CEACAM1 and MICA as novel serum biomarkers in patients with acute and recurrent pericarditis

The immune response plays a significant role in pericarditis, but the mechanisms of disease are poorly defined. Further, efficient monitoring and predictive clinical tools are unavailable. Carcinoembryonic antigen cell adhesion molecule 1 (CEACAM1) is an immune-inhibitory protein, while MHC class I...

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Published in:Oncotarget 2016-04, Vol.7 (14), p.17885-17895
Main Authors: Markel, Gal, Imazio, Massimo, Koren-Morag, Nira, Galore-Haskel, Gilli, Schachter, Jacob, Besser, Michal, Cumetti, Davide, Maestroni, Silvia, Altman, Arie, Shoenfeld, Yehuda, Brucato, Antonio, Adler, Yehuda
Format: Article
Language:English
Subjects:
Biomarkers, Tumor - blood
Cell Adhesion Molecule-1
Cell Adhesion Molecules - blood
Enzyme-Linked Immunosorbent Assay
Female
Histocompatibility Antigens Class I - blood
Humans
Immunoglobulins - blood
Male
Middle Aged
Pericarditis - blood
Prognosis
Research Paper
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Summary:The immune response plays a significant role in pericarditis, but the mechanisms of disease are poorly defined. Further, efficient monitoring and predictive clinical tools are unavailable. Carcinoembryonic antigen cell adhesion molecule 1 (CEACAM1) is an immune-inhibitory protein, while MHC class I chain related protein A (MICA) and B (MICB) have an immune-stimulating function. Serum CEACAM1, MICA and MICB concentrations were measured by ELISA in ~50 subjects of each group: acute pericarditis (AP), recurrent pericarditis (RP) and lupus (SLE) patients, metastatic melanoma patients as well as healthy donors. Serum CEACAM1 was dramatically elevated in AP and RP patients, but not in SLE patients, and displayed a highly accurate profile in ROC curve analyses. MICA and MICB were elevated in some pericarditis patients. All markers were enhanced in metastatic melanoma patients irrespective of neoplastic pericardial involvement. Etiology-guided analysis of RP patients showed that very low MICA levels were associated with idiopathic RP, while high MICA was associated with autoimmune and post-operative RP. Importantly, MICA was significantly associated with recurrences, independently of other potentially confounding parameters such as age, time of follow up or treatment modality. Here we report for the first time on CEACAM1 as a potentially novel biomarker for pericarditis, as well as on MICA as an innovative prognostic marker in these patients. Determination of the roles of these immune factors, as well as their diagnostic and prognostic values should be determined in future prospective studies.
ISSN:1949-2553
1949-2553
DOI:10.18632/oncotarget.7530