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Intended use

The CA 72-4 ELISA is an enzyme immunoassay for the quantitative measurement of CA 72-4 (TAG-72) in serum and plasma

Summary and Explanationy

CA 72-4 (Cancer antigen 72-4) was originally described as an antigenic determinant recognized by B 72.3, a murine monoclonal antibody raised against a membrane extract of mammacarcinoma metastases[1]. CA 72-4 was identified as a 1 MDa mucine-like Glycoprotein complex termed TAG-72 (tumor associated antigen 72) [2]. The molecular weight of the TAG-72 protein is 48 kDa. Elevated CA 72-4 levels in serum and plasma have been reported in various malignant diseases including carcinomas of pancreas, stomach, gall, colon, mamma, ovaries, cervix and endometrium [3]. The highest diagnostic sensitivities are found for carcinomas of the gastrointestinal tract and ovaries. Although some benign diseases such as rheumatic diseases or ovary cysts may also result in elevated levels of CA 72-4, clinical studies demonstrated diagnostic specificities of more than 95% for gastrointestinal and ovarian malignancies [4]. There is a good correlation between CA 72-4 levels and tumor stage and size [3]. CA 72-4 is the marker of choice for the therapeutic monitoring and follow-up care of gastrointestinal cancer patients. Suitable second markers are CA 19-9 or CEA. Additionally, CA 72-4 has been used as an independent marker for the therapeutic monitoring and follow-up care of ovarian cancer patients, in particular in CA 125 negative patients [3, 5].

For concrete data please consult the Instruction for Use in the download box on the top right side.

  1. Colcher D., Horand Hand P., Nuti M., Schlom J. A spectrum of monoclonal antibodies reactive with human mammary tumor cells. Proc. Natl. Acad. Sci. 1981, 78:3199-3208
  2. Johnson VG, Schlom J., Paterson AJ, Bennett J, Magnani JL, Colcher D. Analysis of a human tumor associated glycoprotein (TAG-72) identified by monoclonal antibody 72.3. Cancer Res. 1986; 46: 850-857
  3. Lamerz R. in Thomas L. (editor) Labor und Diagnose 6. edition, TH-Books Verlagsgesellschaft mbH, Frankfurt/Main 2005, 1310-13.
  4. Guadagni F, Roselli M, Cosimelli M, Ferroni P, Spila A, Cavaliere F, Casaldi V, Wappner G, Abbolito M.R., Greiner J.W., et al. CA 72-4 serum marker – a new tool in the management of carcinoma patients. Cancer Invest. 1995; 13(2): 227 – 238.
  5. Hasholzner U, Baumgartner L, Stieber P, Meier W, Hofmann K, Fateh-Moghadam A. Significance of the tumour markers CA 125 II, CA 72-4, CASA and CYFRA 21-1 in ovarian carcinoma. Anticancer Res. 1994 Nov-Dec; 14(6B):2743-6.
  6. Marrelli D., Pinto E., De Stefano A., Farnetani M., Garosi L., Roviello F. Clinical utility of CEA, CA 19-9, and CA 72-4 in the follow-up of patients with resectable gastric cancer. Am J Surg. 2001, 181(1):16-9.

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