Many diseases are characterized by altered expression of proteins or peptide antigens which define diagnosis or disease behaviour. The biological significance of an antigen is generally dependent on its concentration and there is a need for a means of measuring antigen concentration in tissue sections. Visualization of tissue morphology is important because antigen expression is commonly related to a particular cell population within a mixed tissue. Immunohistochemistry (IHC) retains tissue morphology but does not reliably quantitate antigen while assays of extracts of homogenized tissue involve destruction of morphology.The principal aim of this work was, first, to establish and validate a method for quantifying protein concentration in histological sections of colorectal cancer and then, second, to apply this technique to a clinically relevant situation.Radioimmunoluminography (RILG), a generally applicable method for measurement of antigen concentration in tissue sections, is based on quantification of radiolabelled antibody binding to tissue sections using a phosphor plate imager. The amount of antibody bound in a given area of the section will be proportional to the amount of antigen present if saturating concentrations of antibody are used. The distribution of radioactivity in a section is mapped by a phosphor plate imager which quantitates antigen-bound antibody pixel by pixel in the digital image. The high sensitivity and linear response over five orders of magnitude of this instrument (Chung et al, 1994;Okuyama et al, 1994) make it practical to quantitate the very small amounts of radioactivity present. The pixel size of available phosphor imagers (25-90 µm) gives sufficient resolution for correlation with light microscope images. Here we show that the concentration of carcinoembryonic antigen (CEA) in histological sections can be quantitated using a calibration line constructed from RILG binding to known amounts of CEA. The accuracy of RILG has been established by assessing CEA levels in sections of human colon carcinoma xenografts.In antibody-directed targeted therapy of cancer the localization of anti-tumour antibodies in tumours varies greatly between individual patients and as yet the factors responsible for this variation have not been critically defined (Boxer et al, 1992). Whilst there have been a number of papers implicating a variety of putative cellular and physiological factors (Jain, 1989;Poznansky and Juliano, 1984;Shockley et al, 1991) there has been surprisingly little attention paid to the importance of tumour antigen concentration. The ability of RILG to directly measure CEA concentration in biopsies is shown to be clinically useful and can enable us to predict the likely efficiency of antibody-targeted therapy of colorectal carcinoma.
MATERIALS AND METHODS
Tissue preparationHuman adenocarcinoma xenografts (Pedley et al, 1996) with different levels of CEA expression, SW116, LS174T(1), LS174T(2), HT29/219 (colon), OVCA (ovarian), PAPA (breast) and a CEA-negative, rat mammary (RM) tumour...