Abstract
Multiple myeloma is a disease involving the clonal evolution of plasma cells that produce monoclonal immunoglobulin; however, other products, such as ammonia and amylase, reportedly are secreted by neoplastic plasma cells. We describe a patient with immunoglobulin A (IgA) myeloma who showed a high serum level of carcinoembryonic antigen (CEA) that correlated well with disease status and IgA level. We detected CEA-specific messenger RNA in plasma cells by means of a recently introduced rapid and quantitative RNA-amplification system, the transcription-reverse transcription concerted reaction system. This report is the first of a patient with a diagnosis of CEA-producing multiple myeloma.
References
Takimoto Y, Imanaka F, Hayashi Y, Morioka S. A patient with ammonia-producing multiple myeloma showing hyperammonemic encephalopathy. Leukemia. 1996;10:918–919.
Otsuki T, Yamada O, Sakaguchi H, et al. In vitro excess ammonia production in human myeloma cell lines. Leukemia. 1998; 12:1149–1158.
Matsuzaki H, Takatsuki K. Amylase producing multiple myeloma. Blood. 1989;74:889.
Delannoy A, Hamels J, Mecucci C, et al. Amylase-producing IgD-type multiple myeloma. J Intern Med. 1992;232:457–460.
Ishiguro T, Saitoh J, Horie R, et al. Intercalation activating fluorescence DNA probe and its application to homogeneous quantification of a target sequence by isothermal sequence amplification in a closed vessel. Anal Biochem. 2003;314:77–86.
Ishii T, Fujiwara Y, Ohnaka S, et al. Rapid genetic diagnosis with the transcription-reverse transcription concerted reaction system for cancer micrometastasis. Ann Surg Oncol. 2004; 11:778–785.
Ishiguro T, Saitoh J, Yawata H, Otsuka M, Inoue T, Sugiura Y. Fluorescence detection of specific sequence of nucleic acids by oxazole yellow-linked oligonucleotides: homogeneous quantitative monitoring of in vitro transcription. Nucleic Acids Res. 1996; 24:4992–4997.
Takakura S, Tsuchiya S, Isawa Y, et al. Rapid detection of Mycobacterium tuberculosis in respiratory samples by transcription-reverse transcription concerted reaction with an automated system. J Clin Microbiol. 2005;43:5435–5439.
Nakaguchi Y, Ishizuka T, Ohnaka S, et al. Rapid and specific detection of tdh, trh1, and trh2 mRNA of Vibrio parahaemolyticus by transcription-reverse transcription concerted reaction with an automated system. J Clin Microbiol. 2004;42:4284–4292.
Hata H, Matsuzaki H, Sanada I, Takatsuki K. Genetic analysis of amylase-producing cell lines: ectopic activation of the amylase gene by translocation. Jpn J Clin Oncol. 1990;20:246–251.
Pinelli M, Bindi M, Rosada J, Scatena P, Castiglioni M. Amylase: a disease activity index in multiple myeloma? Leuk Lymphoma. 2006;47:151–154.
Tellez-Avila FI, Garcia-Osogobio SM. The carcinoembryonic antigen: apropos of an old friend [in Spanish]. Rev Invest Clin. 2005;57:814–819.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Kaito, K., Otsubo, H., Takahara, S. et al. Carcinoembryonic antigen—producing multiple myeloma detected by a transcription—reverse transcription concerted reaction system. Int J Hematol 85, 128–131 (2007). https://doi.org/10.1532/IJH97.06169
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1532/IJH97.06169