PMID- 3277745 OWN - NLM STAT- MEDLINE DCOM- 19880328 LR - 20190722 IS - 0009-9147 (Print) IS - 0009-9147 (Linking) VI - 34 IP - 2 DP - 1988 Feb TI - "Sandwich"-type immunoassay of carcinoembryonic antigen in patients receiving murine monoclonal antibodies for diagnosis and therapy. PG - 261-4 AB - Measurements of carcinoembryonic antigen (CEA) in blood increased dramatically in some patients who were receiving injections of monoclonal antibody. CEA titers were measured with a monoclonal antibody-based double-determinant enzyme immunoassay in which untreated plasma specimens were diluted with an equal volume of buffer containing mouse serum. Increasing CEA titers were accompanied by the appearance and coincident increase in titers of human antibody against mouse Ig (HAMA). Adsorption of these sera with solid-phase anti-human IgG or Protein A restored antigen titers to pretreatment values; evidently the serum factor eliciting false-positive CEA titers was most probably HAMA. Neither addition of undiluted mouse serum to the assay mixture nor pretreatment by heating plasma specimens to 70 degrees C effectively abolished HAMA interference. By contrast, protein precipitation with polyethylene glycol (130 g/L) or heating plasma samples to 90 degrees C eliminated false-positive titers caused by HAMA, but did not reduce authentic CEA titers. FAU - Primus, F J AU - Primus FJ AD - Center for Molecular Medicine and Immunology, University of Medicine and Dentistry of New Jersey, Newark 07103. FAU - Kelley, E A AU - Kelley EA FAU - Hansen, H J AU - Hansen HJ FAU - Goldenberg, D M AU - Goldenberg DM LA - eng GR - CA 39841/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Clin Chem JT - Clinical chemistry JID - 9421549 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Antibodies, Monoclonal) RN - 0 (Carcinoembryonic Antigen) RN - 0 (Immunoglobulin G) RN - 3WJQ0SDW1A (Polyethylene Glycols) SB - IM MH - Animals MH - Antibodies, Anti-Idiotypic/*analysis MH - Antibodies, Monoclonal/immunology/*therapeutic use MH - Carcinoembryonic Antigen/*analysis MH - Chemical Precipitation MH - Colonic Neoplasms/*immunology/therapy MH - False Positive Reactions MH - Hot Temperature MH - Humans MH - *Immunoenzyme Techniques MH - Immunoglobulin G/immunology MH - Immunosorbent Techniques MH - Mice MH - Polyethylene Glycols EDAT- 1988/02/01 00:00 MHDA- 1988/02/01 00:01 CRDT- 1988/02/01 00:00 PHST- 1988/02/01 00:00 [pubmed] PHST- 1988/02/01 00:01 [medline] PHST- 1988/02/01 00:00 [entrez] PST - ppublish SO - Clin Chem. 1988 Feb;34(2):261-4.