Lysozyme was found to be present in all three types of human neutrophi
l granules (azurophil-, specific- and gelatinase granules) as determin
ed by subcellular fractionation, employing a three-layer Percoll gradi
ent and measurement of lysozyme by a novel ELISA. The content of lysoz
yme was also measured in plasma. In contrast to other neutrophil granu
le proteins (lactoferrin, NGAL, and gelatinase), plasma lysozyme was u
naffected by increase in the number of circulating neutrophils induced
by intravenous administration of methylprednisolone to healthy indivi
duals. Also in contrast to lactoferrin, NGAL, and gelatinase, plasma l
ysozyme was found to rise 1 week prior to detectable increases in the
number of circulating neutrophils in patients undergoing allogeneic bo
ne marrow transplantation. We conclude that plasma lysozyme is a param
eter of myelopoietic activity and may be useful as a marker for bone m
arrow repopulation after transplantation.