# SEROLOGIC PRECURSORS OF CANCER

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 1987 · $641,770

## Abstract

The effectiveness of programs designed to protect against cancer
is likely to be greatly improved by the identification of risk
factors that are related to exposures and reactions t the cellular
level.  Identifying serologic precursors is one step in this
direction.  Nutritionally related substances such as certain
vitamins, trace metals, and lipid-related factors appear well
worth further investigation.

The major source of serum for this study came from a program in
1974 in Washington County, Maryland, in which 25,802 persons
each donated 15 ml of blood.  The serum has been kept frozen at -
73 degree C since that time.  Cancer cases developing among the
serum donors have been identified by the Washington County
cancer register maintained by our center.  By January 1, 1986,
1386 cases among serum donors had been registered.  By July 1,
1987, pre-diagnostic serum levels of retinol, retinol-binding
protein, beta-carotene, alpha-tocopherol, selenium, and
cholesterol will have been assayed for cancers of the lung, colon,
rectum, skin, bladder, pancreas, and prostate, along with sera
from two controls matched to each case.

It is proposed to extend these assay to melanomas and to cancers
of the breast, cervix, endometrium, kidney, mouth and pharynx,
and ovary, again with two controls matched to each case.  In
addition to the serum components assayed previously, we propose
to add total carotenoids, zinc, and apoproteins.  Interactions
between serum components will be examined with special
reference to case-control differences.

Comparisons for pre- and post-diagnostic levels of the preceding
serum components will be made among cases for whom both of
these specimens are available.  Case-control comparisons will be
made for cases whose cancers were diagnosed prior to giving
blood in 1974.  Findings from these two comparisons will be
helpful in interpreting the results of the usual case-control studies
in which sera are assayed among recently diagnosed cases and
their controls.

## Key facts

- **NIH application ID:** 3173965
- **Project number:** 2R01CA036390-04
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **SAM.gov UEI:** FTMTDMBR29C7
- **Principal Investigator:** GEORGE W COMSTOCK
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1987
- **Award amount:** $641,770
- **Award type:** 2
- **Project period:** 1984-05-01 → 1990-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3173965

## Citation

> US National Institutes of Health, RePORTER application 3173965, SEROLOGIC PRECURSORS OF CANCER (2R01CA036390-04). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3173965. Licensed CC0.

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