Biochemical characteristics and clinical applications of alpha-fetoprotein isoforms

E. Seregni, C. Botti, E. Bombardieri

Research output: Contribution to journalArticlepeer-review

Abstract

Alphafetoprotein (AFP) is an oncofetal glycoprotein that frequently reappears in sera of patients affected by hepatocellular carcinoma (HCC) and yolk-sac tumours (YST). In these cases AFP determination represents a useful marker for monitoring the therapeutic response and the clinical evolution of the neoplastic disease. AFP is a heterogeneous molecule with respect to the carbohydrate moiety and the different AFP glycoforms can be separated and characterized by their affinity for lectins, such as Concanavalin A (con A), and Lens culinaris agglutinin (LCA). Increased production of LCA-reactive AFP has been proposed as a specific and early marker for HCC, while Con A non-reactive AFP could be a marker for YST and gastrointestinal malignancies. In this review the molecular basis of AFP microheterogeneity and the clinical application of AFP isoforms will be discussed.

Original languageEnglish
Pages (from-to)1491-1499
Number of pages9
JournalAnticancer Research
Volume15
Issue number4
Publication statusPublished - 1995

Keywords

  • Alphafetoprotein (AFP)
  • Germ cell tumours (GCT)
  • Glycoid isoforms
  • Hepatic diseases

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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