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.

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