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Related Experiment Videos

Alpha-fetoprotein: a review.

B F Crandall

    Critical Reviews in Clinical Laboratory Sciences
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Alpha fetoprotein (AFP) is a key fetal protein. Elevated levels in amniotic fluid or maternal serum can signal fetal abnormalities or malignancies, aiding in diagnosis and monitoring.

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    Area of Science:

    • Biochemistry
    • Maternal-Fetal Medicine
    • Oncology

    Background:

    • Alpha fetoprotein (AFP) is the primary fetal serum protein, crucial during gestation.
    • AFP is synthesized by the fetal liver and found in amniotic fluid (AF) and maternal serum (MS).
    • Its presence post-birth is abnormal, except in pregnancy, and elevated levels can indicate specific health issues.

    Purpose of the Study:

    • To review the history, biochemistry, and assays of AFP.
    • To discuss the indications and limitations of AFP measurement in AF and MS.
    • To highlight AFP's role in screening for fetal abnormalities and monitoring malignancies.

    Main Methods:

    • Review of existing literature on AFP.
    • Analysis of AFP's biochemical properties and production pathways.

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  • Evaluation of diagnostic assays for AFP in biological fluids.
  • Main Results:

    • Elevated AF/AFP levels (excluding contamination) suggest fetal demise or abnormalities.
    • Maternal serum AFP screening between 15-20 weeks gestation can identify neural tube defects.
    • AFP monitoring is valuable for detecting recurrence of certain malignancies.

    Conclusions:

    • AFP measurement in AF and MS is a vital diagnostic and screening tool.
    • Strict protocols are necessary for accurate maternal serum AFP screening.
    • AFP plays a significant role in both prenatal diagnostics and cancer management.