CYP19基因多态性与子宫内膜异位症相关性的研究

目的 探讨CYP19基因多态性与中国河北省汉族育龄妇女Ⅲ、Ⅳ期子宫内膜异位症发病风险的关系.方法 采用聚合酶链反应限制性片段长度多态性方法检测102例Ⅲ、Ⅳ期子宫内膜异位症患者(病例组)与100例无子宫内膜异位症病史患者(对照组)CYP19基因115T/C、240A/G、1 531 C/T位点多态性.结果 CYP19基因115T/C的3种基因型TT、TC、CC在病例组的分布为91.18%、8.82%、0,在对照组为88.00%、11.00%、1.00%.T、C等位基因在病例组和对照组中的分布为95.59%、4.41%和93.50%、6.50%.两组比较差异无统计学意义(P＞0.05).CYP19基因240A/G的3种基因型AA、AG、GG在病例组中的分布为27.45%、49.02%、23.53%,在对照组为45.00%、41.00%、14.00%.A、G等位基因在病例组和对照组中的分布为51.96%、48.04%和65.50%、34.50%.两组比较差异有统计学意义(P＜0.05).CYP19基因1531 C/T的3种基因型CC、CT、TT在病例组中的分布为41.18%、47.06%、11.76%,在对照组分别为38.00%、42.00%、20.00%,两组间差异无统计学意义(P＞0.05).C、T等位基因在病例组和对照组中的分布为64.71%、35.29%和59.00%、41.00%.两组比较差异无统计学意义.结论 CYP19基因240GG基因型可能是Ⅲ、Ⅳ期子宫内膜异位症发生的危险因素.     

Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by enzyme immunoassay, culture, and three nucleic acid amplification tests

The purpose of this study was to evaluate and compare three commercially available nucleic acid amplification tests (NAATs) for the detection of Neisseria gonorrhoeae and Chlamydia trachomatis. Roche PCR and Becton Dickinson strand displacement amplification (SDA) were performed on 733 endocervical swab specimens from commercial sex workers. Abbott ligase chain reaction (LCR) was performed on a subset of 396 samples. Endocervical specimens from all women were also tested by culture for N. gonorrhoeae and by Syva MicroTrak enzyme immunoassay (EIA) for C. trachomatis. A positive N. gonorrhoeae result was defined as a positive result by culture or by two NAATs, and a positive C. trachomatis result was defined as a positive result by two tests. According to these definitions, the sensitivities and specificities for the subsample of 396 specimens of N. gonorrhoeae culture, PCR, SDA, and LCR were 69.8, 95.2, 88.9, and 88.9% and 100, 99.4, 100, and 99.1%, respectively; the sensitivities and specificities of C. trachomatis EIA, PCR, SDA, and LCR were 42.0, 98.0, 94.0, and 90.0% and 100, 98.0, 100, and 98.6%, respectively. The performance characteristics of N. gonorrhoeae culture, PCR, and SDA and C. trachomatis EIA, PCR, and SDA for all 733 specimens were defined without inclusion of LCR results and by discrepant analysis after resolution of discordant N. gonorrhoeae PCR results and of discordant C. trachomatis EIA and PCR results by LCR testing. The sensitivities of N. gonorrhoeae culture, PCR, and SDA before and after LCR resolution were 67.8, 95.7, and 93.9% and 65, 95.8, and 90.0%, respectively. The sensitivities of C. trachomatis EIA, PCR, and SDA decreased from 39.4, 100, and 100% to 38.7, 98.7, and 94.7%, respectively. All three NAATs proved to be superior to N. gonorrhoeae culture and to C. trachomatis EIA. The accuracies of the different NAATs were quite similar. SDA was the only amplification assay with 100% specificity for detection of both N. gonorrhoeae and C. trachomatis in endocervical specimens.     

大连汉族学生体围发育的研究

目的：了解大连汉族学生体围及体围／身高指数的生长发育规律。方法：采用邵象清的人体测量方法。调查了大连市区７～１７岁的１２０３（男５９４,女６０９）名学生的体围和体围／身高指数并研讨了其性差和地区差。结果：（１）体围和体围／身高指数总体随年龄的增加而增长。（２）男女性胸围、最小腰围、臀围、上臂围和大腿最大围的平均年增长值分别为２．４９和２．３２、１．８３和１．８０、２．８８和２．８９、０．８９和０．     

ABO, Rh, MNS, Duffy, Kidd,Yt, Scianna, and Colton blood group systems in indigenous Chinese

The frequencies of selected alleles in the ABO, Rh, MNS, Duffy, Kidd, Yt, Scianna, and Colton blood group systems were determined among four indigenous Chinese ethnic populations: Han, Tajik, She, and Yugu. Genotypes were determined by PCR or PCR with sequence specific primers (PCR-SSP). In the Han population, the frequencies of A1, A2, B, and O1 alleles were 0.189, 0.003, 0.170, and 0.638, respectively, and the O2 allele was not identified. Among D+ Hans, the frequencies of C and c alleles were 0.67 and 0.33 and the frequencies of E and e were 0.22 and 0.78, respectively. Among D- Hans, the frequencies of C and c alleles were 0.23 and 0.77 and the frequencies of E and e were 0.04 and 0.96, respectively. The frequencies of M and N alleles were 0.478 and 0.522 among Hans and 0.655 and 0.345 among Tajiks, respectively. The frequencies of Fya and Fyb alleles were 0.94 and 0.06 among Hans and 0.98 and 0.02 among Shes, respectively. The frequencies of Jka and Jkb alleles were 0.49 and 0.51 among Hans and 0.56 and 0.44 among Shes, respectively. The frequency of the Yta allele was 1.00 among Hans. The frequencies of Yta and Ytb alleles were 0.94 and 0.06 among Tajiks, respectively. The frequency of the Sc1 allele was 1.00 in both Han and Tajik ethnic populations. The frequency of the Coa allele was 1.00 in Han, She, and Tajik ethnic populations.     

Larvicidal efficacy of Sphaeranthus indicus, Cleistanthus collinus and Murraya koenigii leaf extracts against filarial vector, Culex quinquefasciatus Say (Diptera: Culicidae)

Sphaeranthus indicus, Cleistanthus collinus and Murraya koenigii leaf extracts were tested against the third instar larvae of Culex quinquefasciatus. The plant material was shade dried at room temperature and powdered coarsely. From each plant, 500?g powder was macerated with 1.5?L of hexane, chloroform and ethyl acetate sequentially for a period of 72?h each and filtered. The yield of the S. indicus, C. collinus and M. koenigii crude extracts by hexane, chloroform and ethyl acetate was 9.16, 11.71 and 10.83?g for S. indicus; 8.17, 10.69 and 9.85?g for C. collinus; and 10.11, 11.92 and 9.87?g for M. koenigii, respectively. The extracts were concentrated at reduced temperature on a rotary vacuum evaporator and stored at a temperature of 4°C. The S. indicus, C. collinus and M. koenigii leaf extracts at 250, 500, 750 and 1,000?ppm caused a significant mortality of C. quinquefasciatus. The LC(50) and LC(90) values of S. indicus, C. collinus and M. koenigii against third instar larvae at 24, 48 and 72?h (hexane, chloroform and ethyl acetate) were the following: S. indicus LC(50) values were 544.93, 377.86 and 274.79?ppm and LC(90) values were 1,325.32, 1,572.55 and 1,081.29?ppm at 24?h; C. collinus LC(50) values were 375.34, 318.29 and 226.10?ppm and LC(90) values were 699.65, 1,577.62 and 1,024.92?ppm at 24?h; and M. koenigii LC(50) values were 963.53, 924.85 and 857.62?ppm and LC(90) values were 1,665.12, 1,624.68 and 1,564.37?ppm at 24?h, respectively. However, the highest larval mortality was observed in C. collinus followed by S. indicus and M. koenigii of various concentrations at 24, 48 and 72?h. The study proved that S. indicus, C. collinus and M. koenigii leaf extracts had larvicidal property against species of C. quinquefasciatus. This is an ideal ecofriendly approach for the control of vector control programmes.     

Increasing prevalence of vancomycin-resistant enterococci, and cefoxitin-, imipenem- and fluoroquinolone-resistant gram-negative bacilli: a KONSAR study in 2002

Continued antimicrobial resistance surveillance can provide valuable information for the empirical selection of antimicrobial agents for patient treatment, and for resistance control. In this 6th annual study for 2002, the susceptibility data at 39 Korean Nationwide Surveillance of Antimicrobial Resistance (KONSAR) hospitals were analyzed. Resistance rates of S. aureus were 67% to oxacillin, and 58% to clindamycin. The ampicillin and vancomycin resistance rates of E. faecium were 89% and 16%, respectively. To penicillin, 71% of S. pneumoniae were nonsusceptible. Resistance rates of E. coli were 11% to cefotaxime, 8% to cefoxitin, and 34% to fluoroquinolone, and those of K. pneumoniae were 22% to ceftazidime, and 16% to cefoxitin. Lowest resistance rates to cephalosporins shown by E. cloacae and S. marcescens were to cefepime, 7% and 17%, respectively. This is the first KONSAR surveillance, which detected imipenem-resistant E. coli and K. pneumoniae. To imipenem, 22% of P. aeruginosa and 9% of Acinetobacter spp. were resistant. Trends of resistances showed a slight reduction in MRSA and in penicillin- nonsusceptible S. pneumoniae, but an increase in ampicillin-resistant E. faecium. Ampicillin-resistant E. coli and H. influenzae remained prevalent. Compared to the previous study, amikacin- and fluoroquinolone- resistant Acinetobacter spp. increased to 60% and 62%, respectively. Ceftazidime- resistant K. pneumoniae decreased slightly, and imipenem- resistant P. aeruginosa and Acinetobacter spp., and vancomycin-resistant E. faecium increased. In conclusion, vancomycin-resistant E. faecium, cefoxitin-resistant E. coli and K. pneumoniae, and imipenem-resistant P. aeruginosa and Acinetobacter spp. increased gradually, and imipenem- resistant E. coli and K. pneumoniae appeared for the first time. Continued surveillance is required to prevent further spread of these serious resistances.     

Efficacy of adulticidal and larvicidal properties of botanical extracts against Haemaphysalis bispinosa, Hippobosca maculata, and Anopheles subpictus

The aim of the present study was to investigate the adulticidal and larvicidal activity of dried leaf hexane, ethyl acetate, acetone, and methanol extracts of Nelumbo nucifera, Manilkara zapota, Ipomoea staphylina, and Acalypha indica against the adults of Haemaphysalis bispinosa (Acarina: Ixodidae), hematophagous fly Hippobosca maculata (Diptera: Hippoboscidae), and fourth instar larvae of malaria vector Anopheles subpictus (Diptera: Culicidae). Parasites were exposed to varying concentrations of plant extracts for 24 h. All extracts showed moderate parasitic effects; however, the percent parasitic mortality observed in the crude leaf hexane, ethyl acetate, acetone, and methanol extracts of N. nucifera and M. zapota against H. bispinosa were 80, 74, 72, and 100 and 100, 83, 74, and 91, respectively, and the activity for I. staphylina and A. indica against Hip. maculata were 100, 93, 87, and 66 and 78, 90, 87, and 100 at 2,000 ppm, respectively; the larvicidal activity for the same extracts of I. staphylina against A. subpictus were 76, 82, 84, and 100 at 100 ppm, respectively. The maximum efficacy was observed in the leaf methanol extract of N. nucifera, hexane extract of M. zapota and leaf hexane extract of I. staphylina, and methanol extract of A. indica against the adults of H. bispinosa and Hip. maculata with LC(50) and LC(90) values of 437.14 and 200.81, and 415.14 and 280.72 ppm, 1,927.57 and 703.52 ppm, and 1,647.70 and 829.39 ppm, respectively. The effective larvicidal activity was observed in leaf methanol extract of I. staphylina against A. subpictus with LC(50) and LC(90) values of 10.39 and 37.71 ppm, respectively. Therefore, this study provides the first report on the adulticidal and larvicidal activity of crude solvent extracts. This is an ideal eco-friendly approach for the control of H. bispinosa, Hip. maculata, and the medically important vector A. subpictus.     

Pharmacodynamic effects of amikacin, ciprofloxacin and imipenem on growing and non-growing Escherichia coli and Pseudomonas aeruginosa

Objective: To compare control-related effective regrowth times (CERTs) and postantibiotic effects (PAEs) of amikacin, ciprofloxacin and imipenem on growing and non-growing Escherichia coli and Pseudomonas aeruginosa .
Methods: CERTs and PAEs of amikacin, ciprofloxacin and imipenem were determined with bioluminescence assay of bacteriai ATP and viable counts.
Results: Negative viable count PAEs of amikacin and imipenem occurred on growing bacteria, but bioluminescence PAEs were positive. CERTs were equal with both methods. Amikacin and ciprofloxacin induced long, concentration-dependent CERTs on growing and non-growing cultures. Amikacin (32 mg/L) prevented regrowth of E. coli and induced a CERT of 6.0 h on P. aeruginosa ; corresponding CERTs on non-growing bacteria were 3.4 h and 3.3 h, respectively. Ciprofloxacin (8 mg/L) prevented regrowth of both strains in growing cultures and induced CERTs of 5.1 h on non-growing E. coli and 13.3 h on P. aeruginosa . Imipenem induced a concentration-dependent CERT on growing bacteria and no CERT on non-growing cultures. Imipenem (16 mg/L) induced a CERT of 5.3 h on growing P. aeruginosa and 3.2 h on E. coli.
Conclusion: Amikacin and ciprofloxacin induced strong pharmacodynamic effects on growing and non-growing E. coli and P. aeruginosa , while imipenem was only effective on growing cultures.     

Back-neck pain and symptoms of anxiety and depression: a population-based twin study

BACKGROUND: Clinical and epidemiological studies have shown an association between anxiety and depression and pain in the back and neck. The nature of this relationship is not clear. This study aimed to investigate the extent to which common genetic and environmental aetiological factors contribute to the covariance between symptoms of anxiety and depression and back-neck pain. METHODS: Measures of back-neck pain and symptoms of anxiety and depression were part of a self-report questionnaire sent in 1992 to twins born in Norway between 1967 and 1974 (3996 pairs). Structural equation modelling was applied to determine to what extent back-neck pain and symptoms of anxiety and depression share genetic and environmental liability factors. RESULTS: The phenotypic correlation between symptoms of anxiety and depression and back-neck pain was 0.31. Individual differences in both anxiety and depression and back-neck pain were best accounted for by additive genetic and individual environmental factors. Heritability estimates were 0.53 and 0.30 respectively. For back-neck pain, however, a model specifying only shared- and individual environmental effects could not be rejected. Bivariate analyses revealed that the correlation between back-neck pain and symptoms of anxiety and depression was best explained by additive genetic and individual environmental factors. Genetic factors affecting both phenotypes accounted for 60% of the covariation. There were no significant sex differences. CONCLUSION: The results support previous findings of a moderate association between back-neck pain and symptoms of anxiety and depression, and suggest that this association is primarily due to common genetic effects.     

4～6年级多重成就测验的编制

目的：编制4～6年级多重成就测验（MATs），为教育、临床和社会评估提供测评工具。方法：在多次试测基础上形成预测本，2002名被试作条目分析，对768名被试作各种信度估计，对227名被试性向测验和646名被试学科成绩作同时效度，5位专家作内容效度评定。结果：77．5％的条目难度为．20～.80，77％条目鉴别力达优良水平，分测验及分量表D值在.30以上。两题本分量表和总量表重测信度．91～．95，复本信度．87～．94．重测复本信度．82～．89，分半信度．79～．90，α系数．90～．96，评分者信度．94～．98，真分数变异．82和．86；概化分析表明分测验条目15个左右为宜，分量表与总量表条目量50与100即可。专家评定语数非常符合条目82％和86％，两题本分量表和总赶表与学科成绩相关．23～．60，与学业能力倾向测验相关．39～．66，不同学校、年级间存在显著性差异，语文分测验存在性别差异：因素分析抽2因素时为语、数因子，与分量表吻合；提取多个因子时，表明可能存存言语、记忆、数算、数形和数理五因子。结论：MATs难度适中，鉴别力优良；各种信度考验结果基本符合测量学的标准并具有良好的内容效度和同时效度，结构效度较理想；两题本基本平行。     

Multi-informant assessment of temperament in children with externalizing behavior problems.

We examined the criterion validity of parent and self-report versions of the Junior Temperament and Character Inventory (JTCI) in children with high levels of externalizing problems. The sample included 412 children (206 participants and 206 siblings) participating in a family study of attention and aggressive behavior problems. Criterion validity analyses included (a) correlations between temperament scales and emotional and behavioral scales and (b) correlations between temperament and intelligence and achievement scales. Temperament scales displayed strong convergent and discriminant validity. Across informants and samples, JTCI scales assessing novelty seeking and harm avoidance discriminated between internalizing and externalizing problems. Reward dependence, persistence, cooperativeness, and self-directedness displayed similar patterns of negative relations to emotional and behavioral scales and positive relations to intelligence, achievement, and competence.     

Multi-Informant Assessment of Temperament in Children With Externalizing Behavior Problems

We examined the criterion validity of parent and self-report versions of the Junior Temperament and Character Inventory (JTCI) in children with high levels of externalizing problems. The sample included 412 children (206 participants and 206 siblings) participating in a family study of attention and aggressive behavior problems. Criterion validity analyses included (a) correlations between temperament scales and emotional and behavioral scales and (b) correlations between temperament and intelligence and achievement scales. Temperament scales displayed strong convergent and discriminant validity. Across informants and samples, JTCI scales assessing novelty seeking and harm avoidance discriminated between internalizing and externalizing problems. Reward dependence, persistence, cooperativeness, and self-directedness displayed similar patterns of negative relations to emotional and behavioral scales and positive relations to intelligence, achievement, and competence.     

Evaluation of Chlamydia trachomatis and Neisseria gonorrhoeae detection in urine, endocervical, and vaginal specimens by a multiplexed isothermal thermophilic helicase-dependent amplification (tHDA) assay

We have developed a new research assay that combines sequence-specific sample preparation and isothermal amplification for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae infections. The assay targets both the omp gene and the cryptic plasmid of C. trachomatis and the multicopy opa gene of N. gonorrhoeae, which are amplified and detected in a single reaction. We evaluated the ability of the assay to detect C. trachomatis and N. gonorrhoeae infections in first-catch urine, swab, and liquid-based cytology samples. Total agreement between the new assay and APTIMA Combo 2 varied between 95.3% and 100%, depending on the sample type and target detected. Total agreement between the new assay and BD ProbeTec varied between 96.7% and 100%, depending on the sample type and target detected. The assay has a simple work flow, and endpoint results can be achieved in 3 h, including sample preparation. The assay described here was evaluated for research use and was compared to commercially available assays.     

Natural transmission of Streptococcus sobrinus in rats: saliva and serum antibody responses to colonization.

One hundred and twenty weanling rats fed diet NIH 2000 that were free of Streptococcus sobrinus and other mutans streptococci were employed in this study. Sixty rats were inoculated orally with S. sobrinus 6715. Each infected rat (donor) was paired and housed with an uninfected recipient. Saliva and serum samples were collected from 24 (12 donor and 12 recipient) rats at the baseline (day 0) and from groups of 12 recipients sacrificed on days 10, 24, 38, and 52, and the level of infection with S. sobrinus was monitored. Salivary immunoglobulin A (IgA) and IgG and serum IgM and IgG antibodies reactive with whole cells (WC), glucosyltransferase (GTF), and the serotype carbohydrate (g) of S. sobrinus were measured by an indirect enzyme-linked immunosorbent assay. Although the rats were free of S. sobrinus and other mutans streptococci at baseline, they exhibited salivary IgA and serum IgM antibodies reactive with S. sobrinus WC, GTF, and g and serum IgG antibodies reactive with WC and GTF. Infection of recipients with S. sobrinus did not induce salivary antibodies reactive with WC, GTF, or g. In contrast, increases in serum IgM and IgG antibodies reactive with WC and serum IgM antibodies reactive with g were observed.     

Withdrawing life support--the survivors

We studied the impact of withdrawal of life support on surviving relatives and families of patients who died when chronic dialysis was discontinued. Fifty-four (57%) relatives answered a written questionnaire. The relatives of 70% of home dialysis patients and 27% of center dialysis answered the questionnaire. The answering relative felt most angry and uncomfortable with the decision, ascribed the least anger and most comfort to the patient and an intermediate value to the rest of the family. Staff physician and resident ranked highest in involvement in making the decision, social workers and chaplains the lowest. Once the decision was made, social workers and nurses were most caring and helpful, residents and chaplains were rated the lowest. The relatives felt that they and the patients were the ones who most often brought up the decision to stop and also made the final decision. The relatives thought that the incompetent patients were most angry and uncomfortable but that they felt that decision to be right. The family and relatives were particularly angry and uncomfortable when the patient had discontinued dialysis for the stress of the procedure alone and not any medical complications. In these cases there was most family disagreement and the staff received startling low scores, both for involvement and caring and helpfulness. In answers to open-ended questions, the relatives expressed disappointment with physicians who were unwilling to talk to them, were overly optimistic and continued too long with treatment. They wished for more openness and truthfulness. No long-term psychological harm seems to have come to the relatives and families with one exception. Our finding suggests that more meetings with families and patients and openness about problems and complications during chronic dialysis and follow-up and counseling of families after the patients have died should be helpful.     

Precision,comfort and mechanical performance of the Quadriso-tester,a quadriceps force measuring device

The mechanical performance, repeatability and comfort of the Quadrisotester, which assesses isometric knee extensor muscle strength, were examined. Twenty healthy subjects and 20 patients treated for unilateral anteriorligamenta cruciata insufficiency were tested. Intra-rater repeatability was determined by the testing and retesting of subjects and calculation of the intra-class correlation coefficient and the mean difference between test and retest values. The comfort level was determined a questionnaire. Measuring time was recorded, and the relationship between knee angle and extension moment was plotted. Strength and stiffness were determined using the finite element method. Intra-rater repeatability was high; the intra-class correlation coefficient of the right and left leg was 0.90 and 0.91, respectively; the coefficient of variation was 6.4 and 6.0%, respectively. The median comfort score of the healthy subjects was 7, and that of the patients was 9. Measuring time remained within 30 min. Misalignment of the knee and sidebar axis disturbed the relationship between knee angle and extension moment. Strength and stiffness were higher than required. In conclusion, the Quadriso-tester is a comfortable and fast device to determine quadriceps force with a high repeatability. The knee and sidebar axis should be well aligned.     

Resistance to bacterial and parasitic infections in the nutritionally compromised host

Over the past few years the relationships and interactions of diet, disease, and immunology are becoming better defined with the development and understanding of host defenses. Nutritional state, immunity, and disease all influence each other in the hospitalized patient, the elderly, and the young. Disease can alter nutritional needs and immune responses to antigens. The roles of both dietary excesses and deficiencies on cellular, secretory, and humoral immune responses are related to diseases and disease incidence in humans and experimental animals. Malnutrition alters incidence and severity of fungal, bacterial, viral, and parasitic pathogens. The mechanisms of altered disease resistance in nutritionally stressed animal models occurs via changes in the lymphoreticular endothelial system. The effects of common nutritional deficiencies, low protein, and low carbohydrate diets on antibody production, macrophage function, secretory IgA synthesis, and T-cell functions. Nutritional supplementation can increase lymphocyte function and decrease growth of some pathogens and tumors. Alternatively, obesity and high fat have roles in infectious disease and immunity.     

土家族儿童少年头面部的体质特征

目的 探讨土家族儿童少年头面部体质特征及其规律。方法 采用人体测量学的方法, 对武陵山区1 865例土家族儿童少年（男性953例,女性912例）11项头面部指标进行测量,并计算13项头面部指数。 结果 土家族儿童少年头面部各指标均值随年龄的增长而增加,各年龄组的性别间差异有统计学意义。男性头部较女性相对宽而短,面部窄而长。土家族儿童少年头型以圆头、正头、阔头型多见,面型以阔面、阔上面型为主。 结论 土家族儿童少年头面部发育符合一般生长发育规律,并有性别差异。土家族儿童少年头面部特征与广西侗族、苗族学生不同。     

Comparison of glycoprotein expression between ovarian and colon adenocarcinomas.

OBJECTIVE: Tumor-associated antigens may be expressed as surface glycoproteins. These molecules undergo qualitative and quantitative modifications during cell differentiation and malignant transformation. During malignant transformation, incomplete glycosylation is common, and certain glycosylation pathways are preferred. These antigens might help distinguish between ovarian and colonic adenocarcinomas in the primary and metastatic lesions. Different cytokeratins have been proposed as relatively organ-specific antigens. DESIGN: We used monoclonal antibodies against T1, Tn, sialosyl-Tn, B72.3, CA125, carcinoembryonic antigen, and cytokeratins 7 and 20 to detect tumor-associated glycoproteins and keratin proteins in ovarian and colonic carcinomas. RESULTS: CA125, carcinoembryonic antigen, and cytokeratins 7 and 20 can distinguish between colonic and serous or endometrioid adenocarcinomas of the ovary in both primary and metastatic lesions. Mucinous ovarian adenocarcinomas differed in that they express carcinoembryonic antigen and cytokeratins 7 and 20 and weakly express CA125. The other glycoprotein antigens were equally expressed by ovarian and colonic adenocarcinomas and therefore were of no use in distinguishing between these 2 entities. CONCLUSION: A panel of monoclonal antibodies against cytokeratins 7 and 20 antigens, CA125, and carcinoembryonic antigen is useful in differentiating serous and endometrioid adenocarcinomas of the ovary from colonic adenocarcinomas. Mucinous ovarian adenocarcinomas cannot be distinguished from colonic adenocarcinomas using immunohistochemistry.