Monocyte count

Monocyte counts are crucial to the health of the immune system, as these white blood cells fight infection and maintain immune balance. Genetic and environmental factors such as infections, inflammatory diseases and stress can influence their levels.

Monocyte count in the blood is a crucial indicator of immune system health. Monocytes are a type of white blood cell that play a vital role in defending against infections, removing dead cells, and maintaining balance in the immune system. These cells can differentiate into macrophages and dendritic cells, which are essential for both innate and adaptive immune responses. An adequate monocyte count is vital for the body's response to pathogens and for the resolution of inflammation. Having a monocyte count outside the normal range can be an indicator that the body is facing a problem, whether it's an infection or an inflammatory disease.

When monocytes are elevated, it can be a sign that the body is fighting an infection or that there's an ongoing inflammatory process. In these cases, a high count can be a normal response of the immune system. However, chronically high monocyte levels can also be associated with autoimmune or inflammatory diseases, like rheumatoid arthritis or heart disease, indicating that the immune system is continuously activated. Generally, an increase in monocytes points to an immune system being activated by some kind of bodily alteration.

The normal monocyte value in adults varies between 2% and 8% of the total white blood cell count, which generally equates to between 0.2 and 0.8 x 10^9 cells per liter. However, these values can vary depending on individual factors and the lab performing the analysis. If monocytes are above these values, it could indicate an exaggerated immune response or an active infection.

If monocytes are low, this could reflect a weakened immune system, whether due to a nutritional deficiency, treatment with certain immunosuppressive medications, or genetic conditions. Low monocyte levels can make the body more susceptible to infections and unable to respond adequately to pathogens. Raising monocyte levels may involve treating the underlying cause, such as addressing a nutritional deficiency or adjusting immunosuppressive medications. 

Monocyte count can be affected by various factors, including infectious states, chronic inflammatory diseases, stress, physical exercise, and the use of certain medications. During an infection, the body may increase monocyte production to fight pathogens. Inflammatory diseases, such as rheumatoid arthritis and inflammatory bowel disease, can also alter monocyte levels. Furthermore, stress and intense exercise can cause temporary fluctuations in the count of these cells due to the release of stress hormones like cortisol, which influences monocyte mobilization and production.

Number of observed variants

13.5 million variants

Number of risk loci

375 loci

Genes analyzed

ABCE1 ABO ACKR1 ACTRT2 ACVR2A ORC4 ACVRL1 ADCY5 ADCY9 ADGRE5 ADGRF5 ADGRL4 ADO AHI1 AHR AKAP13 AKR1D1 ALDH8A1 AMZ1 ANGPT1 ANK1 ANKRD55 ANXA3 AP4E1 APOBEC3H ARHGAP23 ARHGAP42 ARID1B ARRDC2 ARVCF ATP2B4 ATXN1 BAZ1A BBX BCL2A1 BCL2L13 BEND3 BPI BRD1 BTBD3 C1orf100 C2orf16 C3orf22 CHST13 C3orf80 CABLES1 CASZ1 CBX8 CCDC6 CCDC69 CCDC96 CCL2 CCND2 CCND3 CCR1 CD300LF CD33 CD46 CDC5L CDK6 CDKAL1 CDKN2B CDKN2A CEBPB CEBPD CEBPE CILP2 CITED2 CITED4 CLEC4M CLIC6 CMKLR1 CNN2 CNTF COL4A1 COPS8 COQ2 COX4I2 CPEB4 CREB5 CREBL2 CSF1 CSF1R CSNK1G1 CTDP1 CTSB CTSC CX3CR1 CXCL12 CXCL2 CXCR4 CYB5RL CYP8B1 CYRIA DACH1 DAGLB KDELR2 DCAF12 DEFA3 DENND2B DOCK10 DOK2 DUSP14 EBF1 EGF EGFR EHD4 EIF4E3 EMID1 ENAH ENSA ETS1 EVI2A EXOC3L2 F2 FABP2 FAM120B FCGR1A FGD2 FLT3LG FOXO1 FRAT2 GALNT4 GATA3 GATA6 GATB GC GCLC GCNT2 GDI2 GGT5 GID8 GLG1 GLIS3 GPBAR1 GPC5 GPR35 GSDMC GYPA HIC1 HIVEP1 HLA-A HLA-B HLA-DPA1 HLA-DRB5 HLX HNRNPR HOOK1 HOXA3 HSPB9 ICAM1 ID2 IFITM1 IGF1R IKZF1 IL6R INSM2 IPMK IRF2BP2 IRS1 IRS2 ITGA4 ITGAL IVNS1ABP JADE2 JAZF1 JCAD KCNJ15 KCNJ2 KCNN4 KCNRG KDM4B KIAA1614 KIT KITLG KLF2 KLF5 KLF6 KLHDC7B KLLN KSR1 LINC02218 LMO2 LPAR1 LPP LRRC8B LSP1 LTO1 LYL1 LYN LYST LYZ MAFB MAP3K5 MAP4K4 MAPK4 MARCKS MARK3 MATN1 MEAK7 MECOM MED13L MEF2C MEF2D METRNL MIER1 SLC35D1 MLXIPL MMAB MPO MS4A14 MSI2 MTF2 MUS81 MXD4 MYBPC3 MYL3 NANOS3 NAP1L4 NCOA1 NDUFA2 NEK6 NENF NFE2 NFE2L3 NFKB1 NINJ2 NKX2-3 NLRC5 NLRP12 NLRX1 NOL4L NOS1AP NPAT NREP NRIP1 OR10Z1 OR52I1 OSER1 P2RY2 PAG1 PAK2 PARVB PDE4B PDGFC PGBD2 PIEZO1 PIK3AP1 PIK3CD PIK3R3 PILRB PKD1 PKIA PKIB PLAGL1 PLCB1 PLCE1 PLK2 PLPP1 PLPP3 PMAIP1 PNRC1 PPARG PREX1 PREX2 PRIM1 PRKCE PRL PROX1 PRTFDC1 PTK2B PTPRA PVR R3HDM2 RAB2A RAI1 RAP1GAP2 RASA2 RASA3 RASGRP1 RASGRP4 RBM47 RBPMS RCBTB1 RIN3 RPN1 RREB1 RTP2 RYBP S100A8 S1PR3 SCARB1 SCD5 SCNN1A SDCBP SELP SERPINB9 SERTAD2 SH2B3 SH2D3C SH2D4B SHB SLC22A3 SLC22A5 SLC2A1 SLC39A12 SLC41A1 SLC7A10 SMLR1 SPIC SPIDR SPRED2 SQSTM1 SSH2 ST3GAL4 ST3GAL6 STAB2 STXBP5 STXBP6 SYK TCF3 TCF7L2 TENT5A TENT5C TET2 TGIF1 THADA THRB TLN1 TLR5 TM2D1 TMCC2 TMEM131L TMEM156 TNFRSF10A TNFSF10 TNFSF13B TNFSF14 TNNI3 TRAF3 TREML2 TRIB1 TRIB2 TRPC6 TRPS1 TSPO UBASH3B UMPS USF1 USP12 VCAM1 VILL VMP1 VSIR VSTM4 VWA2 WBP1L XPO6 YWHAE YWHAH ZBTB16 ZBTB2 ZC3H12A ZC3H3 ZC3H4 ZFAND2B ZFPM2 ZMIZ1 ZMIZ2 ZNF320 ZNF366 ZNF516 ZNF565 ZNF644 ZNF652 ZNF799 ZSCAN5C ZYG11A ZYX

Bibliography

Vuckovic D., Bao E.L., et al. The Polygenic and Monogenic Basis of Blood Traits and Diseases. Cell, 01 Sep 2020, 182(5):1214-1231.e11.

Patel A.A. et Yona S. Inherited and Environmental Factors Influence Human Monocyte Heterogeneity. Front Immunol. 2019; 10: 2581.

Crosslin D.R., McDavid A., et al. Genetic variation associated with circulating monocyte count in the eMERGE Network. Hum Mol Genet. 2013 May 15; 22(10): 2119-2127.

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