Protein Change in Inflammation Function / Relevance
C-Reactive Protein (CRP) Increase Sensitive marker, rises
quickly in infection
Serum Amyloid A (SAA) Increase Elevated in acute and
chronic inflammation
Haptoglobin Increase Binds free hemoglobin,
inflammation marker
Ceruloplasmin Increase Antioxidant, rises in
inflammation and
pregnancy
α2-Macroglobulin Increase Protease inhibitor, rises in
nephrotic syndrome
α1-Acid Glycoprotein (AGP) Increase Seen in chronic disease
and malignancy
Fibrinogen Increase Coagulation factor,
increases ESR
Complement (C3, C4) Variable (↑ or ↓) ↑ in acute, ↓ in
autoimmune diseases like
SLE
Albumin Decrease Negative APP; reduced in
inflammation and
malnutrition
Transferrin Decrease Iron-binding; lowered to
limit pathogen access to
iron
Transthyretin (Prealbumin) Decrease Falls rapidly in acute illness
Retinol-binding protein Decrease Reduced in inflammation;
transport protein for
vitamin A
Marker Type Clinical Significance
CRP Acute & Chronic Rises rapidly in infection;
persists in chronic
inflammation
Procalcitonin Acute Specific for bacterial
infections and sepsis
Serum Amyloid A Acute Rises rapidly in
inflammation
IL-6, TNF-α, IL-1 Acute Pro-inflammatory
cytokines, trigger acute-
phase response
Ferritin Acute Acute-phase reactant; also
elevated in chronic
inflammation
WBC Count Acute Elevated in most bacterial
infections
ESR Chronic Slow to rise and fall;
reflects long-term
inflammation
Fibrinogen Chronic Sustained elevation during
inflammation
α1-Acid Glycoprotein Chronic Seen in chronic
inflammation and
malignancy
Complement (C3, C4) Chronic Decreased in autoimmune
diseases like SLE
Immunoglobulins (IgG) Chronic Elevated in chronic
infections and autoimmune
diseases