- Carcinoembryonic antigen
Carcinoembryonic antigen (CEA) is a
glycoprotein involved incell 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. CEA was first identified in1965 byPhil Gold andSamuel O. Freedman in humancolon cancer tissue extracts. [Gold P, Freedman SO. Demonstration of tumor-specific antigens inhuman colonic carcinomata by immunological tolerance and absorption techniques. "J Exp Med" 1965;121:439. PMID 14270243.] It was found that serum from individuals with colorectal, gastric, pancreatic, lung and breastcarcinomas , 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.CEA levels may also be raised in some non-neoplastic conditions likeulcerative colitis ,pancreatitis andcirrhosis .CEA and related
genes make up the CEA family belonging to theimmunoglobulin superfamily. In humans, the carcinoembryonic antigen family consists of 29 genes, 18 of which are normally expressed. [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.]Genes
The following is a list of human genes which encode carcinoembryonic antigen-related cell adhesion proteins:
CEACAM1 ,CEACAM3 ,gene|CEACAM4,CEACAM5 ,CEACAM6 ,CEACAM7 ,CEACAM8 ,gene|CEACAM16,gene|CEACAM18,gene|CEACAM19,gene|CEACAM20,References
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