MSAFP (maternal serum alpha-fetoprotein)
MSAFP (maternal serum alpha-fetoprotein): The presence of AFP, a plasma
protein normally produced by the fetus, in the mother's blood. The MSAFP serves as the
basis for some valuable tests.
AFP is manufactured principally in the fetus's liver and, also, in the fetal
gastrointestinal (GI) tract and the yolk sac, a structure temporarily present during
embryonic development. The level of AFP is typically high in the fetus's blood, goes
down in the baby's blood after birth, and by a year of age is virtually undetectable.
During pregnancy, AFP crosses the placenta from the fetal circulation and appears in
the mother's blood. The level of AFP in the mother's blood (the maternal serum AFP)
provides a screening test for a number of disorders including:
Open neural tube defects (anencephaly and spina bifida); and
Down syndrome (and other chromosome abnormalities).
The maternal serum AFP (MSAFP) tends to be:
High with open neural tube defects such as anencephaly and spina bifida
(meningomyelocele); and
Low with Down syndrome (trisomy 21, an extra chromosome number 21).