NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Different stability of free and complexed prostate-specific antigen in serum in relation to specimen handling and storage conditions.

Author(s): Jung K, Lein M, Brux B, Sinha P, Schnorr D, Loening SA

Publication: Clin Chem Lab Med, 2000, Vol. 38, Page 1271-5

PubMed ID: 11205692 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to assess potential influences of the following preanalytical variables on free (fPSA), total (tPSA), and alpha-antichymotrypsin-complexed prostate-specific antigen (ACT-PSA) levels: pre-and post-separation delays at varying temperatures; freeze-thaw cycling.

Conclusion of Paper

Free PSA serum levels were altered after a pre-separation delay of 8 hours or more, while ACT-PSA and tPSA were stable for up to 24 hours. All PSA forms displayed storage temperature dependent effects, with -80 degree C storage alone preserving long-term stability. Freeze-thaw cycling did not alter serum PSA levels.

Studies

  1. Study Purpose

    The purpose of this study was to determine if a delay in separation at room temperature affects detectable levels of fPSA, tPSA, and ACT-PSA in serum.

    Summary of Findings:

    A room temperature delay in separation resulted in a 3-5% decrease in serum fPSA levels after 4 hours, respectively. tPSA and ACT-PSA were stable at room temperature for up to 24 hours prior to serum separation.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Neoplastic - Benign
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Time at room temperature 1 h
    2 h
    4 h
    8 h
    24 h
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated
  2. Study Purpose

    The purpose of this study was to determine if a delay post-separation at varying temperatures affects detectable tPSA, fPSA, and ACT-PSA serum levels. Freeze-thaw cycling of immediately processed and frozen serum specimens was also investigated.

    Summary of Findings:

    Storage of separated serum at 37 degrees C resulted in a decrease in tPSA, ACT-PSA, and fPSA by 5-8% after 8-24 hours, whereas storage at 4 degrees C resulted in significant decreases in fPSA and tPSA after 1 and 7 days, respectively. All PSA forms remained stable at -80 degrees C for up to 2 months. While a large degree of variability was observed for all PSA forms, multiple freeze-thaw cycles did not induce significant effects.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Neoplastic - Benign
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage duration 1 h
    2 h
    4 h
    8 h
    1 d
    4 d
    7 d
    2 mon
    Storage Storage temperature Room temperature
    4 degrees C
    37 degrees C
    -80 degrees C
    Storage Freeze/thaw cycling 0 cycles
    1 cycle
    3 cycles
    5 cycles

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