Cancer Antigen 125 (CA-125) Levels Among The Female General Population Of Muzaffarabad City Of Azad Jammu And Kashmir State, Pakistan: A Retrospective Study
DOI:
https://doi.org/10.53555/jaz.v45i6.4966Keywords:
CA-125, correlation of CA 125 with age, distribution of abnormal CA 125 in Azad Kashmir, temporal trends of CA 125, Prevalence of CA 125 positivityAbstract
Background: CA-125 is a widely used biomarker for evaluating various conditions, including malignancies and chronic diseases. Unfortunately, there is a lack of published data on CA-125 levels in the state of Azad Jammu and Kashmir, Pakistan. This study aimed to assess CA-125 levels in women from Muzaffarabad, providing a foundation for future research in this region. Methods: In this retrospective study, data of 103 women were collected from two labs. Their recorded CA-125 levels were categorized as either normal (0.0 to 35.0 IU/mL) or abnormal. Statistical analysis included least squares linear regression to assess the association between age and CA-125 levels, with additional temporal analysis from 2021 to 2024 and geographical distribution between Muzaffarabad, AJ&K and Hazara, KPK. The residuals were tested for normality using Anderson-Darling, D'Agostino-Pearson omnibus test, Shapiro-Wilk and Kolmogorov-Smirnov test.
Results: The mean CA-125 level among participants was 54.84 ± 10.01 IU/mL, with 32.04% exhibiting abnormal levels. The analysis showed a statistically significant positive association between age and CA 125 levels (p = 0.0020). The regression model indicated that for each additional year of age, CA 125 levels increased by an estimated 2.456 IU/mL. Temporal analysis revealed variable CA-125 levels across different years, with a notable increase in 2024. Geographical comparison showed higher CA-125 levels in Hazara, KPK, compared to Muzaffarabad, AJ&K.
Conclusion: The study's findings align with some literature suggesting a positive correlation between CA-125 levels and age, although the variability in CA-125 levels across age groups and locations highlights the need for further investigation. The significant association of CA-125 levels with age and geographical differences highlights the importance of considering these factors in future research.
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References
Jacobs I, Bast RC. The CA 125 tumour-associated antigen: a review of the literature. Hum Reprod. 1989 Jan;4(1):1-12.
Scholler N, Urban N. CA125 in ovarian cancer. Biomark Med. 2007 Dec;1(4):513-23.
Bischof P. What do we know about the origin of CA 125? Eur J Obstet Gynecol Reprod Biol. 1993 Apr;49(1-2):93-8.
Zhang R, Siu MKY, Ngan HYS, Chan KKL. Molecular Biomarkers for the Early Detection of Ovarian Cancer. Int J Mol Sci. 2022 Oct 10;23(19)
Dodge JE, Covens AL, Lacchetti C, Elit LM, Le T, Devries-Aboud M, Fung-Kee-Fung M., Gynecology Cancer Disease Site Group. Preoperative identification of a suspicious adnexal mass: a systematic review and meta-analysis. Gynecol Oncol. 2012 Jul;126(1):157-66.
American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. Practice Bulletin No. 174: Evaluation and Management of Adnexal Masses. Obstet Gynecol. 2016 Nov;128(5):e210-e226.
Sturgeon CM, Hoffman BR, Chan DW, Ch'ng SL, Hammond E, Hayes DF, Liotta LA, Petricoin EF, Schmitt M, Semmes OJ, Söletormos G, van der Merwe E, Diamandis EP., National Academy of Clinical Biochemistry. National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines for use of tumor markers in clinical practice: quality requirements. Clin Chem. 2008 Aug;54(8):e1-e10.
Kenemans P, Yedema CA, Bon GG, von Mensdorff-Pouilly S. CA 125 in gynecological pathology--a review. Eur J Obstet Gynecol Reprod Biol. 1993 Apr;49(1-2):115-24.
Jacobs I, Bast RC Jr. The CA 125 tumour-associated antigen: a review of the literature. Hum Reprod. 1989 Jan;4(1):1-12.
Bast RC, Klug TL, St John E, Jenison E, Niloff JM, Lazarus H, Berkowitz RS, Leavitt T, Griffiths CT, Parker L, Zurawski VR, Knapp RC. A radioimmunoassay using a monoclonal antibody to monitor the course of epithelial ovarian cancer. N Engl J Med. 1983 Oct 13;309(15):883-7.
Menon U, Karpinskyj C, Gentry-Maharaj A. Ovarian Cancer Prevention and Screening. Obstet Gynecol. 2018 May;131(5):909-927.
Kenemans P, van Kamp GJ, Oehr P, Verstraeten RA. Heterologous double-determinant immunoradiometric assay CA 125 II: reliable second-generation immunoassay for determining CA 125 in serum. Clin Chem. 1993 Dec;39(12):2509-13.
Johnson CC, Kessel B, Riley TL, Ragard LR, Williams CR, Xu JL, Buys SS; Prostate, Lung, Colorectal and Ovarian Cancer Project Team. The epidemiology of CA-125 in women without evidence of ovarian cancer in the Prostate, Lung, Colorectal and Ovarian Cancer (PLCO) Screening Trial. Gynecol Oncol. 2008 Sep;110(3):383-9.
Terada KY, Elia J, Kim R, Carney M, Ahn HJ. Abnormal CA-125 levels in menopausal women without ovarian cancer. Gynecol Oncol. 2014 Oct;135(1):34-7.
Ulgu MM, Birinci S. Exploring the landscape of CA-125 testing: A comprehensive analysis of Ministry of Health data. North Clin Istanb. 2023 Aug 4;10(4):501-506. doi: 10.14744/nci.2023.59908. PMID: 37719262; PMCID: PMC10500244.
Cooper BC, Sood AK, Davis CS, Ritchie JM, Sorosky JI, Anderson B, Buller RE. Preoperative CA 125 levels: an independent prognostic factor for epithelial ovarian cancer. Obstet Gynecol. 2002 Jul;100(1):59-64.
Tang Y, Wen MB, Xiang RM, Yang MT, Shu B, Xu F, Li J, Hu HQ, Shi Q. Serum CA125 as a biomarker for dysmenorrhea in adenomyosis. Int J Gynaecol Obstet. 2023 Oct;163(1):131-139.
Pouraghaei M, Shahsavarinia K, Kakaei F, Gholipour-Khalili S, Mohammadpour B, Moharamzadeh P, Balafar M. Value of CA-125 Glycoprotein in Predicting Acute Appendicitis; a Diagnostic Accuracy Study. Arch Acad Emerg Med. 2019 Apr 6;7(1):e24.
Ashi A, Al-Hajeili M, Almaghrabi S, Al-Maghrabi J, Trabulsi N, Alghuraibi S, Alsiary R, Alrayes N. Prevalence of CEA, CA 125, and CA 15-3 serum tumour markers in different regions of Saudi Arabia. Saudi Med J. 2024 Jun;45(6):565-571.
Li X, He M, Zhu J, Yao P, Li X, Yuan J, Min X, Lang M, Yang H, Hu FB, Wu T, Wei S. Higher carbohydrate antigen 125 levels are associated with increased risk of coronary heart disease in elderly chinese: a population-based case-control study. PLoS One. 2013 Nov 26;8(11):e81328.
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Copyright (c) 2024 Syed Ayaz Kazmi , Abdul Rauf , Rizwan Saeed , Muhammad Zahid Latif , Beenish Shahid , Tasleem Akhtar , Muhammad Zaheer Awan , Noor-ul-ain Fadia , Hassan Abdullah , Javaria Alam , Zeeshan Anjum, Muqaddas Tahir , Salma Farooq
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