C-Reactive Protein (CRP)

Overview and Clinical Significance

C-Reactive Protein (CRP) is an acute-phase protein produced by the liver in response to inflammation, infection, and tissue injury. It plays a crucial role in the body's immune defense and is widely used as a biomarker for systemic inflammation.

Clinical Significance

  • Infection & Inflammation: Elevated CRP levels indicate bacterial infections, autoimmune diseases, and chronic inflammatory conditions.
  • Cardiovascular Risk: High CRP levels are associated with atherosclerosis, heart disease, and stroke, making it a useful marker for cardiovascular risk assessment.
  • Autoimmune Disorders: CRP helps monitor rheumatoid arthritis, lupus, and inflammatory bowel disease, reflecting disease activity and treatment response.
  • Postoperative & Critical Care Monitoring: CRP levels can indicate surgical complications, sepsis, or recovery progress in critically ill patients.
  • Cancer & Chronic Disease: Persistent CRP elevation is linked to certain cancers, metabolic syndrome, and neurodegenerative disorders.

CRP is widely used in clinical diagnostics to assess inflammatory status, disease progression, and treatment effectiveness.

Increasing +

Decreasing -

Infections

  • Elevated CRP is common with bacterial, viral, or fungal infections and can be used to monitor the course of an infection (e.g., sepsis).

Autoimmune Diseases

  • Conditions such as rheumatoid arthritis, lupus, and inflammatory bowel disease often show moderate to high CRP levels, reflecting ongoing inflammation.

Cardiovascular Risk and Tissue Injury

  • Elevated CRP levels, particularly when measured by high-sensitivity CRP (hs-CRP), are associated with an increased risk of cardiovascular events.

Acute Tissue Injury

  • Markedly high CRP may occur after major trauma or surgery as part of the systemic inflammatory response.

Absence of Significant Inflammation

  • Normal CRP:
    Normal CRP indicates little to no acute systemic inflammation.
  • Clinical Significance of Low-Grade Elevations:
    Even low-grade CRP elevations may be meaningful in chronic conditions or as part of age-related "inflammaging."

More Info

Related

Age and Health Status Considerations

  • Threshold Variability:
    CRP thresholds differ based on age and overall health status.
  • Elderly Patients:
    They may exhibit persistent low-grade increases in CRP.
  • Pregnancy:
    Physiological changes during pregnancy can modestly alter CRP levels without indicating pathology.

All Markers