KEGG   DISEASE: Abnormality of alpha-fetoprotein
Entry
H02807                      Disease                                
Name
Abnormality of alpha-fetoprotein
  Subgroup
Alpha-fetoprotein deficiency
Hereditary persistence of alpha-fetoprotein (HPAFP)
Description
Alpha-fetoprotein (AFP) is a major plasma protein produced by the yolk sac and the liver during the fetal. Congenital AFP deficiency is a rare phenomenon. A few cases were studied, and mutations in the AFP gene have been reported. Congenital AFP deficiency is considered as a benign trait. It was suggested that AFP is not essential for embryonic development but is required for female fertility. AFP gene transcription declines rapidly after birth, and is barely detectable in normal adults. However, AFP expression is reactivated under specific conditions, such as pregnancy, congenital disorders, liver diseases, or specific malignancies. AFP is also found to be elevated in several non-malignant conditions including hereditary persistence of AFP (HPAFP). HPAFP is a rare benign autosomal dominant disorder.
Category
Hematologic disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 21 Symptoms, signs or clinical findings, not elsewhere classified
  Symptoms, signs or clinical findings of blood, blood-forming organs, or the immune system
   Clinical findings in blood, blood-forming organs, or the immune system
    MA19  Certain abnormalities of plasma proteins
     H02807  Abnormality of alpha-fetoprotein
Gene
AFP [HSA:174] [KO:K16144]
Other DBs
ICD-11: MA19.1
MeSH: C566300
OMIM: 615969 615970
Reference
  Authors
Petit FM, Hebert M, Picone O, Brisset S, Maurin ML, Parisot F, Capel L, Benattar C, Senat MV, Tachdjian G, Labrune P
  Title
A new mutation in the AFP gene responsible for a total absence of alpha feto-protein on second trimester maternal serum screening for Down syndrome.
  Journal
Eur J Hum Genet 17:387-90 (2009)
DOI:10.1038/ejhg.2008.186
Reference
  Authors
Sharony R, Zadik I, Parvari R
  Title
Congenital deficiency of alpha feto-protein.
  Journal
Eur J Hum Genet 12:871-4 (2004)
DOI:10.1038/sj.ejhg.5201246
Reference
  Authors
Gabant P, Forrester L, Nichols J, Van Reeth T, De Mees C, Pajack B, Watt A, Smitz J, Alexandre H, Szpirer C, Szpirer J
  Title
Alpha-fetoprotein, the major fetal serum protein, is not essential for embryonic development but is required for female fertility.
  Journal
Proc Natl Acad Sci U S A 99:12865-70 (2002)
DOI:10.1073/pnas.202215399
Reference
PMID:14699509 (HPAFP)
  Authors
Alj Y, Georgiakaki M, Savouret JF, Mal F, Attali P, Pelletier G, Fourre C, Milgrom E, Buffet C, Guiochon-Mantel A, Perlemuter G
  Title
Hereditary persistence of alpha-fetoprotein is due to both proximal and distal hepatocyte nuclear factor-1 site mutations.
  Journal
Gastroenterology 126:308-17 (2004)
DOI:10.1053/j.gastro.2003.10.073
Reference
PMID:18985745 (HPAFP)
  Authors
Li X, Alexander S
  Title
Hereditary persistence of alpha-fetoprotein.
  Journal
Pediatr Blood Cancer 52:403-5 (2009)
DOI:10.1002/pbc.21816
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