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Blutwerte · Marker

Neutrophile

Neutrophils · PMN · Neutrophile Granulozyten

BlutbildZeitabhängig
Einheit:
x10^9/L
Abbreviation
NEUT

Neutrophil count measures the number of neutrophils, a type of white blood cell, in the blood.

Reference Ranges

Reference
1.57.5x10^9/L
1.5
7.5
LowNormalHigh
Reference
Unit · x10^9/L

Reference ranges can vary based on age and laboratory standards.

Overview

Übersicht

Neutrophils, also known as neutrophile granulocytes or polymorphonuclear leukocytes (PMNs), are a type of white blood cell crucial for the body's defense against infections. They are the most abundant type of granulocytes and play a key role in the innate immune response by engulfing and destroying pathogens through phagocytosis. Neutrophils are produced in the bone marrow and released into the bloodstream, where they circulate and respond to signals of infection or inflammation. Clinically, neutrophil levels are significant indicators of various health conditions. Elevated neutrophil counts, or neutrophilia, can indicate acute bacterial infections, inflammation, or stress, while low counts, or neutropenia, may suggest bone marrow disorders, severe infections, or the effects of certain medications. In cancer patients, a high neutrophil-to-lymphocyte ratio is associated with poor prognosis. For athletes and biohackers, monitoring neutrophil levels can provide insights into immune function and recovery status. High-intensity exercise can temporarily increase neutrophil counts, reflecting acute stress and inflammation. However, chronic elevation may indicate overtraining or insufficient recovery. It is important to consider that neutrophil levels can be influenced by various factors, including time of day, recent infections, and medications. Fasting is not required for testing, but samples should be collected at consistent times to avoid diurnal variations. Researchers have observed that neutrophil levels peak in the afternoon, which may affect interpretation if not standardized. Understanding these variables is essential for accurate assessment and interpretation of neutrophil counts.

Klinische Bedeutung

Elevated neutrophil levels may indicate bacterial infections, inflammation, or stress. Reduced levels can suggest bone marrow disorders, severe infections, or effects of certain medications.

Dynamics

Trend Interpretation

Rising Values

Progressively rising neutrophil levels may suggest ongoing infection or inflammation. Re-test in 4 weeks if outside optimal range.

Falling Values

Progressively falling levels may indicate bone marrow suppression or recovery from infection.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Acute bacterial infections
  • Inflammation
  • Stress
  • Smoking
  • Corticosteroid use
Cause

Low Levels

  • Bone marrow disorders
  • Severe infections
  • Chemotherapy
  • Autoimmune diseases
  • Certain medications
Protocol

How to Optimize

Lever

Lifestyle

  • Regular moderate exercise
  • Adequate sleep
  • Stress management
Lever

Nutrition

  • Balanced diet rich in fruits and vegetables
  • Adequate protein intake
Lever

Supplementation

  • Vitamin B12
  • Folic acid

Note:

Consult a healthcare provider before making significant lifestyle or dietary changes, especially if underlying medical conditions are present.

Testing Guidelines

Fasting Not Required
🕐Time-Sensitive

Neutrophil levels peak in the afternoon; consistent timing is recommended for comparability.

Testing Frequency

Annually for healthy adults, more frequently if monitoring specific conditions.

Interfering Factors

  • Recent intense exercise
  • Infections
  • Medications such as corticosteroids

Open Research Questions

Current research suggests that the predictive value of tumour-associated neutrophils (TANs) remains debated, with conflicting data across cancer types and uncertainties regarding their optimal location within tumors. Researchers have not yet established clear reference ranges for neutrophil subtypes as biomarkers in immunotherapy response, particularly in diverse patient populations. Additionally, clinical questions remain unanswered regarding the mechanisms by which neutrophil phenotypes influence treatment efficacy and disease progression in various cancers and autoimmune conditions.

22 Research Publications

1,917

Total Citations

7

Human/RCT

6.9

Avg. Influence

2025

Latest

Sort
Filter
#01

Tumour-associated neutrophils in patients with cancer.

ReviewInfluence34.0
883
Researchers found that neutrophils accumulate in the blood of cancer patients, particularly those with advanced disease. A high neutrophil-to-lymphocyte ratio serves as a strong indicator of poor clinical outcomes across various cancers. The study also discusses the potential roles of tumor-associated neutrophils in cancer progression and treatment response.
View on PubMed
#02

Neutrophils in the Tumor Microenvironment.

ReviewInfluence10.0
496
Researchers discussed the role of neutrophils in cancer progression, noting their involvement in angiogenesis and metastasis. The study suggests that the neutrophil-to-lymphocyte ratio could serve as a biomarker for cancer status and highlights the potential of neutrophils as therapeutic targets.
View on PubMed
#03

Interferon-stimulated neutrophils as a predictor of immunotherapy response.

Human, AnimalInfluence5.0
139
Researchers identified interferon-stimulated Ly6Ehi neutrophils as a blood biomarker that can predict responses to anti-PD1 immunotherapy in cancer patients. The study demonstrated high accuracy in predicting treatment response in both mice and human cohorts. This finding emphasizes the potential for using neutrophils as functional biomarkers in immunotherapy.
View on PubMed
#04

Neutrophil extracellular traps: A novel target for the treatment of stroke.

ReviewInfluence1.0
73
This review highlighted the role of neutrophil extracellular traps (NETs) in stroke, noting their dual function in trapping pathogens and exacerbating inflammation. Researchers summarized mechanisms of NET formation and their contributions to stroke pathology, suggesting that targeting NETs could be a novel therapeutic approach.
View on PubMed
#05

Mechanisms of Primary Membranous Nephropathy.

ReviewInfluence4.0
73
This study examined the role of autoantibodies in membranous nephropathy, a kidney disease. Researchers found that the presence of specific autoantibodies correlates with disease severity and can serve as biomarkers for monitoring progression and treatment response. The study also highlights emerging factors associated with the disease.
View on PubMed
#06

Blood-brain crosstalk: the roles of neutrophils, platelets, and neutrophil extracellular traps in neuropathologies.

ReviewInfluence2.0
61
This review highlights the roles of neutrophils and platelets in neuroinflammatory diseases. Researchers found that interactions between these cells contribute to neuroinflammation and the disruption of brain barriers. The study emphasizes the potential for targeting these interactions to develop new treatments for neurological disorders.
View on PubMed
#07

Neutrophils, a candidate biomarker and target for radiation therapy?

Human
57
This study examined the role of neutrophils as potential biomarkers and therapeutic targets in radiation therapy for cancer. Researchers found a strong correlation between baseline blood neutrophil counts and overall survival in patients undergoing radiation, suggesting their predictive value.
View on PubMed
#08

Anti-neutrophil cytoplasmic antibodies and their clinical significance.

ReviewInfluence3.0
45
This review discusses anti-neutrophil cytoplasmic antibodies (ANCA) as biomarkers for systemic small-vessel vasculitis. Researchers explain the different staining patterns of ANCA and their clinical significance in diagnosing various forms of vasculitis.
View on PubMed
#09

Tumor-neutrophil cross talk orchestrates the tumor microenvironment to determine the bladder cancer progression.

Animal, Human
39
This study explored the interaction between bladder cancer cells and neutrophils, revealing that cancer cells recruit neutrophils through IL-8 secretion. Researchers found that urine IL-8 is a better biomarker for bladder cancer prognosis than serum IL-8, suggesting new avenues for treatment strategies.
View on PubMed
#10

Neutrophil dynamics in pulmonary fibrosis: pathophysiological and therapeutic perspectives.

ReviewInfluence2.0
31
This review examined the role of neutrophils in pulmonary fibrosis, noting their increased presence in patients with interstitial lung diseases. Researchers highlighted the potential of neutrophils as biomarkers for disease severity and emphasized the need for further investigation into their dual roles in lung tissue.
View on PubMed

Clinical Trials (5)

5

Total Trials

886

Total Enrolled

Biomarkers of Acute Organ Injury in Pediatric Newly Diagnosed Type 1 Diabetes

NCT07483879RECRUITING
Sponsor

Aristotle University Of Thessaloniki

Enrollment

45

Started

2025

Primary outcome

Neutrophil Gelatinase-Associated Lipocalin

Type 1 Diabetes MellitusDiabetic Ketoacidosis

Use of Reticulocyte Ratio and Neutrophil / Lymphocyte Ratio in the Diagnosis of Ventilator-associated Pneumonia

NCT04620941COMPLETED
Sponsor

Muğla Sıtkı Koçman University

Enrollment

35

Started

2022

Primary outcome

Early inflammation markers for VAP

Ventilator-associated Pneumonia (VAP)

Renal Tubular Injury and Transplant Outcomes in Cardiac Recipients Converting From IR Tacrolimus to XR Tacrolimus

NCT04917718Phase 4UNKNOWN
Sponsor

Loyola University

Enrollment

42

Started

2021

Primary outcome

Urinary neutrophil gelatinase-associated lipocalin (NGAL)

Chronic Kidney DiseasesHeart Transplant

Plasma Exchange and Glucocorticoids for Treatment of Anti-Neutrophil Cytoplasm Antibody (ANCA) - Associated Vasculitis

NCT00987389Phase 3COMPLETED
Sponsor

University of Pennsylvania

Enrollment

704

Started

2010

Primary outcome

Composite of i) All-cause Mortality or ii) End-stage Renal Disease

Granulomatosis With Polyangiitis (Wegener's) (GPA)Microscopic Polyangiitis (MPA)

Double Blinded Randomized Clinical Trial of the Effect of Open Versus Laparoscopic Colectomy on Neutrophils in Patients With Colon Cancer

Sponsor

University Hospital Dubrava

Enrollment

60

Started

2008

Primary outcome

Neutrophil activity before and after the open or laparoscopic surgery - Serum concentrations of sFas, sFasL and IL - 17.

Colonic Neoplasms

Publication Trend

Research publications about Neutrophile over time

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