sCD14 in ME/CFS

sCD14, also described as Monocyte activation — LC overlap, is a inflammatory marker reported as elevated in ME/CFS (ME/CFS, CFS) when patients are compared with healthy controls. Clinically, it has been associated with innate immune activation. The evidence summarised here comes from Saito et al. 2024 and reflects averages across cohorts rather than any single patient's result.

↑ ElevatedInflammatoryLOINC 30180-5

Summary

Direction in ME/CFS↑ Elevated — higher than in the comparison group
CategoryInflammatory
Also described asMonocyte activation — LC overlap
Compared againstHC (healthy controls)
Associated symptomsInnate immune activation
Test typeBlood test (serum / plasma / whole blood)
LOINC code30180-5
SourceSaito et al. 2024 — doi:10.3389/fimmu.2024.1341843
Condition atlasME/CFS Biomarker Atlas

Other conditions where sCD14 is reported

See the cross-condition hub: sCD14 across conditions.

Trials, interventions and tests

Commercial test availability

Soluble CD14 (sCD14) — specialty laboratory test. Research-oriented marker; limited routine availability.

Links are for reference only; availability, specimen requirements and coverage vary by location.

Related Inflammatory markers in ME/CFS

Full list: ME/CFS Biomarker Atlas.

Frequently asked questions

Is sCD14 high or low in ME/CFS?

Elevated. Studies summarised in the OSMF atlas report higher sCD14 in ME/CFS than in healthy controls. Source: Saito et al. 2024.

What symptoms is sCD14 associated with in ME/CFS?

The cited literature associates this marker with Innate immune activation. These are population-level associations and do not mean the marker causes the symptoms.

Which test measures sCD14?

It is measured as a blood test (serum / plasma / whole blood). The standard laboratory code is LOINC 30180-5. Commercial laboratories such as Mayo Clinic Laboratories list an orderable assay.

Is one abnormal sCD14 result diagnostic of ME/CFS?

No. No single biomarker is diagnostic of ME/CFS. sCD14 findings come from group comparisons, overlap considerably between patients and controls, and vary with study design, timing and comparison group. A result should be interpreted by a clinician alongside symptoms, history and other tests.

Is sCD14 specific to ME/CFS?

No. The same marker is also reported in Gulf War Illness, Long COVID in this atlas, so it reflects shared biology (for example inflammation or vascular stress) rather than a condition-specific signature.

Cite this page

Open Source Medicine Foundation. (2026). sCD14 in ME/CFS: direction, evidence and what it means. OSMF Research Tracker. Retrieved October 7, 2026, from https://research.opensourcemed.info/biomarkers/me-cfs/scd14.html
Get OSMF research updates. New biomarker, trial and treatment evidence summaries by email.
Subscribe on Substack

Last reviewed: 2026-06-29 · Page generated from me-cfs.json · Browse: ME/CFS atlas · Biomarker Index · All marker pages

Disclaimer: This page is an educational synthesis of published, peer-reviewed research and is not medical advice. Biomarker findings vary across studies with case definitions, comparison groups, timing and assay methods. Direction of change reflects the predominant finding in the cited source and does not establish a diagnostic threshold. Discuss any test result with a qualified clinician.