Binding of five monoclonal anti-CEA antibodies with different epitope specificities to various carcinoma tissues

Five monoclonal antibodies that recognize different epitopes on carcinoembryonic antigen (CEA) were reacted with tissue sections of various carcinoma specimens. The vital, non-necrotic tissues of those carcinomas of the oesophagus, pancreas, colon and rectum, medullary thyroid, ovary and cervix in which CEA related epitopes were detectable bound all five antibodies to a similar degree. In 3/5 lung carcinomas, 2/10 mammary carcinomas and 1/5 gastric carcinomas, a significantly different binding of the monoclonal antibodies by vital tumour tissue was present as determined by three independent investigators. In necrotic tissue areas, heterogeneity of antibody binding was more common. In a previous investigation, it was shown that normal granulocytes and liver tissue differentially bind the monoclonal anti-CEA antibodies, indicating the presence of crossreacting antigens. The equivalent binding of the five monoclonal anti-CEA antibodies to most of the carcinomas tested suggests that this binding is due to the presence of complete CEA molecules and not only of cross-reacting antigens.