Target intelligence / Profile preview

Ovarian cancer antigen (CA-125) (CA-125)

Target
CA-125
Molecular classification
Other
01

Overview

“Ovarian cancer-specific antigen” as used clinically corresponds to ovarian cancer antigen CA-125, a high–molecular-weight surface glycoprotein tumor marker measured in blood rather than a discrete therapeutic receptor or enzyme target.[1][2][3][5][6][7][8] CA-125 is produced by cells of Müllerian epithelium (including ovarian, fallopian tube, and endometrial tissues), and elevated serum levels are found in more than 80% of advanced ovarian cancers and about 50% of early-stage cases, but also in numerous benign gynecologic and non‑gynecologic conditions.[2][3][4][6][7] Clinically, CA-125 is used primarily as a biomarker to help assess suspected ovarian cancer, to monitor response to therapy, and to detect recurrence, particularly in epithelial ovarian cancer, often alongside imaging and sometimes additional markers such as HE4, but it is not suitable as a standalone screening test in average‑risk populations because of both false positives and false negatives.[1][2][3][4][5][6][7][8]

Other names
Ovarian cancer antigenCancer antigen 125CA-125 tumor markerGlycoprotein antigenCA125
02

Biological functions

Other
03

Disease associations

Cancer
04

Safety considerations

Limited specificity: CA-125 elevated in many benign conditions (e.g., menstruation, pregnancy, uterine fibroids, endometriosis, liver disease, infections, benign ovarian cysts)[1][2][3][4][5][6][7][8]Limited sensitivity: CA-125 often normal in early-stage ovarian cancer and in a subset of advanced cases, leading to false negatives[2][3][4][5][6][7]Not recommended for general-population screening for ovarian cancer due to false positives, unnecessary imaging/surgery, and lack of mortality benefit[1][2][3][4][5][6][7]
05

Biomarkers

CA-125 level in blood for monitoring ovarian cancer treatment response[1][2][3][6]CA-125 level in blood for detecting recurrence of ovarian cancer[1][2][3][5][6]CA-125 level in blood as part of diagnostic workup for suspected ovarian, endometrial, or fallopian tube cancer[1][2][3][5][6][7][8]

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