears to be a safe and effective method of detecting and locating hCG-producing tumors and has been found to disclose occult testicular cancers.

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Selected References

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  1. Braunstein G. D., Vaitukaitis J. L., Carbone P. P., Ross G. T. Ectopic production of human chorionic gonadotrophin by neoplasms. Ann Intern Med. 1973 Jan;78(1):39–45. doi: 10.7326/0003-4819-78-1-39. [DOI] [PubMed] [Google Scholar]
  2. Dykes P. W., Hine K. R., Bradwell A. R., Blackburn J. C., Reeder T. A., Drolc Z., Booth S. N. Localisation of tumour deposits by external scanning after injection of radiolabelled anti-carcinoembryonic antigen. Br Med J. 1980 Jan 26;280(6209):220–222. doi: 10.1136/bmj.280.6209.220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Fraley E. E., Lange P. H., Kennedy B. J. Germ-cell testicular cancer in adults (first of two parts). N Engl J Med. 1979 Dec 20;301(25):1370–1377. doi: 10.1056/NEJM197912203012504. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Gailani S., Chu T. M., Nussbaum A., Ostrander M., Christoff N. Human chorionic gonadotrophins (hCG) in non-trophoblastic neoplasms. Assessment of abnormalities of hCG and CEA in bronchogenic and digestive neoplasms. Cancer. 1976 Oct;38(4):1684–1686. doi: 10.1002/1097-0142(197610)38:4<1684::aid-cncr2820380440>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
  6. Goldenberg D. M. An introduction to the radioimmunodetection of cancer. Cancer Res. 1980 Aug;40(8 Pt 2):2957–2959. [PubMed] [Google Scholar]
  7. Goldenberg D. M., DeLand F., Kim E., Bennett S., Primus F. J., van Nagell J. R., Jr, Estes N., DeSimone P., Rayburn P. Use of radiolabeled antibodies to carcinoembryonic antigen for the detection and localization of diverse cancers by external photoscanning. N Engl J Med. 1978 Jun 22;298(25):1384–1386. doi: 10.1056/NEJM197806222982503. [DOI] [PubMed] [Google Scholar]
  8. Goldenberg D. M., Kim E. E., DeLand F. H., Bennett S., Primus F. J. Radioimmunodetection of cancer with radioactive antibodies to carcinoembryonic antigen. Cancer Res. 1980 Aug;40(8 Pt 2):2984–2992. [PubMed] [Google Scholar]
  9. Goldenberg D. M., Kim E. E., DeLand F. H., van Nagell J. R., Jr, Javadpour N. Clinical radioimmunodetection of cancer with radioactive antibodies to human chorionic gonadotropin. Science. 1980 Jun 13;208(4449):1284–1286. doi: 10.1126/science.7375942. [DOI] [PubMed] [Google Scholar]
  10. Goldenberg D. M., Kim E. E., Deland F., Spremulli E., Nelson M. O., Gockerman J. P., Primus F. J., Corgan R. L., Alpert E. Clinical studies on the radioimmunodetection of tumors containing alpha-fetoprotein. Cancer. 1980 May 15;45(10):2500–2505. doi: 10.1002/1097-0142(19800515)45:10<2500::aid-cncr2820451006>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
  11. Goldstein D. P., Kosasa T. S., Skarim A. T. The clinical application of a specific radioimmunoassay for human chorionic gondotropin in trophoblastic and nontrophoblastic tumors. Surg Gynecol Obstet. 1974 May;138(5):747–751. [PubMed] [Google Scholar]
  12. Hatch K. D., Mann W. J., Jr, Boots L. R., Tauxe W. N., Shingleton H. M., Buchina E. S., Jr Localization of choriocarcinoma by 131I-beta HCG antibody. Gynecol Oncol. 1980 Dec;10(3):253–261. doi: 10.1016/0090-8258(80)90091-8. [DOI] [PubMed] [Google Scholar]
  13. Javadpour N., Kim E. E., DeLand F. H., Salyer J. R., Shah U., Goldenberg D. M. The role of radioimmunodetection in the management of testicular cancer. JAMA. 1981 Jul 3;246(1):45–49. [PubMed] [Google Scholar]
  14. Javadpour N. The role of biologic tumor markers in testicular cancer. Cancer. 1980 Apr 15;45(7 Suppl):1755–1761. [PubMed] [Google Scholar]
  15. Kim E. E., DeLand F. H., Nelson M. O., Bennett S., Simmons G., Alpert E., Goldenberg D. M. Radioimmunodetection of cancer with radiolabeled antibodies to alpha-fetoprotein. Cancer Res. 1980 Aug;40(8 Pt 2):3008–3012. [PubMed] [Google Scholar]
  16. Kim E. E., Deland F. H., Casper S., Corgan R. L., Primus F. J., Goldenberg D. M. Radioimmunodetection of colorectal cancer. Cancer. 1980 Mar 15;45(5 Suppl):1243–1247. doi: 10.1002/1097-0142(19800315)45:5+<1243::aid-cncr2820451334>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  17. Kim E. E., Deland F. H., Casper S., Corgan R. L., Primus F. J., Goldenberg D. M. Radioimmunodetection of colorectal cancer. Cancer. 1980 Mar 15;45(5 Suppl):1243–1247. doi: 10.1002/1097-0142(19800315)45:5+<1243::aid-cncr2820451334>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  18. Mach J. P., Carrel S., Forni M., Ritschard J., Donath A., Alberto P. Tumor localization of radiolabeled antibodies against carcinoembryonic antigen in patients with carcinoma: a critical evaluation. N Engl J Med. 1980 Jul 3;303(1):5–10. doi: 10.1056/NEJM198007033030102. [DOI] [PubMed] [Google Scholar]
  19. Primus F. J., Bennett S. J., Kim E. E., DeLand F. H., Zahn M. C., Goldenberg D. M. Circulating immune complexes in cancer patients receiving goat radiolocalizing antibodies to carcinoembryonic antigen. Cancer Res. 1980 Mar;40(3):497–501. [PubMed] [Google Scholar]
  20. Primus F. J., Goldenberg D. M. Immunological considerations in the use of goat antibodies to carcinoembryonic antigen for the radioimmunodetection of cancer. Cancer Res. 1980 Aug;40(8 Pt 2):2979–2983. [PubMed] [Google Scholar]
  21. Vaitukaitis J. L., Braunstein G. D., Ross G. T. A radioimmunoassay which specifically measures human chorionic gonadotropin in the presence of human luteinizing hormone. Am J Obstet Gynecol. 1972 Jul 15;113(6):751–758. doi: 10.1016/0002-9378(72)90553-4. [DOI] [PubMed] [Google Scholar]
  22. van Nagell J. R., Jr, Kim E., Casper S., Primus F. J., Bennett S., DeLand F. H., Goldenberg D. M. Radioimmunodetection of primary and metastatic ovarian cancer using radiolabeled antibodies to carcinoembryonic antigen. Cancer Res. 1980 Mar;40(3):502–506. [PubMed] [Google Scholar]

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