Neutrophil-derived ROS as a rapid functional biomarker: diagnostic and prognostic performance of the Leukocyte ImmunoTest in infection and sepsis - Report - MDSpire

Neutrophil-derived ROS as a rapid functional biomarker: diagnostic and prognostic performance of the Leukocyte ImmunoTest in infection and sepsis

  • By

  • Nazlıhan Boyacı Dündar

  • David Sarphie

  • Kenan Yüce

  • Gülbin Aygencel

  • Melda Türkoğlu

  • Rubina Mian

  • Paul Moss

  • Mustafa Necmi İlhan

  • Gülendam Bozdayı

  • June 29, 2026

  • 0 min

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Clinical Report: Neutrophil-Derived Reactive Oxygen Species as a Rapid Functional Indicator

Overview

The Leukocyte ImmunoTest (LIT) quantifies neutrophil-derived reactive oxygen species (ROS). LIT values correlate with disease severity and mortality risk.

Background

Sepsis is a critical condition with high morbidity and mortality, necessitating timely diagnosis and intervention. Traditional biomarkers often fail to reflect the dynamic immune response in sepsis.

Data Highlights

GroupMedian LIT (RLU)
Controls470
Infection882
Sepsis2466

Key Findings

  • Median LIT values increased significantly across diagnostic groups: controls (470 RLU), infection (882 RLU), and sepsis (2466 RLU).
  • LIT demonstrated high diagnostic performance for infection (AUC: 0.94) and sepsis (AUC: 0.86).
  • Higher LIT values were independently associated with increased mortality (HR: 1.6).
  • LIT performance was comparable to established biomarkers such as C-reactive protein (CRP) and procalcitonin (PCT).
  • Multicenter studies are needed to further evaluate LIT's role in sepsis management.

Clinical Implications

LIT may serve as a tool for assessment of immune activation in patients suspected of infection or sepsis.

Conclusion

The Leukocyte ImmunoTest is a diagnostic tool for sepsis, warranting further investigation.

Related Resources & Content

  1. Critical Care, Neutrophil EMR3 dynamics in critically ill patients with sepsis: an ICU experience
  2. Frontiers in Immunology, Neutrophil immunometabolism in ACLF and sepsis: mechanisms, dysfunction, and therapeutic opportunities
  3. Infection, Significance of the Neutrophil-to-Lymphocyte Ratio as a Diagnostic Indicator for Microbiological Samples in Critically Ill Patients Following Liver or Lung Transplantation
  4. Infection, Evaluation of SeptiCyte® RAPID for Early Detection of Sepsis: Findings from a Prospective Observational Study
  5. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026
  6. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026
  7. Comparison of the diagnostic accuracies of various biomarkers and scoring systems for sepsis: A systematic review and Bayesian diagnostic test accuracy network meta-analysis
  8. C-reactive protein in adult sepsis: systematic review and meta-analysis - PMC
  9. SeptAsTERS- SeptiCyte® RAPID as assessment tool for early recognition of sepsis – a prospective observational study | Infection | Springer Nature Link
  10. Frontiers | Diagnostic potential of extended inflammation parameters for sepsis identification: a retrospective case-control study
  11. Early diagnosis of bloodstream infections by Neutrophil-Reactive Intensity (NEUT-RI): a retrospective analysis - PubMed
  12. Frontiers | Neutrophil immunometabolism in ACLF and sepsis: mechanisms, dysfunction, and therapeutic opportunities
  13. Frontiers | Neutrophil-Derived ROS as a Rapid Functional Biomarker: Diagnostic and Prognostic Performance of the Leukocyte ImmunoTest in Infection and Sepsis
  14. Predictive value of Leukocyte ImmunoTest (LIT™) in cancer patients: a prospective cohort study - PMC

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