journal article·2026-01-09Open access

Expression Profile of CEACAM-5, CA125 and HE4 Proteins in Tumor and Corresponding Margin Samples in a Group of Patients with Gastroenteropancreatic Neuroendocrine Tumors (GEP-NET)

Agata Świętek, Joanna Katarzyna Strzelczyk, Dorota Hudy, Zenon P. Czuba, Karolina Snopek-Miśta, Mariusz Kryj, Katarzyna Kuśnierz, Sławomir Mrowiec, Marcin Zeman, Małgorzata Roś-Mazurczyk, Janusz Strzelczyk

Applied Sciences· Volume 16· Issue 2

Abstract

Biomarkers such as CEACAM-5, CA125 and HE4 have been implicated in tumor progression, invasion, and microenvironment modulation in several cancers, but their protein expression in GEP-NET remains poorly characterized. This study aimed to evaluate CEACAM-5, CA125 and HE4 levels in tumors and matched surgical margin samples from 59 GEP-NET patients and assess correlations with clinical and demographic variables. Total protein concentration was measured spectrophotometrically, and selected cytokines by multiplex immunoassay. No significant differences in CEACAM-5, CA125 and HE4 protein concentrations were found between tumor and margin samples. However, in tumor tissue, CA125 protein levels showed a statistically significant association with T and M status. A significantly higher level of all proteins was observed in ileum or colon tumors compared to pancreas. Analysis of HE4 revealed differences in protein levels between male and female tumor samples. CEACAM-5, CA125 and HE4 proteins showed distinct expression patterns in GEP-NET according to tumor stage, metastasis, primary tumor location, and sex, highlighting their potential as tissue biomarkers of tumor aggressiveness and microenvironmental activity. These findings provide a basis for future studies on their prognostic and therapeutic relevance.
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Research context

OpenAlex topics: Radiopharmaceutical Chemistry and Applications · Neuropeptides and Animal Physiology · Cell Adhesion Molecules Research

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Medical and Molecular Biology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 19 Jordana St., 41-808 Zabrze, Poland

Department of Microbiology and Immunology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 19 Jordana, 41-808 Zabrze, Poland

Department of Oncological Surgery, Prof. Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, 35 Ceglana St., 40-514 Katowice, Poland

Department of Gastrointestinal Surgery, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, 14 Medyków St., 40-752 Katowice, Poland

III Department of Oncological Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, 15 Wybrzeże Armii Krajowej Str., 44-100 Gliwice, Poland

Department of Clinical and Molecular Genetics, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, 44-102 Gliwice, Poland

Department of Endocrinology and Neuroendocrine Tumors, Department of Pathophysiology and Endocrinology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 35 Ceglana St., 40-514 Katowice, Poland

Funding

Ministry of Science and Higher Education

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