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Validation of the use of C-2/C-16α estrogen metabolites as markers for the action of chemopreventive agents in the prevention of breast cancer

✍ Scribed by H. Leon Bradlow; Daniel W. Sepkovic; Thomas Klug; Michael P. Osborne


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
103 KB
Volume
53
Category
Article
ISSN
0730-2312

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✦ Synopsis


nin antibody is cytotoxic to malignant cells in vitro in concentrations of picograms/cell. In a 20-year study involving several hundred physicians and three independent laboratories in the U.S., and three hospitals and one laboratory in the U.K., we have found that the concentration of antimalignin in serum, in pg/ml, (1) of normal healthy non-tumor-bearing humans increases moderately each decade between the third and the seventh, as the risk of cancer increases (p < 0.001; N = 1972), (2) increases earlier and more markedly in as yet apparently unaffected members of high-risk cancer families (p < 0.001; N = 11061, and (3) is markedly increased in concentration in human serum within weeks of the occurrence of malignant transformation and returns to normal within 3 months of successful treatment (p < 0.001; false positives and false negatives <5% on first determination, 4% on repeat determination; N = 600).

Quantitative determination of serum antimalignin antibody is therefore of interest for use as a noninvasive biomarker to indicate successful results in breast cancer chemoprevention trials.

In addition, purified antimalignin antibody (MTAG), due to its demonstrated specificity in fluorescent and other chromogen staining of cell membranes with exposed malignin epitopes, is applicable for use alone or as part of a battery of pre-dysplasia or dysplasia-based surrogate endpoint biomarkers in both individual and computerized cytometry.


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