Expression of carcinoembryonic antigen (CEA) and nonspecific crossreacting antigen (NCA) in gastrointestinal cancer; the correlation with degree of differentiation
1993

Study of CEA and NCA in Gastrointestinal Cancer

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Y. Kodera, K. Isobe, M. Yamauchi, T. Sattal, T. Hasegawa, S. Oikawa, K. Kondoh, S. Akiyama, K. Itoh, I. Nakashima, H. Takagi

Primary Institution: Nagoya University School of Medicine

Hypothesis

What is the correlation between the expression of carcinoembryonic antigen (CEA) and nonspecific crossreacting antigen (NCA) in gastrointestinal cancers and their degree of differentiation?

Conclusion

The study found that NCA is more cancer-specific and is significantly up-regulated in both gastric and colorectal cancers compared to normal mucosa, while CEA levels are lower in gastric cancer than in colorectal cancer.

Supporting Evidence

  • NCA expression was significantly elevated in gastric cancer compared to normal gastric mucosa.
  • CEA mRNA levels were significantly lower in gastric cancer than in colorectal cancer.
  • NCA was found to be more cancer-specific than CEA.
  • No correlation was found between mRNA levels and plasma CEA values.

Takeaway

This study looked at two proteins, CEA and NCA, in stomach and colon cancers to see how they relate to cancer type and how advanced the cancer is. They found that NCA is more closely linked to cancer than CEA.

Methodology

The study used Northern blot analysis to examine mRNA expression of CEA and NCA in surgically resected cancer tissues and adjacent normal mucosa.

Limitations

The study did not find a correlation between CEA gene expression and plasma CEA values, which may limit the understanding of CEA's role in cancer.

Participant Demographics

Participants included patients with gastric and colorectal cancers from Nagoya University Hospital and other local hospitals in Japan.

Statistical Information

P-Value

p<0.0005

Statistical Significance

p<0.05

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