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carcinoembryonic antigen

 
Dictionary: car·ci·no·em·bry·on·ic antigen   (kär'sə-nō-ĕm'brē-ŏn'ĭk) pronunciation

n. (Abbr. CEA)
A glycoprotein present in fetal gastrointestinal tissue and in the cells or serum of adults having certain types of cancers. It is used clinically to monitor the effectiveness of a treatment, as for colorectal cancer.


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Medical Dictionary: car·ci·no·em·bry·on·ic antigen
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(kär'sə-nō-ĕm'brē-ŏn'ĭk)
n. (Abbr. CEA)

A glycoprotein present in fetal gastrointestinal tissue, generally absent from adult cells with the exception of some carcinomas.

Veterinary Dictionary: carcinoembryonic antigen
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An oncofetal glycoprotein antigen found in colonic adenocarcinoma and other cancers and in certain nonmalignant conditions. See also oncofetal antigen. Called also CEA.

Wikipedia: Carcinoembryonic antigen
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Carcinoembryonic antigen (CEA) is a glycoprotein involved in cell adhesion. It is normally produced during fetal development, but the production of CEA stops before birth. Therefore, it is not usually present in the blood of healthy adults, although levels are raised in heavy smokers.

Contents

History

CEA was first identified in 1965 by Phil Gold and Samuel O. Freedman in human colon cancer tissue extracts.[1]

Uses

It was found that serum from individuals with colorectal carcinoma,[2] gastric carcinoma, pancreatic carcinoma, lung carcinoma and breast carcinoma, as well as individuals with medullary thyroid carcinoma, had higher levels of CEA than healthy individuals.

CEA measurement is mainly used as a tumor marker to identify recurrences after surgical resection. Elevated CEA levels should return to normal after surgical resection, as elevation of CEA during follow up is an indicator of recurrence of tumour.

Regions of high CEA levels in the body can be detected with the monoclonal antibody arcitumomab.

CEA levels may also be raised in some non-neoplastic conditions like ulcerative colitis, pancreatitis and cirrhosis.

Genetics

CEA and related genes make up the CEA family belonging to the immunoglobulin superfamily. In humans, the carcinoembryonic antigen family consists of 29 genes, 18 of which are normally expressed.[3]

The following is a list of human genes which encode carcinoembryonic antigen-related cell adhesion proteins:

CEACAM1, CEACAM3, CEACAM4, CEACAM5, CEACAM6, CEACAM7, CEACAM8, CEACAM16, CEACAM18, CEACAM19, CEACAM20, CEACAM21

References

  1. ^ Gold P, Freedman SO. Demonstration of tumor-specific antigens in human colonic carcinomata by immunological tolerance and absorption techniques. J Exp Med 1965;121:439. PMID 14270243.
  2. ^ "Cancer Diagnosis - Information About Cancer - Stanford Cancer Center". http://cancer.stanford.edu/information/cancerDiagnosis/. Retrieved 2008-10-15. 
  3. ^ Hammarstrom S. The carcinoembryonic antigen (CEA) family: structures, suggested functions and expression in normal and malignant tissues. Semin Cancer Biol 1999;9:67-81. PMID 10202129.

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Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Medical Dictionary. The American Heritage® Stedman's Medical Dictionary Copyright © 2002, 2001, 1995 by Houghton Mifflin Company Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Carcinoembryonic antigen" Read more