Evaluation of Neutrophil Function
•Nitroblue tetrazolium dye reduction test (NBT test)
•U neutrophils can reduce NBT dye via respiratory burst producing H2O2 as a result
•U failure to reduce the NBT dye (colorless to blue- black deposits called Aformazan@) or produce H2O2 indicates metabolic defects which can lead to:
•chronic granulomatous disease
•Flow cytometry - now method of choice
•Chemiluminescence
•U neutrophils emit small amounts of energy (Chemiluminescence) during respiratory burst
•U luminol+latex particles phagocytized by neutrophil and amount of light emitted can be measured using a luminator