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Untitled - D Ank Unlimited

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carbon clearance test 134 cardiac disease, autoimmune<br />

effect against several different allogeneic and syngeneic<br />

tumors without mediating cytotoxicity of the tumor cells.<br />

Mannans derived from yeast also exert significant antitumor<br />

effects, as do levans that activate not only macrophages but B<br />

and T cells as well. Pectin is a galactose-containing carbohydrate<br />

concentrated in citrus and has an antitumor effect.<br />

carbon clearance test<br />

An assay to judge mononuclear phagocyte system activity<br />

in vivo. Blood samples are collected at designated intervals<br />

following the intravenous inoculation of a colloidal carbon<br />

particle suspension. Following dissolution of the erythrocytes<br />

in blood samples, their carbon particle content is<br />

determined colorimetrically. This permits determination<br />

of the rate at which blood phagocytes remove carbon. The<br />

logarithms of the readings in the colorimetry are plotted<br />

against time to yield the desired slope.<br />

Carcinoembryonic antigen (CEA).<br />

Carcinoembryonic antigen (CEA)⎯carcinoma of the colon.<br />

carcinoembryonic antigen (CEA)<br />

A 200-kDa membrane glycoprotein epitope present in the fetal<br />

gastrointestinal tract under normal conditions. However, tumor<br />

cells, such as those in colon carcinoma, may re-express it. CEA<br />

was first described as a screen for identifying carcinoma by<br />

detecting nanogram quantities of the antigen in serum. It was<br />

later shown to be present in certain other conditions. CEA levels<br />

are elevated in almost one third of patients with colorectal,<br />

liver, pancreatic, lung, breast, head and neck, cervical, bladder,<br />

medullarythyroid, and prostatic carcinoma. However, the level<br />

may also be elevated in patients with malignant melanoma or<br />

lymphoproliferative disease and in smokers. Regrettably, CEA<br />

levels also increase in a variety of non-neoplastic disorders<br />

including inflammatory bowel disease, pancreatitis, and cirrhosis<br />

of the liver. Nevertheless, determination of CEA levels in<br />

the serum is valuable for monitoring the recurrence of tumors<br />

in patients whose primary neoplasm has been removed. A CEA<br />

level elevated 35% compared to the level immediately following<br />

surgery may signify metastases. This oncofetal antigen is comprised<br />

of one polypeptide chain with one variable region at the<br />

amino terminus and six constant region domains. CEA belongs<br />

to the immunoglobulin superfamily. It lacks specificity for<br />

cancer, thereby limiting its diagnostic usefulness. It is detected<br />

with a mouse monoclonal antibody directed against a complex<br />

glycoprotein antigen present on many human epithelial-derived<br />

tumors. This reagent may be used to aid in the identification of<br />

cells of epithelial lineage. The antibody is intended for qualitative<br />

staining in sections of formalin-fixed, paraffin-embedded<br />

tissue. Anti-CEA antibodies specifically bind to antigens located<br />

in the plasma membrane and cytoplasmic regions of normal<br />

epithelial cells. Unexpected antigen expression or loss of expression<br />

may occur, especially in neoplasms. Occasionally, stromal<br />

elements surround heavily stained tissue and/or cells that show<br />

immunoreactivity. Clinical interpretation of any staining or its<br />

absence must be complemented by morphological studies and<br />

evaluation of proper controls.<br />

carcinogen<br />

Any chemical or physical agent that produces cancer<br />

through mutation or deregulating oncogenes, tumor-suppressor<br />

genes, or DNA repair genes. Carcinogens are of two<br />

types: (1) the epigenetic type that does not damage DNA<br />

but causes other physiological alterations that predispose to<br />

cancer, and (2) the genotoxic type that reacts directly with<br />

DNA or with micromolecules that then react with DNA.<br />

carcinogenesis<br />

A multistep sequence consisting of initiation, promotion,<br />

progression, and malignant conversion through which a cell<br />

may progress to deregulation of cell growth resulting in<br />

malignant transformation.<br />

carcinoma<br />

A malignant tumor comprised of epithelial cells that infiltrate<br />

surrounding tissues and lead to metastases.<br />

carcinoma-associated antigens<br />

Self antigens whose epitopes have been changed due to<br />

effects produced by certain tumors. Self antigens are<br />

transformed into a molecular structure for which the<br />

host is immunologically intolerant. Examples include the<br />

T antigen, which is an MN blood group precursor molecule<br />

exposed by the action of bacterial enzymes, and the Tn<br />

antigen, which is a consequence of somatic mutation in<br />

hematopoietic stem cells caused by inhibition of galactose<br />

transfer to N-acetyl-d-galactosamine.<br />

carcinomatous neuropathy<br />

Neurological findings in tumor-bearing patients who have<br />

no nervous system metastasis. Sensory carcinomatous neuropathy,<br />

in which patients develop autoantibodies specific<br />

for neurone cytoplasm RNA-protein, is an example of a<br />

carcinomatous neuropathy.<br />

cardiac disease, autoimmune<br />

Rheumatic fever is a classic example of microbial-induced<br />

autoimmune heart disease. The immune response against the<br />

M protein of group A Streptococci crossreacts with cardiac<br />

proteins such as tropomyosin and myosin. The M protein<br />

contains numerous epitopes that participate in these crossreactions.<br />

A second crossreactive protein in the streptococcal<br />

membrane has been purified to a series of four peptides<br />

ranging in molecular weight from 22 to 23 kDa. Patients<br />

with rheumatic fever may develop antibody that binds to the<br />

cytoplasm of cells of the caudate nuclei with specificity for its

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