Pretreatment serum levels of C-reactive protein, alpha 1-antitrypsin, haptoglobin, alpha 1-acid glycoprotein and tissue polypeptide antigen in cervical carcinoma

Eur J Gynaecol Oncol. 1991;12(5):375-83.

Abstract

In order to evaluate the potentially additive information of some acute phase reactants to that provided by a general tumour marker, pretreatment concentrations of C-reactive protein, alpha 1-antitrypsin, haptoglobin, alpha 1-acid glycoprotein and tissue polypeptide antigen were determined in serum from healthy women, patients with dysplasia/or carcinoma in situ and patients with primary cervical carcinoma. Specificity varied from 95-100% and sensitivity from 16-29%. A correlation with clinical stage was found for all analytes except for alpha 1-antitrypsin. The latter was the most frequently elevated analyte in early Stages (11/43 in Stage Ib/IIa) and uniquely elevated in 7 cancer patients. Although tissue polypeptide antigen predominantly signaled in advanced stages, 3 women in early stages had elevated tissue polypeptide antigen levels. One of these women died and she was also the only woman with raised alpha 1-antitrypsin who died. It is discussed whether elevated tissue polypeptide levels might represent an unfavourable sign for the individual and if alpha 1-antitrypsin is a favourable sign in early stages of cervical carcinoma. C-reactive protein results were obscured in early stages of disease by the presence of intercurrent illness and the results were regarded as inconclusive. Haptoglobin and alpha 1-acid glycoprotein concentrations provided no additional information to serum alpha 1-antitrypsin levels. However, haptoglobin was elevated in 64% (36/56) of the women with dysplasia/carcinoma in situ of the cervix uteri.

MeSH terms

  • Acute-Phase Proteins / analysis*
  • Adult
  • Aged
  • Biomarkers, Tumor / blood*
  • C-Reactive Protein / analysis
  • Female
  • Haptoglobins / analysis
  • Humans
  • Middle Aged
  • Neoplasm Staging
  • Orosomucoid / analysis
  • Peptides / analysis
  • Tissue Polypeptide Antigen
  • Uterine Cervical Neoplasms / blood*
  • Uterine Cervical Neoplasms / pathology
  • alpha 1-Antitrypsin / analysis

Substances

  • Acute-Phase Proteins
  • Biomarkers, Tumor
  • Haptoglobins
  • Orosomucoid
  • Peptides
  • Tissue Polypeptide Antigen
  • alpha 1-Antitrypsin
  • C-Reactive Protein