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Plasma fibrinogen - are there age-dependent changes?
K Hager1, G Seefried, M Felicetti
1Clinic for Medical Rehabilitation and Geriatrics, Henriettenfoundation, Schwemannstrasse 19, D-30559 Hannover, FRG.
Insights
Plasma fibrinogen concentration increases with age, potentially elevating vascular disease risk in older adults. Coagulation activity remained unchanged across age groups, despite method variations.
Area of Science:
- Biochemistry
- Gerontology
- Cardiovascular Science
Background:
- Fibrinogen is a known risk factor for cardiovascular and cerebrovascular diseases.
- Prospective studies suggest a link between fibrinogen levels and vascular health.
- Age-related changes in fibrinogen's role in disease risk require further investigation.
Purpose of the Study:
- To examine the relationship between aging and plasma fibrinogen levels in healthy individuals.
- To assess age-dependent changes in fibrinogen's coagulation activity and properties.
- To compare the reliability of different fibrinogen assay methods across age groups.
Main Methods:
- Analysis of plasma fibrinogen in 129 clinically healthy participants aged 23-90 years.
- Employment of six different assays measuring immunological, functional, and physical fibrinogen properties.
- Evaluation of plasma fibrinogen susceptibility to heat precipitation and N-acetylneuraminic acid content.
Main Results:
- Plasma fibrinogen concentration increased by 17-29 mg/dL per decade, varying by assay method.
- No decline in specific coagulation activity was detected, but assay comparability was poor.
- Slight increase in N-acetylneuraminic acid per mg of fibrin suggests age-dependent posttranslational modifications.
Conclusions:
- Advancing age is associated with increased plasma fibrinogen concentration.
- Elevated fibrinogen may contribute to increased vascular disease risk in the elderly.
- Coagulation activity of fibrinogen did not change significantly with age.
Abstract:
Fibrinogen, proposed as risk factor for cardio- and cerebrovascular disease in several prospective studies, was examined in 129 clinically healthy persons (23-90 years). Fibrinogen rose by 17-29 mg/dl/decade, depending on the determination method employed. Comparing six different assays based upon immunological, functional and physical properties, no decline of the "specific" coagulation activity was found. However, the comparability of the methods employed showed to be extremely poor. The susceptibility of plasma fibrinogen to heat precipitation was similar for all ages. Only N-acetylneuraminic (NANA)/mg fibrin rose slightly, confirming possible age-dependent posttranslational changes, the consequences of which still have to be clarified. In conclusion, an increase of plasma fibrinogen concentration occurred with advancing age which may contribute to the risk of vascular diseases in the elderly. No changes of the coagulation activity were observed.
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