Evidence map›Paper›PMID 40603476›Full record

ArticleScientific reports2025

Polyethylene glycol precipitation is a useful method for excluding the interference of unexplained elevated CA 19-9.

Sha Lin, Qi Wang, Xiaopeng Yu, Yajun Tan, Yifan Yao, WeiLin Mao, GuangHua Ma

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Sha LinDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Qi WangDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xiaopeng YuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Zhejiang University, Hangzhou, China.
Yajun TanDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yifan YaoDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
WeiLin MaoDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
GuangHua MaDepartment of Laboratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. 330175@zju.edu.cn.

Funding

Zhejiang Natural Science Foundation of China TGY23H200020
6 · The paper itself

Abstract

With improved living standards and increased health awareness among Chinese residents, carbohydrate antigen 19-9 (CA 19-9) has become a routine marker in health examinations. Elevated CA 19-9 levels are frequently observed in clinical practice. Although chemiluminescence technology is widely recognized for its high sensitivity and specificity, it cannot eliminate interference, which may lead to deviations and misdiagnoses. This study aims to find a simple and effective method to confirm and exclude the interference of CA 19-9 on the Abbott platform. 342 individuals with unexplained elevated CA 19-9 in serial determinations for more than 6 months were included as cases. Serum samples from individuals with persistently elevated CA 19 -9 levels were evaluated via sialidase treatment, polyethylene glycol (PEG) precipitation, gel filtration chromatography (GFC), gradient dilution assays, heterophile antibody blocking assays and rheumatoid factor titer assays. Out of 342 individuals with elevated CA 19-9, 77 cases were confirmed as interferent by the sialidase treatment. There was a significant consistency between the PEG precipitation and sialidase treatment results (kappa = 0.920). Compared with the sialidase treatment method, the specificity of the PEG precipitation method was 96.2%, and the sensitivity was 100%. When the cutoff value for the CA 19-9 recovery after PEG precipitation was below 37.9%, the area under the curve (AUC) was highest at 0.993 (95% CI 98.5-99.8%). The PEG precipitation method is useful and reliable for patients with unexplained elevated CA 19-9. This method could effectively identify the interference, reduce clinical misdiagnosis, alleviate unnecessary financial burdens on patients.

Indexed as

CA-19-9 AntigenPolyethylene GlycolsAdultAgedChemical PrecipitationFemaleHumansMaleMiddle AgedSensitivity and SpecificityCA-19-9 AntigenPolyethylene GlycolsImmunoassay interferenceMacro-CA 19 -9PEGSialidase treatment

Identifiers

PMID40603476
PMCPMC12223165

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