Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population

Objective. This study aimed to determine if variations in the expression profiles of CA 19-9 and carcinoembryonic antigen (CEA) within the reference range could serve as possible biomarkers for postoperative CRC recurrence. Method. This retrospective cohort investigation enrolled 2,596 cases of CRC...

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Main Authors: Lujia Wang, Guangkai Zhang, Jiafeng Shen, Yujiang Shen, Guojun Cai
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2022/8666724
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author Lujia Wang
Guangkai Zhang
Jiafeng Shen
Yujiang Shen
Guojun Cai
author_facet Lujia Wang
Guangkai Zhang
Jiafeng Shen
Yujiang Shen
Guojun Cai
author_sort Lujia Wang
collection DOAJ
description Objective. This study aimed to determine if variations in the expression profiles of CA 19-9 and carcinoembryonic antigen (CEA) within the reference range could serve as possible biomarkers for postoperative CRC recurrence. Method. This retrospective cohort investigation enrolled 2,596 cases of CRC that received curative surgery. Serum CEA/CA 19-9 were measured through chemiluminescence immunoassay (CLIA). Results. During follow-up (median follow-up = 5.2 years), in total, 837 patients experienced recurrence. The fully adjusted hazard ratios (HRs) were significantly higher, ≥1 standard deviation (±SD), in patients with upregulated CEA/CA 19-9 levels (HRCEA=7.06; HRCA 19−9=3.98) than in those with downregulated CEA/CA 19-9 levels. The likelihood of recurrence remained consistently greater in cases of elevated CEA/CA 19-9 levels during sensitivity analyses. Conclusions. The findings of this analysis showed that variations in CEA/CA 19-9 expression profiles within the reference range impact CRC recurrence.
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spelling doaj-art-7545f7d136a648e4b028b510cc229bc72025-08-20T03:35:01ZengWileyApplied Bionics and Biomechanics1754-21032022-01-01202210.1155/2022/8666724Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han PopulationLujia Wang0Guangkai Zhang1Jiafeng Shen2Yujiang Shen3Guojun Cai4Department of Anus and IntestineDepartment of Anus and IntestineDepartment of Anus and IntestineDepartment of Anus and IntestineDepartment of Anus and IntestineObjective. This study aimed to determine if variations in the expression profiles of CA 19-9 and carcinoembryonic antigen (CEA) within the reference range could serve as possible biomarkers for postoperative CRC recurrence. Method. This retrospective cohort investigation enrolled 2,596 cases of CRC that received curative surgery. Serum CEA/CA 19-9 were measured through chemiluminescence immunoassay (CLIA). Results. During follow-up (median follow-up = 5.2 years), in total, 837 patients experienced recurrence. The fully adjusted hazard ratios (HRs) were significantly higher, ≥1 standard deviation (±SD), in patients with upregulated CEA/CA 19-9 levels (HRCEA=7.06; HRCA 19−9=3.98) than in those with downregulated CEA/CA 19-9 levels. The likelihood of recurrence remained consistently greater in cases of elevated CEA/CA 19-9 levels during sensitivity analyses. Conclusions. The findings of this analysis showed that variations in CEA/CA 19-9 expression profiles within the reference range impact CRC recurrence.http://dx.doi.org/10.1155/2022/8666724
spellingShingle Lujia Wang
Guangkai Zhang
Jiafeng Shen
Yujiang Shen
Guojun Cai
Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
Applied Bionics and Biomechanics
title Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
title_full Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
title_fullStr Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
title_full_unstemmed Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
title_short Elevated CEA and CA 19-9 Levels within the Normal Ranges Increase the Likelihood of CRC Recurrence in the Chinese Han Population
title_sort elevated cea and ca 19 9 levels within the normal ranges increase the likelihood of crc recurrence in the chinese han population
url http://dx.doi.org/10.1155/2022/8666724
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AT guangkaizhang elevatedceaandca199levelswithinthenormalrangesincreasethelikelihoodofcrcrecurrenceinthechinesehanpopulation
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