Immunoperoxidase localization of carcinoembryonic antigen in normal human intestinal mucosa

The indirect, labeled antibody and peroxidase-antiperoxidase complex (PAP) methods were studied to determine their sensitivity in detecting carcinoembryonic antigen (CEA) in conventionally processed specimens of morphologically normal human colon mucosa. CEA-positive staining was demonstrated in 13 of 19 specimens reacted with the PAP method, whereas only 4 of these specimens stained positive with the labeled antibody procedure. Detection of CEA with either technique was unrelated to normal mucosa content of antigen as determined by radioimmunoassay. Tissue fixation in 95% ethanol 1% acetic acid (EA) resulted in an enhanced and defined cytoplasmic staining of the normal colon cell lining the mucosal surface and upper levels of the glandular crypts. Cytoplasmic localization in Formalin-fixed specimens was absent or markedly reduced. Colon goblet cells and the small intestinal epithelium were CEA-negative in both Formalin- and EA-fixed specimens. These results show that the PAP immunoperoxidase method is more sensitive than the indirect, labeled antibody procedure in detecting CEA in morphologically normal colon mucosa. Furthermore, staining of tissues fixed in EA demonstrated that CEA is a product of the columnar epithelial cell and is not associated with goblet cells.