Serum Fibrinogen

Overview and Clinical Significance

Serum fibrinogen is a key protein in blood clotting, playing a crucial role in hemostasis, inflammation, and cardiovascular health. It is synthesized in the liver and converted into fibrin, which stabilizes blood clots.

Clinical Significance

  • Clot Formation & Wound Healing: Fibrinogen is converted to fibrin, forming a stable clot to prevent excessive bleeding.
  • Inflammation & Immune Response: It interacts with immune cells, contributing to tissue repair and inflammatory regulation.
  • Thrombosis & Cardiovascular Risk: Elevated fibrinogen levels are linked to deep vein thrombosis (DVT), stroke, and coronary artery disease.
  • Hemorrhagic Disorders & Deficiencies: Low fibrinogen levels can lead to bleeding disorders, such as afibrinogenemia or hypofibrinogenemia.
  • Diagnostic & Therapeutic Applications: Fibrinogen testing helps assess coagulation disorders, cardiovascular risk, and inflammatory conditions.

Serum fibrinogen is a key regulator of clotting and vascular health, influencing hemostasis, immune function, and disease progression.

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High Levels May Indicate:

  • Cardiovascular Disease: Elevated fibrinogen is linked to an increased risk of heart disease and stroke.
  • Inflammatory Conditions: Chronic inflammation, infections, or autoimmune diseases may raise fibrinogen levels.
  • Pregnancy & Estrogen Therapy: Hormonal changes can increase fibrinogen production.
  • Certain Malignancies: Some cancers may lead to higher fibrinogen levels.

Low Levels May Indicate:

  • Liver Disease: Since fibrinogen is synthesized in the liver, conditions like cirrhosis or hepatitis can reduce its levels.
  • Disseminated Intravascular Coagulation (DIC): A severe clotting disorder that consumes fibrinogen excessively.
  • Genetic Fibrinogen Deficiencies: Rare conditions like afibrinogenemia or hypofibrinogenemia impair clot formation.
  • Severe Malnutrition: Protein deficiency can lower fibrinogen production.

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Related

Life-Phase Considerations:

  • Newborns: Naturally lower fibrinogen levels, which increase with age.
  • Adults: Levels fluctuate based on health status, inflammation, and hormonal influences.
  • Elderly: Age-related changes in coagulation may alter fibrinogen levels, affecting clotting risk.

Coagulation Markers

  • Protein C:
    A natural anticoagulant that helps prevent excessive clotting by inactivating specific clotting factors.

  • Prothrombin Index:
    Reflects the efficiency of the extrinsic coagulation pathway, providing insight into the blood’s capacity to form clots.

  • Serum Fibrinogen:
    A key factor converted into fibrin to stabilize clots; it also rises during inflammatory states.

  • Peripheric Blood Thrombocytes (Platelet Count):
    Platelets are essential for primary hemostasis, aggregating at injury sites to initiate clot formation.

Together, these markers offer a comprehensive view of the coagulation system—from clot formation to its regulation—assisting in the evaluation of bleeding or thrombotic disorders.

All Markers