The expansion of electrochemical sensors to biomedical applications at point of care requires these sensors to undergo analysis without any pre-treatment of extraction. This poses a major challenge for all electrochemical sensors including electrochemiluminescent (ECL) based sensors. ECL offers many advantages for biomedical applications however; obtaining results from complex matrices has proven to be a large hurdle for the application of ECL sensors within this field. This work demonstrates the potential of cathodic ECL to detect and quantify homocysteine with 0.1 nM limit of detection, which is associated with hyperhomocysteinemia, in blood. This near infrared quantum dot (NIR QD) based ECL sensor displays good linearity allowing for rapid detection and providing a basis for exploitation of ECL based sensors for biomedical diagnostics utilising homocysteine as a model cathodic co-reactant. This work will lay the foundations for future developments in biosensing and imaging fields and stands as an initial proof of concept for the utilization of cathodic ECL technologies for biomedical applications once the limits of detection within clinically relevant levels has been achieved. This work illustrates the potential of cathodic ECL sensors, using Hcy as a model complex, for the detection of biomolecules. EXPERIMENTAL Materials Qdot® 800 ITK™ organic quantum dots, (1 μM in decane) were obtained from Invitrogen. Lumidot™ 560 and 640 nm QDs, (5 mg/mL in toluene), chitosan (medium molecular weight, 75-85 % de-acetylated), and all other chemicals were purchased from Sigma-Aldrich. All solutions were prepared in milli-Q water (18 mΩ cm). Bovine whole blood samples utilised within this study were obtained from Wishaw Abattoir Ltd following University of Strathclyde ethical approval. These were stored in aliquots at-20 ºC. Aliquots were defrosted at room temperature on the day of analysis and used immediately. Instrumentation A CH instrument model 760D electrochemical analyser using a standard 3 electrode setup including a 3 mm diameter GC working electrode, Pt wire counter electrode and Ag/AgCl 3 M KCl reference electrode purchased from IJ Cambria Scientific Ltd (UK) was utilised to record all electrochemical measurements. GC electrodes were cleaned following the pro-ASSOCIATED CONTENT Supporting Information Supporting material includes ECL responses for the interactions with reactive oxygen species (Figure S1), ECL responses for 1 mM K2S2O8 in blood with the Stern-Volmer and modified Stern-Volmer plots for this data (Figure S2). The ECL dependence for the interferents given in Figure 6 (Figure S3). Chromatographic experimental details are also included (Figure S4). This material is available free of charge via the Internet at http://pubs.acs.org.