Serum Lysozyme

Overview and Clinical Significance

Serum lysozyme is an enzyme involved in immune defense, playing a crucial role in bacterial cell wall degradation, inflammation regulation, and hematologic health. It is primarily produced by monocytes, macrophages, and neutrophils.

Clinical Significance

  • Immune Function & Antibacterial Activity: Lysozyme helps break down bacterial cell walls, enhancing innate immune responses.
  • Hematologic Disorders & Leukemia: Elevated serum lysozyme levels are linked to acute myeloid leukemia (AML), monocytic leukemia, and myeloproliferative disorders.
  • Inflammation & Autoimmune Conditions: Increased lysozyme concentrations may indicate sarcoidosis, tuberculosis, or chronic inflammatory diseases.
  • Renal Function & Metabolic Effects: High lysozyme levels can contribute to potassium wasting and hypokalemia, particularly in leukemia patients.
  • Diagnostic & Therapeutic Applications: Serum lysozyme testing helps assess immune function, hematologic disorders, and inflammatory conditions.

Serum lysozyme is a key biomarker of immune activity, influencing infection resistance, hematologic health, and inflammatory regulation.

Increasing +

Decreasing -

High Levels May Indicate:

  • Sarcoidosis: Increased lysozyme production is commonly observed in sarcoidosis.
  • Leukemia (especially monocytic and myelomonocytic types): High lysozyme levels correlate with tumor burden.
  • Tuberculosis & Chronic Infections: Persistent infections may elevate lysozyme levels.
  • Inflammatory Conditions: Autoimmune diseases and systemic inflammation can increase lysozyme production.

Low Levels May Indicate:

  • Bone Marrow Suppression: Conditions like aplastic anemia or chemotherapy-induced marrow failure may reduce lysozyme levels.
  • Severe Immune Deficiencies: Some immunodeficiency disorders may lead to lower lysozyme production.

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Related

Life-Phase Considerations:

  • Children: Lysozyme levels may fluctuate based on immune development.
  • Adults: Levels vary depending on infection exposure and immune activity.
  • Elderly: Age-related immune changes may alter lysozyme production.

All Markers