Early pregnancy factor
Early Pregnancy Factor (EPF) is a protein that is produced by the mother and the embryo shortly after fertilization. It is detectable in the maternal serum within 48 hours of fertilization and its presence is one of the earliest signs of pregnancy.
Function[edit | edit source]
EPF has several functions. It plays a role in the immune tolerance of the embryo by the mother's immune system. It also has a role in the growth and development of the embryo. EPF has been shown to have a growth factor-like activity and can stimulate cell division and differentiation.
Detection[edit | edit source]
EPF can be detected in the maternal serum within 48 hours of fertilization. This makes it one of the earliest markers of pregnancy. The detection of EPF can be used to confirm pregnancy at a very early stage, even before the implantation of the embryo in the uterus.
Clinical significance[edit | edit source]
The presence of EPF in the maternal serum is a positive sign of pregnancy. However, the absence of EPF does not necessarily mean that the woman is not pregnant. It could also indicate a problem with the pregnancy, such as an ectopic pregnancy or a miscarriage. Therefore, the detection of EPF is not used as a standalone test for pregnancy, but it can provide valuable information in conjunction with other tests.
Research[edit | edit source]
Research is ongoing to better understand the role of EPF in pregnancy and its potential use in the diagnosis and management of pregnancy-related conditions. Some studies have suggested that EPF could be used as a marker for the quality of the embryo and the likelihood of a successful pregnancy.
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Contributors: Prab R. Tumpati, MD