“…Moreover, specific immune complexes directed against CEA, when present, have been shown to inversely correlate with overall survival and disease stage (Kapsopulou-Dominos and Anderer, 1979;Staab et al, 1980;Mavligit et al, 1983;Ura et al, 1985;Konstadoulakis et al, 1994). Other groups (Collatz et al, 1971;LoGerfo et al, 1972;Sorokin et al, 1973) (Lejtenyi et al, 1971;Hollinshead et al, 1972;Mavligit et al, 1973a), although these reports are difficult to interpret as there are a mixture of potentially anergy-inducing factors inherent in these experiments. Differences in tumour antigen extraction technique, inactivation of CEA during the extraction process and the potential need for presensitized lymphocytes in stimulation assays may all affect the outcome of results (Mavligit et al, 1973b).…”