The biology of the 17-1a antigen (Ep-CAM)

Department of Pathology, Leiden University Medical Center, The Netherlands.
Journal of Molecular Medicine (Impact Factor: 5.11). 11/1999; 77(10):699-712. DOI: 10.1007/s001099900038
Source: PubMed


The glycoprotein recognized by the monoclonal antibody (mAb) 17-1A is present on most carcinomas, which makes it an attractive target for immunotherapy. Indeed, adjuvant treatment with mAb 17-1A did successfully reduce the 5 years mortality among colorectal cancer patients with minimal residual disease. Currently the antibody is approved for clinical use in Germany, and is on its way to approval in a number of other countries. New immunotherapeutic strategies targeting the 17-1A antigen are in development or even in early-phase clinical trials. Therefore, a better understanding of the biology of the 17-1A antigen may result in improved strategies for the treatment and diagnosis of human carcinomas. In this review the properties of the 17-1A antigen are discussed concerning tumor biology and the function of the molecule. This 40-kDa glycoprotein functions as an Epithelial Cell Adhesion Molecule, therefore the name Ep-CAM was suggested. Ep-CAM mediates Ca2+-independent homotypic cell-cell adhesions. Formation of Ep-CAM-mediated adhesions has a negative regulatory effect on adhesions mediated by classic cadherins, which may have strong effects on the differentiation and growth of epithelial cells. Indeed, in vivo expression of Ep-CAM is related to increased epithelial proliferation and negatively correlates with cell differentiation. A regulatory function of Ep-CAM in the morphogenesis of epithelial tissue has been demonstrated for a number of tissues, in particular pancreas and mammary gland. The function of Ep-CAM should be taken into consideration when developing new therapeutic approaches targeting this molecule.

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    • "The most highly conserved regions are the thyroglobulin repeat domain and the transmembrane region. Unlike, Trop2, which is intronless, Epcam consists of nine coding exons; Exons 1–6 encode the extracellular domain, exon 7 the transmembrane region, and exons 8–9 the intracellular tail (Balzar et al., 1999). The cysteine positions and distributions of hydrophilic and hydrophobic residues in the thyroglobulin repeat domain are conserved between TROP2 and EpCAM. "
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    • "EpCAM is a human gallbladder epithelial cell marker EpCAM is a cell surface marker that was first described in colorectal cancer (Koprowski et al., 1979). Its expression has since been found on a wide variety of epithelial cells such as keratinocytes, thymic epithelial cells and IHBD cells (Balzar et al., 1999; de Boer et al., 1999). Previously, we have determined that mouse gallbladder epithelial cells were EpCAM +, and subsequently used EpCAM to label these cells by flow cytometry (Manohar et al., 2011). "
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    Stem Cell Research 02/2015; 18(3). DOI:10.1016/j.scr.2014.12.003 · 3.69 Impact Factor
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    • "Data for the study was collected with a functionalized and structured medical wire (FSMW) [19] that is a CE-certified medical device for the isolation of CTCs. Human carcinoma cells expresses the epithelial cell adhesion molecule (EpCAM) on their surface while this molecule is absent from the surface of haematological cells [20] [21] [22]. The FSMW is functionalized with anti-EpCAM antibodies and was inserted into the cubital vein of a patient through a standard 20 G intravenous cannula, where it was left for 30 minutes collecting CTCs from the blood that flows past [19]. "
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