Can elevated interleukin (IL) levels cause increased D-dimer (fibrin degradation product) levels?

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Last updated: April 2, 2025View editorial policy

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From the Research

High interleukin levels can potentially cause elevated D-dimer readings, as evidenced by the most recent study in 2022 1. This is because interleukins are inflammatory cytokines that play a crucial role in the body's immune response. When interleukin levels are elevated, particularly IL-6 and IL-8, they can trigger a cascade of inflammatory reactions that activate the coagulation system. Some key points to consider include:

  • The inflammatory state promotes both clot formation and subsequent fibrinolysis (the breakdown of blood clots), which results in increased D-dimer levels in the bloodstream.
  • D-dimer is a fibrin degradation product that serves as a marker of both clot formation and dissolution.
  • This relationship is particularly evident in conditions like severe infections, COVID-19, and inflammatory disorders where both interleukins and D-dimer are often simultaneously elevated, as noted in a study from 2022 2.
  • The connection between these markers reflects the close interplay between inflammation and coagulation pathways in the body, with inflammation promoting a pro-thrombotic state that ultimately leads to elevated D-dimer levels as clots form and break down, a concept also discussed in a study from 2022 1. It's also worth noting that extremely elevated D-dimer levels are uniquely associated with severe disease, mainly including VTE, sepsis, and/or cancer, as found in a study from 2016 3. However, the most recent and highest quality study from 2022 1 provides the most relevant evidence for the relationship between interleukin levels and D-dimer readings.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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