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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 in the blood, reflecting the body's ability to respond to infections and inflammation.

Reference Ranges

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

Reference ranges may vary slightly based on age and laboratory standards.

Overview

Übersicht

Neutrophils, also known as neutrophile granulocytes, are a type of white blood cell that plays a crucial role in the immune response by defending the body against infections. They are the most abundant type of granulocytes and form an essential part of the innate immune system. Neutrophils are produced in the bone marrow and released into the bloodstream, where they circulate and respond to signals of infection or inflammation. Clinically, neutrophils are significant as their levels can reflect various health conditions. Elevated neutrophil counts, or neutrophilia, can indicate acute bacterial infections, inflammation, stress, or malignancies such as cancer. Conversely, low neutrophil counts, or neutropenia, may suggest bone marrow disorders, severe infections, or the effects of certain medications. Neutrophils are also implicated in cancer progression, where they can either promote or inhibit tumor growth, depending on their phenotype and the tumor microenvironment. For athletes and biohackers, neutrophil levels can be indicative of immune status and recovery from physical stress. While not directly related to performance, maintaining optimal immune function is crucial for overall health and longevity. Neutrophil levels can be influenced by various factors, including stress, infections, and medications. Time of day and fasting status can also affect neutrophil counts, with levels typically higher in the morning and potentially altered by recent food intake. Therefore, it is important to consider these factors when interpreting test results.

Klinische Bedeutung

Elevated neutrophil levels may indicate acute bacterial infections, inflammation, or stress, while low levels can suggest bone marrow disorders or severe infections.

Dynamics

Trend Interpretation

Rising Values

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

Falling Values

Falling neutrophil levels may indicate resolving infection or potential bone marrow suppression.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

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

Low Levels

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

How to Optimize

Lever

Lifestyle

  • Stress management techniques
  • Regular moderate exercise
  • Adequate sleep
Lever

Nutrition

  • Balanced diet with sufficient protein
  • Adequate vitamin C intake
Lever

Supplementation

  • Vitamin B12
  • Folic acid

Note:

Consult a healthcare provider for personalized advice, especially if considering supplements.

Testing Guidelines

✓Fasting Not Required
🕐Time-Sensitive

Neutrophil levels may be higher in the morning; consistent timing for tests is recommended.

Testing Frequency

Annually for routine health checks, more frequently if monitoring specific conditions.

Interfering Factors

  • Recent intense exercise
  • Infection
  • Medication use

Open Research Questions

Current research suggests that the predictive value of tumour-associated neutrophils (TANs) remains debated, particularly regarding their location within tumors and the optimal reference ranges for their assessment. Researchers have not yet established the precise phenotypes of neutrophils that correlate with treatment efficacy across different cancer types. Additionally, clinical questions remain unanswered regarding the mechanisms by which neutrophils influence immunotherapy responses and the potential for targeted interventions in neuroinflammatory diseases.

42 Research Publications

2,695

Total Citations

7

Human/RCT

4.5

Avg. Influence

2025

Latest

Sort
Filter
#01

Tumour-associated neutrophils in patients with cancer.

ReviewInfluence37.0
921
This study examined the role of neutrophils in cancer, highlighting that a high circulating neutrophil-to-lymphocyte ratio is a strong indicator of poor clinical outcomes. Researchers found that tumour-associated neutrophils (TANs) may have conflicting roles in cancer progression, depending on their location. The review suggests future research directions for manipulating TANs in cancer patients.
View on PubMed
#02

Neutrophils in the Tumor Microenvironment.

ReviewInfluence10.0
498
Researchers discussed the dual role of neutrophils in cancer, noting their involvement in promoting tumor progression and serving as potential biomarkers for disease status. The study emphasized the need for understanding neutrophil behavior in the tumor microenvironment.
View on PubMed
#03

"PMN-elastase assay": enzyme immunoassay for human polymorphonuclear elastase complexed with alpha 1-proteinase inhibitor.

In VitroInfluence1.0
165
This study introduced an enzyme immunoassay for measuring human granulocyte elastase levels in plasma. Researchers established a reference range and discussed the diagnostic significance of elastase levels in inflammatory diseases. The assay is suitable for routine clinical use.
View on PubMed
#04

Interferon-stimulated neutrophils as a predictor of immunotherapy response.

AnimalInfluence5.0
159
This study identified interferon-stimulated Ly6Ehi neutrophils as a predictive biomarker for immunotherapy response in cancer patients. Researchers found that these neutrophils can sensitize tumors to anti-PD1 therapy, demonstrating high accuracy in predicting treatment outcomes. The findings were validated in both mouse models and human cohorts.
View on PubMed
#05

Roles of neutrophils in cancer growth and progression.

ReviewInfluence1.0
135
This study reviewed the roles of neutrophils in cancer growth and progression, emphasizing their dual nature in tumor behavior. Researchers found that neutrophils exhibit plasticity and can influence tumor microenvironments, suggesting a need to reassess their functions in cancer initiation and progression.
View on PubMed
#06

Mechanisms of Primary Membranous Nephropathy.

ReviewInfluence4.0
77
This study explored the mechanisms of primary membranous nephropathy (MN), identifying autoantibodies as significant biomarkers for diagnosis and disease monitoring. Researchers observed that levels of these autoantibodies correlate with disease severity and may help in tracking treatment responses. The review also discusses emerging antigens associated with MN.
View on PubMed
#07

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

ReviewInfluence2.0
77
This study summarized the roles of neutrophils and platelets in neuroinflammatory diseases, highlighting their contributions to thromboinflammation. Researchers observed that interactions between these cells can disrupt brain barriers and amplify neuroinflammation. The review emphasizes the potential for targeting these interactions in treating neurological disorders.
View on PubMed
#08

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
#09

Pulmonary accumulation of polymorphonuclear leukocytes in the adult respiratory distress syndrome.

Case ReportInfluence1.0
63
Researchers studied the role of polymorphonuclear leukocytes in adult respiratory distress syndrome (ARDS). They observed abnormal accumulation of labeled PMNs in the lungs of patients with ARDS, suggesting a link to leukoaggregation. The study highlights the importance of PMNs in ARDS pathology.
View on PubMed
#10

Neutrophils, a candidate biomarker and target for radiation therapy?

Review
58
Researchers discussed the potential of neutrophils as biomarkers and therapeutic targets in radiation therapy for cancer. The study emphasized the complex interplay between neutrophils and the tumor microenvironment, suggesting that neutrophil evaluation could enhance treatment outcomes.
View on PubMed

Clinical Trials (14)

14

Total Trials

2,609

Total Enrolled

Neutrophil Biomarker Test for Predicting Clinical Benefit From Immunotherapy Based on Flow Cytometry Analysis

NCT07246759NOT_YET_RECRUITING
Sponsor

OncoHost Ltd.

Enrollment

600

Started

2025

Primary outcome

Quantification of Ly6E high (Ly6Ehi) neutrophils in blood using the NeutroFlow flow cytometry assay

Non Small Cell Lung Cancer (NSCLC)Melanoma (Skin Cancer)Triple Negative Breast Cancer (TNBC)RCC, Renal Cell CancerHNSCC

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

Erector Spinae Plane Block in Laparoscopic Colorectal Cancer Surgery

NCT07297433COMPLETED
Sponsor

Kayseri City Hospital

Enrollment

60

Started

2025

Primary outcome

Neutrophil gelatinase-associated lipocalin (NGAL)

Kolon Kanseri

N/LP Ratio as Predictor of Mortality in Septic AKI Patients

Sponsor

Mahmoud Kamel Mohamed Abd elhaq

Enrollment

200

Started

2022

Primary outcome

Neutrophils to Lymphocytes and platelets ratio (N/LP) as predictor of mortality in septic- acute kidney injury patients

Acute Kidney Injury Due to Sepsis

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)

Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio to Predict Carotid Intima-Media Thickness in Chronic Kidney Disease Patients

NCT05472805COMPLETED
Sponsor

Universitas Sebelas Maret

Enrollment

72

Started

2022

Primary outcome

Neutrophil-lymphocyte ratio (NLR)

Chronic Kidney DiseasesDialysis; ComplicationsCoronary Heart Disease

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

Comparison of Two Different Preload Targets of Stroke Volume Variation During Kidney Transplantation

NCT03949036COMPLETED
Sponsor

Seoul National University Hospital

Enrollment

60

Started

2019

Primary outcome

serum neutrophil-gelatinase-associated lipocalin (NGAL)

Kidney Transplant; ComplicationsRenal Failure Chronic

Implementing a Combination of Clinical Parameters, Biomarkers and SoCs for the Etiology Diagnoses of Pneumonia in Pediatric Patients

NCT03366454COMPLETED
Sponsor

INA-RESPOND Secretariat

Enrollment

188

Started

2017

Primary outcome

White Blood Cells and Absolute Neutrophil Count Cut-off Levels for Distinguishing of Viral and Bacterial/Mixed Pathogens

Pneumonia

Use of 6% Hydroxyethylstarch (130/0.4) in Cardiac Surgical Patients

NCT02192502Phase 3COMPLETED
Sponsor

The Cleveland Clinic

Enrollment

149

Started

2015

Primary outcome

Urine Neutrophil Gelatinase-associated Lipocalin (NGAL) [Time Frame: 24 Hours After Surgery] [Designated as Safety Issue: Yes]

Postoperative Kidney Injury

Urinary Neutrophil Gelatinase-Associated Lipocalin (uNGAL) in Invasive Cardiology

NCT01612117COMPLETED
Sponsor

University of Freiburg

Enrollment

244

Started

2011

Primary outcome

to assess the value of uNGAL measurement 4 to 6 hours after PCP as a possible early detector of CIN

Renal Failure

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

Neutrophil Gelatinase-Associated Lipocalin: Biomarker of Acute Kidney Injury After Cardiac Surgery

Sponsor

Hospital de Base

Enrollment

150

Started

2007

Primary outcome

Evaluate the urinary excretion of NGAL as a marker of early development of acute kidney injury in patients undergoing cardiac surgery

Early Acute Kidney Injury

Publication Trend

Research publications about Neutrophile over time

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