Polymorphonuclear leukocytes (PMNs) are a type of white blood cell (WBC) that include neutrophils, eosinophils, basophils, and mast cells. PMNs are a subtype of leukocytes, which protect the body against infectious organisms.

PMNs are also known as granulocytes. They play a central role in the innate immune system.

In normal conditions, the most common PMN, by far, is the neutrophil. These make up the most significant amount of blood cells produced by the bone marrow and are the first line of defense in protecting the body from infection.

If your doctor tests your urine and finds too many leukocytes, it could be a sign of infection.

Polymorphs (Absolute), also known as the Absolute Neutrophil Count (ANC) or POLYS, ABS. COUNT, is a lab test that measures the number of neutrophils (a type of white blood cell) in a specific volume of blood, typically expressed in cells per microliter (cells/µL).

Neutrophils are a type of polymorphonuclear leukocyte (hence “polymorphs”), and they play a critical role in the body’s immune response, especially in defending against bacterial and fungal infections.

Polymorphs (%), also referred to as Neutrophils (%), is a measurement of the proportion of neutrophils in your white blood cell (WBC) count. Neutrophils are a type of polymorphonuclear leukocyte, hence the term "polymorphs." They are the most abundant type of white blood cells and a key component of the body’s innate immune system, responsible for quickly responding to infections, particularly those caused by bacteria and fungi.

This test is commonly included in a Complete Blood Count (CBC) with differential, which shows the relative percentages of different types of white blood cells in your blood.

Polymorphonuclear leukocytes (PMNs), commonly known as neutrophils, are a critical component of the body's immune response, especially in fighting bacterial infections. When a sputum culture test reveals a significant presence of PMNs ("Many Polys"), it typically indicates an active respiratory infection. These cells are quickly mobilized to infection sites, where they engulf and destroy pathogens. Their presence in a sputum sample helps clinicians determine the nature of a respiratory problem. High levels of PMNs can suggest a bacterial infection, prompting further investigation and possibly the prescription of antibiotics. However, the interpretation of these results should always be done alongside clinical assessments and other diagnostic tests to ensure accurate diagnosis and appropriate treatment.

The CSF PMN % biomarker refers to the percentage of polymorphonuclear leukocytes (PMNs), commonly known as neutrophils, found in cerebrospinal fluid (CSF). PMNs are a type of white blood cell involved in the immune response, and their presence in CSF can indicate inflammation or infection within the central nervous system. Typically, CSF contains very few white blood cells, and a low PMN percentage is considered normal.

The Porphobilinogen Deaminase, Whole Blood test is used to a) confirm a diagnosis of acute intermittent porphyria (AIP) following a positive urine porphobilinogen (PBG) test and/or b) to evaluate disease risk in family members of an individual with a confirmed diagnosis of AIP.

Porphobilinogen deaminase, also known as uroporphyrinogen I synthase, is commonly confused with uroporphyrinogen III synthase, the enzyme deficient in congenital erythropoietic porphyria (CEP).

The porphyrias are a group of inherited disorders resulting from enzyme defects in the heme biosynthetic pathway. Acute intermittent porphyria (AIP) is caused by diminished erythrocyte activity of porphobilinogen deaminase (PBGD), also known as uroporphyrinogen I synthase or hydroxymethylbilane synthase (HMBS).

Onset of AIP typically occurs during puberty or later. Individuals may experience acute episodes of neuropathic symptoms.

Porphyrins are natural chemicals in the body that help form many important substances in the body. One of these is hemoglobin, the protein in red blood cells that carries oxygen in the blood.

Function of this test:

a) To monitor porphyria cutanea tarda (PCT)

Porphyria cutanea tarda (PCT) is a rare disorder characterized by painful, blistering skin lesions that develop on sun-exposed skin (photosensitivity). Affected skin is fragile and may peel or blister after minor trauma. Liver abnormalities may also occur. 

b) To confirm diagnosis of suspected variegate porphyria (VP) 

Variegate porphyria (VP) is classified as both a cutaneous and an acute porphyria. It can present with chronic blistering cutaneous manifestations and/or acute attacks of neurovisceral manifestations that may become chronic.

c) To comfirm erythropoietic protoporphyria (EPP)

Erythropoietic protoporphyria (EPP) is an inherited porphyria resulting in the accumulation of protoporphyrins in red blood cells that causes acute, painful photosensitivity and potential liver disease. It typically presents in early childhood with immediate pain and crying upon exposure to bright sunlight.

Oral bacterium P. gingivalis has been well-documented as a mediator of periodontal disease. Furthermore, hosts harboring this pathogen have been shown to have greater risk for rheumatoid arthritis. Researchers are elucidating the mechanisms by which P. gingivalis contributes to the pathogenesis of arthritic and their related disorders. Upregulation of intestinal lipopolysaccharides and subsequent inflammation, as well as citrullination of alpha-enolase, which shares homology with human tissue α-enolase, are described mechanisms of autoimmunity. 

Oral bacterium P. gingivalis has been well-documented as a mediator of periodontal disease. Furthermore, hosts harboring this pathogen have been shown to have greater risk for rheumatoid arthritis. Researchers are elucidating the mechanisms by which P. gingivalis contributes to the pathogenesis of arthritic and their related disorders. Upregulation of intestinal lipopolysaccharides and subsequent inflammation, as well as citrullination of alpha-enolase, which shares homology with human tissue α-enolase, are described mechanisms of autoimmunity. 

Potassium is a primary intra-cellular element required for fluid balance, nerve activity and muscle activity.

Potassium is an essential mineral and electrolyte crucial for maintaining cellular function, nerve signaling, muscle contractions, and fluid balance. In a hair mineral analysis, potassium levels provide insight into adrenal activity, metabolic health, and overall electrolyte balance. Unlike serum potassium, hair potassium reflects longer-term trends in mineral retention and utilization.