C-reactive protein (CRP), an acute-phase reactant, belongs to the pentraxin family characterized by calcium-dependent ligand binding. Each 24 kDa subunit contains a phosphocholine (PC)-binding site on its recognition face, enabling opsonization of pathogens and apoptotic cells via exposed PC moieties on bacterial membranes or oxidized low-density lipoprotein (OxLDL). CRP activates the classical complement pathway by binding C1q and Fcγ receptors, enhancing phagocytosis and inflammatory cytokine release. Under inflammatory conditions, pentameric CRP (pCRP) dissociates into pro-inflammatory monomers (mCRP) at sites of endothelial activation, amplifying leukocyte adhesion and vascular permeability.
Clinically, CRP serves as a biomarker for systemic inflammation, with plasma levels rising from <5 mg/L in healthy individuals to >200 mg/L in severe sepsis or trauma. Elevated baseline high-sensitivity CRP (hs-CRP >3 mg/L) predicts cardiovascular events, correlating with atherosclerosis progression and endothelial dysfunction. In oncology, CRP >10 mg/dL portends poor prognosis in pancreatic cancer, reflecting tumor-associated inflammation. CRP also links metabolic dysregulation, with levels >2.9 mg/L increasing type 2 diabetes risk via IL-6-mediated insulin resistance 6. Autoimmune disorders like rheumatoid arthritis show CRP elevation proportional to disease activity, while Alzheimer’s disease involves CRP binding amyloid-β plaques to modulate neuroinflammation.
Common uses include IVD standards, calibrators, and controls.
GHS06, GHS08, GHS09
Danger
H300+H310+H330, H373, H400, H410
12 - Non Combustible Liquids
Acute Tox. 2; Acute Tox. 1; STOT RE2; Aquatic Acute 1; Aquatic Chronic 1
P301+P316, P302+P352, P304+P340, P316, P319, P361+P364, P391, P403+P233, P501