Alpha-fetoprotein-lectin binding as a marker of tumour activity or liver damage

Eur J Cancer. 1990;26(9):969-72. doi: 10.1016/0277-5379(90)90622-z.

Abstract

To establish whether alpha-fetoprotein (AFP) produced in the early post-treatment phase of a patient with a germ cell tumour of the testis or the ovary originates from the tumour or is due to an underlying disturbance in liver function, the binding of AFP to concanavalin A (Con A) was investigated as a discriminative variable. A two-step assay is described that can distinguish the type of AFP produced at levels as low as 10 ng/ml. A Con A-binding ratio of 12-43% was found in the patients with disseminated germ cell tumours and in patients with AFP-positive gastrointestinal carcinomas. AFP from the liver gives ratios below 10%.

MeSH terms

  • Biomarkers, Tumor / blood*
  • Carcinoma, Hepatocellular / blood
  • Concanavalin A / pharmacology
  • Female
  • Gastrointestinal Neoplasms / blood
  • Humans
  • Liver Neoplasms / blood*
  • Male
  • Methods
  • Neoplasms, Germ Cell and Embryonal / blood*
  • Ovarian Neoplasms / blood*
  • Protein Binding
  • Testicular Neoplasms / blood*
  • alpha-Fetoproteins / metabolism*

Substances

  • Biomarkers, Tumor
  • alpha-Fetoproteins
  • Concanavalin A