Evidence map›Paper›PMID 40534869›Full record

ReviewFrontiers in immunology2025

C-reactive protein: the nexus between inflammation and protein misfolding diseases.

Abhishek Roy, Johannes Zeller, Tracy L Nero, Johanna Klepetko, Steffen U Eisenhardt, Michael W Parker, James D McFadyen, Karlheinz Peter

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abhishek RoyDepartment of Cardiometabolic Health, The University of Melbourne, Parkville, VIC, Australia.
Johannes ZellerBaker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Tracy L NeroDepartment of Cardiometabolic Health, The University of Melbourne, Parkville, VIC, Australia.
Johanna KlepetkoClinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria.
Steffen U EisenhardtDepartment of Plastic and Hand Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Michael W ParkerDepartment of Cardiometabolic Health, The University of Melbourne, Parkville, VIC, Australia.
James D McFadyenDepartment of Cardiometabolic Health, The University of Melbourne, Parkville, VIC, Australia.
Karlheinz PeterDepartment of Cardiometabolic Health, The University of Melbourne, Parkville, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

C-reactive protein (CRP), an acute-phase protein primarily produced by hepatocytes in response to pro-inflammatory cytokines, is a widely used clinical marker for inflammation and tissue damage. In its native state, CRP exists in a stable pentameric form called pCRP. Upon interaction with activated cell membranes, pCRP undergoes a transitional conformation change into activated pCRP (pCRP*) and subsequently fully dissociates into its monomeric subunits (mCRP). pCRP* and mCRP interact with C1q and thereby activate the classical complement system pathway and both exert pro-inflammatory effects on platelets and endothelial cells. Although classically recognized as a marker of acute inflammation, CRP is increasingly implicated in the pathogenesis of protein-misfolding pathologies, notably neurodegenerative diseases and amyloidosis. This review explores the complex interplay between CRP, encompassing its isoforms pCRP, pCRP*, and mCRP, and misfolded proteins, examining the specific contributions to inflammation and neurodegenerative disease pathogenesis. We analyze the clinical significance of variations in CRP levels in patients with protein-misfolding diseases, discuss underlying mechanisms, and highlight potential implications of these findings for drug discovery and therapeutic targeting of CRP.

Indexed as

C-Reactive ProteinInflammationProteostasis DeficienciesAnimalsBiomarkersHumansNeurodegenerative DiseasesProtein FoldingBiomarkersC-Reactive ProteinC-reactive proteinmisfolded proteinsneurodegenerative diseasesneuroinflammationprotein aggregation

Identifiers

PMID40534869
PMCPMC12173917

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.