Serum tumor markers in the diagnosis of cholangiocarcinoma

Authors

  • Kawin Leelawat Department of Surgery, Rajavithi Hospital, Bangkok 10400, Thailand

Keywords:

Cholangiocarcinoma, CA19-9, CEA, CYFRA21-1, IL-6, MMP-7, MUC5AC, RCAS1

Abstract

Cholangiocarcinoma is one of the most common causes of cancer-related death in Thailand. Unlike other kinds of solid tumors, a preoperative pathological diagnosis of cholangiocarcinoma is very difficult because of the location and the desmoplastic characteristic of this disease. Only by obtaining a proper diagnosis can the optimal treatment of a cholangiocarcinoma patient be assured. Therefore, identification of tumor markers in the serum would be beneficial in the clinical diagnosis and management of this disease. Here, we review the recent data concerning serum tumor markers, including CA19-9, CEA, CYFRA21-1, IL-6, MMP-7, MUC5AC, and RCAS1, for diagnosis of cholangiocarcinoma.

References

Blechacz, B. R. A., & Gores, G. J. (2008). Cholangiocarcinoma. Clin Liver Dis, 12(1), 131-150.

Boonla, C., Wongkham, S., Sheehan, J.K., Wongkham, C., Bhudhisawasdi, V., Tepsiri, N., & Pairojkul, C. (2003). Prognostic value of serum MUC5AC mucin in patients with cholangio-carcinoma. Cancer, 98(7), 1438-1443

Bridgewater, J., & Imber, C. (2007). New advances in the management of biliary tract cancer. HPB (Oxford), 9(2), 104-111.

Byrnes, V., & Afdhal, N. (2002). Cholangiocarcinoma of the Hepatic Hilum (Klatskin Tumor). Curr Treat Options Gastroenterol, 5(2), 87-94.

Chalasani, N., Baluyut, A., Ismail, A., Zaman, A., Sood, G., Ghalib, R., McCashland, T.M., Reddy, K.R., Zervos, X., Anbari, M.A., & Hoen, H. (2000). Cholangiocarcinoma in patients with primary sclerosing cholangitis: a multicenter case-control study. Hepatology, 31(1), 7-11.

Chamberlain, R. S., & Blumgart, L. H. (2000). Hilar cholangiocarcinoma: a review and commentary. Ann Surg Oncol, 7(1), 55-66.

Cheon, Y. K., Cho, Y. D., Moon, J. H., Jang, J. Y., Kim, Y. S., Kim, Y. S., Lee, M.S., Lee, J.S., & Shim, C.S. (2007). Diagnostic utility of interleukin-6 (IL-6) for primary bile duct cancer and changes in serum IL-6 levels following photodynamic therapy. Am J Gastroenterol, 102(10), 2164-2170.

Coban, S., Ozkan, H., Koklu, S., Yuksel, O., Kockar, M. C., Akar, T., & Ormeci, N. (2006). The utility of serum receptor-binding cancer antigen expressed on SiSo cells in gastrointestinal tract cancers. Can J Gastroenterol, 20(9), 593-596.

Engelen, M.J., de Bruijn, H.W., Hollema, H., ten Hoor, K.A., Willemse, P.H., Aalders, J.G. & van der Zee, A.G. (2000). Serum CA 125, carcinoembryonic antigen, and CA 19-9 as tumor markers in borderline ovarian tumors. Gynecol Oncol, 78(1), 16-20.

Enjoji, M., Yamaguchi, K., Nakamuta, M., Nakashima, M., Kotoh, K., Tanaka, M., Nawata, H., & Watanabe, T. (2004). Movement of a novel serum tumour marker, RCAS1, in patients with biliary diseases. Dig Liver Dis, 36(9), 622-627.

Enjoji, M., Nakashima, M., Yamaguchi, K., Kotoh, K., & Nakamuta, M. (2005). Significance of RCAS1 antigen in hepatocellular, cholangiocellular and pancreatic carcinomas. J Gastroenterol Hepatol, 20(8), 1143-1148.

Folgueras, A. R., Pendas, A. M., Sanchez, L. M., & Lopez-Otin, C. (2004). Matrix metalloproteinases in cancer: from new functions to improved inhibition strategies. Int J Dev Biol, 48(5-6), 411-424.

Fukuda, K., Tsujitani, S., Maeta, Y., Yamaguchi, K., Ikeguchi, M., & Kaibara, N. (2002). The expression of RCAS1 and tumor infiltrating lymphocytes in patients with T3 gastric carcinoma. Gastric Cancer, 5(4), 220-227.

Goydos, J. S., Brumfield, A. M., Frezza, E., Booth, A., Lotze, M. T., & Carty, S. E. (1998). Marked elevation of serum interleukin-6 in patients with cholangiocarcinoma: validation of utility as a clinical marker. Ann Surg, 227(3), 398-404.

Hamada, S. & Shimosegawa, T. (2011). Biomarkers of pancreatic cancer. Pancreatology, 11 (Suppl 2). 14-19.

Hammill, C.W.& Wong, L.L. (2008). Intrahepatic cholangiocarcinoma: a malignancy of increasing important. J Am Coll Surg, 207(4), 594-603

Hoffmann-Fazel, A., Hoffmann, M., Gottschlich, S., Maass, J.D., Rudert, H., & Maune, S. (2003). Cyfra 21-1 in diagnosis of distant metastases of head and neck carcinoma. Anticancer Res, 23(2A), 917-920.

Hultcrantz, R., Olsson, R., Danielsson, A., Jarnerot, G., Loof, L., Ryden, B. O., et al. (1999). A 3-year prospective study on serum tumor markers used for detecting cholangiocarcinoma in patients with primary sclerosing cholangitis. J Hepatol, 30(4), 669-673.

Ikeguchi, M., Hirooka, Y., & Kaibara, N. (2003). Gene and protein expression of RCAS1 in hepatocellular carcinoma. Anticancer Res, 23(6D), 4967-4971.

Jarnagin, W., & Winston, C. (2005). Hilar cholangiocarcinoma: diagnosis and staging. HPB (Oxford), 7(4), 244-251.

Kaewpitoon, N., Kaewpitoon, S.J., & Pengsaa, P. (2008). Opisthorchiasis in Thailand: review and current status. World J Gastroenterol, 14(15), 2297-2302.

Kashihara, T., Ohki, A., Kobayashi, T., Sato, T., Nishizawa, H., Ogawa, K., Tako, H., Kawakami, F., Tsuji, M., & Tamaoka, K. (1998). Intrahepatic cholangiocarcinoma with increased serum CYFRA 21-1 level. J Gastroenterol, 33(3), 447-453.

Leelawat, K., Narong, S., Wannaprasert, J., & Ratanashu-ek, T. (2010). Prospective study of MMP7 serum levels in the diagnosis of cholangiocarcinoma. World J Gastroenterol, 16(37), 4697-4703.

Leelawat, K., Watanabe, T., Nakajima, M., Tujinda, S., Suthipintawong, C., & Leardkamolkarn, V. (2003). Upregulation of tumour associated antigen RCAS1 is implicated in high stages of colorectal cancer. J Clin Pathol, 56(10), 764-768.

Leelawat, K., Sakchinabut, S., Narong, S., & Wannaprasert, J. (2009). Detection of serum MMP-7 and MMP-9 in cholangiocarcinoma patients: evaluation of diagnostic accuracy. BMC Gastroenterol, 9, 30-30.

Lim, Y. K., Kam, M. H., & Eu, K. W. (2009). Carcinoembryonic antigen screening: how far should we go? Singapore Med J, 50(9), 862-865.

Liu, S.L., Song, Z.F., Hu, Q.G., Shan, D., Hu, S.B., Li, J., & Zheng, Q.C. (2010). Serum carbohydrate antigen (CA) 19-9 as a prognostic factor in cholangiocarcinoma: a meta-analysis. Front Med China, 4(4), 457-462.

Nakashima, M., Sonoda, K., & Watanabe, T. (1999). Inhibition of cell growth and induction of apoptotic cell death by the human tumor-associated antigen RCAS1. Nat Med, 5(8), 938-942.

Nehls, O., Gregor, M., & Klump, B. (2004). Serum and bile markers for cholangiocarcinoma. Semin Liver Dis, 24(2), 139-154.

Palmer, C., Duan, X., Hawley, S., Scholler, N., Thorpe, J. D., Sahota, R. A., et al. (2008). Systematic evaluation of candidate blood markers for detecting ovarian cancer. PLoS ONE, 3(7).

Patel, A. H., Harnois, D. M., Klee, G. G., LaRusso, N. F., & Gores, G. J. (2000). The utility of CA 19-9 in the diagnoses of cholangiocarcinoma in patients without primary sclerosing cholangitis. Am J Gastroenterol, 95(1), 204-207.

Prakobwong, S., Charoensuk, L., Hiraku, Y., Pinlaor, P., Pairojkul, C., Mairiang, E., Sithithaworn, P., Yongvanit, P., Khuntikeo, N., & Pinlaor, S. (2011). Plasma hydroxyproline, MMP-7 and collagen I as novel predictive risk markers of hepatobiliary disease-associated cholangiocarcinoma. Int J Cancer, doi: 10.1002/ijc.26443.

Principe, A., Del Gaudio, M., Grazi, G. L., Paolucci, U., & Cavallari, A. (2003). Mirizzi syndrome with cholecysto-choledocal fistula with a high CA19-9 level mimicking biliary malignancies: a case report. Hepatogastroenterology, 50(53), 1259-1262.

Ramage, J. K., Donaghy, A., Farrant, J. M., Iorns, R., & Williams, R. (1995). Serum tumor markers for the diagnosis of cholangiocarcinoma in primary sclerosing cholangitis. Gastroenterology, 108(3), 865-869.

Ramankulov, A., Lein, M., Johannsen, M., Schrader, M., Miller, K., & Jung, K. (2008). Plasma matrix metalloproteinase-7 as a metastatic marker and survival predictor in patients with renal cell carcinomas. Cancer Sci, 99(6), 1188-1194.

Shukla, V.K., Gurubachan, Sharma, D., Dixit, V.K., & Usha. (2006). Diagnostic value of serum CA242, CA 19-9, CA 15-3 and CA 125 in patients with carcinoma of the gallbladder. Trop Gastroenterol, 27(4),160-165.

Silsirivanit, A., Araki. N., Wongkham, C., Pairojkul, C., Narimatsu, Y., Kuwahara, K., Narimatsu, H., Wongkham, S., & Sakaguchi, N. (2011). A novel serum carbohydrate marker on mucin 5AC: values for diagnostic and prognostic indicators for cholangiocarcinoma. Cancer, 117(15), 3393-3403.

Singh, S., Tang, S.J., Sreenarasimhaiah, J., Lara, L.F., & Siddiqui, A. (2011). The clinical utility and limitations of serum carbohydrate antigen (CA19-9) as a diagnostic tool for pancreatic cancer and cholangiocarcinoma. Dig Dis Sci, 56(8), 2491-2496.

Sonoda, K., Miyamoto, S., Hirakawa, T., Yagi, H., Yotsumoto, F., Nakashima, M., et al. (2006). Clinical significance of RCAS1 as a biomarker of uterine cancer. GynecolOncol, 103(3), 924-931.

Sripa, B., & Pairojkul, C. (2008). Cholangiocarcinoma: lessons from Thailand. Curr Opin Gastroenterol, 24(3), 349-356.

Uchiyama, K., Yamamoto, M., Yamaue, H., Ariizumi, S., Aoki, T., Kokudo, N., Ebata, T., Nagino, M., Ohtsuka, M., Miyazaki, M., Tanaka, E., Kondo, S., Uenishi, T., Kubo, S., Yoshida, H., Unno, M., Imura, S., Shimada, M., Ueno, M., & Takada, T. (2011). Impact of nodal involvement on surgical outcomes of intrahepatic cholangiocarcinoma: a multicenter analysis by the Study Group for Hepatic Surgery of the Japanese Society of Hepato-Biliary-Pancreatic Surgery. J Hepatobiliary Pancreat Sci. 18(3), 443-452.

Uenishi, T., Yamazaki, O., Tanaka, H., Takemura, S., Yamamoto, T., Tanaka, S., et al. (2008). Serum cytokeratin 19 fragment (CYFRA21-1) as a prognostic factor in intrahepatic cholangiocarcinoma. Ann SurgOncol, 15(2), 583-589.

Wang, J., Shi, G., Zhang, S., Wang, Q., Yang, X., Li, X., Wang, H., Zhang, H. & Song, C. (2010). Clinical value of serum TPS, CEA, Pro-GRP and CYFRA21-1 in patients with lung cancer. Zhongguo Fei Ai Za Zhi. 13(5),500-505.

Wongkham, S., Sheehan, J.K., Boonla, C., Patrakitkomjorn, S., Howard, M., Kirkham, S., Sripa, B., Wongkham, C., & Bhudhisawasdi, V. (2003). Serum MUC5AC mucin as a potential marker for cholangiocarcinoma. Cancer Lett,195(1). 93-99.

Downloads

Published

2023-02-19

How to Cite

Leelawat, K. . (2023). Serum tumor markers in the diagnosis of cholangiocarcinoma. Journal of Current Science and Technology, 1(2), 179–185. Retrieved from https://ph04.tci-thaijo.org/index.php/JCST/article/view/615

Issue

Section

Review Article