C-reactive protein is one of the major plasma proteins that
increases dramatically in concentration during the acute phase
response. The protein is produced mainly in the liver, and in
serum it may be elevated 2000 fold by inflammatory events and
other pathological processes (Abernathy & Avery, J. Exp. Med.,
73 , 173-182, 1941). There is evidence that the biosynthesis
of CRP is under the control of distinct cytokines (Ganter et
al, EMBO J. , 8, 3773-3779, 1989).
The protein is so called because of its ability to bind to and
be precipitated by the C-polysaccharide of Streptococcus
pneumoniae. The molecular weight of the subunit is around
21,000 and each subunit associates in a discoid arrangement
composed of five such units (Gotschlich & Edelman,
Proc. Natl. Acad. Sci., 54, 558-565, 1965).
The measurement of CRP in serum is important for diagnosing
pneumococcal infections and other infectious diseases. The
titer of the serum is maximal in the active stage of the
disease, and decreases rapidly after the onset of
convalescence.
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