ABSTRACT. Plasma membrane fluidity and heterogeneity of polymorphonuclear leukocytes (PMN) were investigated in seven children with primary ciliary dyskinesia (PCD) and 17 healthy controls. Membrane fluidity and heterogeneity were studied by measuring the steady state fluorescence anisotropy and fluorescence decay of 1-(Ctrimethylammoniumphenyl)d-phenyl-1,3 J-hexatriene (TMA-DPH) incorporated into PMN plasma membrane. Our results show an increase in membrane fluidity at the surface level of PMN from patients with PCD. Distribution analysis of TMA-DPH lifetime values indicate an increase in membrane heterogeneity in subjects with PCD. The observed changes in the physicochemical properties of the membrane could lead to alterations in the function of PMN from children with PCD. (Pediarr Res 34: 725-728, 1993) Abbreviations PMN, polymorphonuclear leukocyte PCD, primary ciliary dyskinesia TMA-DPH, 144-trimethy1ammoniumphenyl)-6-phenyl-1,3,5-hexatriene FMLP, N-formyl-methionyl-leucyl-phenylalanine r,, steady state fluorescence anisotropy PMA, phorbol myristate acetate PMN from subjects with PCD can have an abnormal locomotory system. Defects in orientation (l,2), migration (1-3) and chemotaxis (3-5) have been reported. All these activities are the result of complex events mediated by the plasma membrane and cytoskeleton of PMN. Specific and dynamic interactions of plasma membrane components are essential for an adequate membrane function (6). Membrane fluidity has an important role in modulating cell functions, affecting the conformation of membrane proteins and the exposure and diffusion of membrane components. Fluidity is a complex physicochemical feature that depends upon mobility and order of membrane constituents (6, 7). Changes in composition and molecular organization are the principal determinants of alterations of membrane fluidity observed in many human diseases (8,9).In this study, we have evaluated plasma membrane fluidity of PMN obtained from children with PCD by measuring r, and fluorescence decay of a probe incorporated into the plasma membranes. As a fluorescent probe, we have used TMA-DPH, which is incorporated at the lipid-water interface region bilayer.