Anti-CA15.3 and anti-CA125 antibodies and ovarian cancer risk: Results from the EPIC cohort
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Neoplastic and non-neoplastic events may raise levels of mucins, CA15.3 and CA125, and generate antibodies against them; but their impact on epithelial ovarian cancer (EOC) risk has not been fully defined. METHODS: CA15.3, CA125, and IgG1 antibodies against them were measured in 806 women who developed EOC and 1,927 matched controls from the European Prospective Investigation of Nutrition and Cancer. Associations between epidemiologic factors and anti-mucin antibodies were evaluated using generalized linear models; EOC risks associated with anti-mucin antibodies, by themselves or in combination with respective antigens, were evaluated using conditional logistic regression. RESULTS: In controls, lower antibodies against both mucins were associated with current smoking; and, in postmenopausal women, higher levels with longer oral contraceptive use and later-age-at and shorter-interval-since last birth. Lower anti-CA15.3 antibodies were associated with higher body mass and, in premenopausal women, more ovulatory cycles. Higher anti-CA15.3 and anti-CA125 antibodies were associated with higher risk for mucinous EOC occurring ≥ 3 years from enrollment. Long-term risk for serous EOC was reduced in women with low CA125 and high anti-CA125 antibodies relative to women with low concentrations of both. CONCLUSIONS: We found general support for the hypothesis that anti-mucin antibody levels correlate with risk factors for EOC. Antibodies alone or in combinations with their antigen may predict longer term risk of specific EOC types. IMPACT: Anti-CA125 and anti- CA15.3 antibodies alone or in perspective of antigens may be informative in the pathogenesis of EOC subtypes, but less useful for informing risk for all EOC.
Date Issued
2018-07-01
Date Acceptance
2018-04-06
Citation
Cancer Epidemiology, Biomarkers and Prevention, 2018, 27 (7), pp.790-804
ISSN
1055-9965
Publisher
American Association for Cancer Research
Start Page
790
End Page
804
Journal / Book Title
Cancer Epidemiology, Biomarkers and Prevention
Volume
27
Issue
7
Copyright Statement
©2018, American Association for Cancer Research.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29661801
PII: 1055-9965.EPI-17-0744
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
Public, Environmental & Occupational Health
UK COLLABORATIVE TRIAL
INCESSANT OVULATION
BREAST-CANCER
MUC1 MUCIN
MOLECULAR-CLONING
GENE-EXPRESSION
WOMEN
CA125
AUTOANTIBODIES
PREMENOPAUSAL
11 Medical and Health Sciences
Epidemiology
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-04-16