You’re absolutely right that inflammation is now recognized as a major upstream driver of aging — not just heart disease, but also brain aging, metabolic issues, and more.
I wanted to add: while hs-CRP is a valuable tool, it’s not the whole picture.
CRP reflects downstream inflammation and can miss early, tissue-specific changes that matter for longevity and cognitive health.
IL-6 (Interleukin-6) acts upstream of CRP and plays a direct role in early brain inflammation, visceral fat dysfunction, and vascular aging.
In fact, research shows that elevated IL-6 levels are linked to a 42% greater risk of cognitive decline over 2–7 years — even after adjusting for other health factors. Higher IL-6 is also associated with reduced brain volume, poorer cognitive performance, and early breakdown of the blood-brain barrier.
Higher IL-6 levels associated with increased risk of global cognitive decline:
IL-6 levels can be elevated even when CRP is perfectly normal—and this early rise has been shown in major studies to predict cardiovascular events and neurodegeneration independently of CRP levels.
Unlike CRP, IL-6 operates inside the brain as well as peripherally, giving a more precise early signal when brain or metabolic health might be at risk.
I wrote a deep dive explaining how IL-6 differs from CRP, how it influences brain health and longevity risk, and why testing IL-6 may reveal earlier signs of inflammatory stress.
Here if helpful: Interleukin-6 and Longevity: The Missing Signal Behind Aging and Brain Health