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

Effects of some pre-analytical conditions on the measurement of homocysteine and cysteine in plasma.

Author(s): Zighetti ML, Chantarangkul V, Lombardi R, Lecchi A, Cattaneo M

Publication: Clin Chem Lab Med, 2004, Vol. 42, Page 204-7

PubMed ID: 15061362 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of anticoagulant, delayed centrifugation and storage of plasma at room temperature on total cysteine (tCys) and total homocysteine (tHcy) levels in plasma.

Conclusion of Paper

tCys and tHcy levels were higher in plasma from tripotassium EDTA (K3EDTA) tubes than in plasma from acid citrate dextrose (ACD) tubes, but the difference was not significant when the K3EDTA concentration was decreased to be the same as the ACD concentration. Storage of blood at room temperature in K3EDTA tubes, prior to centrifugation, resulted in progressive increases in tHcy levels and slight decreases in tCys levels, but when whole blood was stored in ACD tubes at room temperature prior to centrifugation, there was only a slight increase in tHcy levels and no change in tCys levels. Delayed centrifugation had no effects on tHcy or tCys levels when tubes were stored on ice. tCys and tHcy levels were stable in ACD-plasma stored at room temperature for 72 h, but tCys levels decreased in K3EDTA-plasma stored at room temperature for the same duration.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of anticoagulant, delayed centrifugation and storage of plasma at room temperature on tCys and tHcy levels in plasma from healthy individuals. The anticoagulant study included 11 subjects, while the delayed centrifugation and storage of plasma studies included 5 subjects each. All plasma was stored at -20 degrees C until analysis.

    Summary of Findings:

    tCys and tHcy levels were higher in plasma from K3EDTA tubes than in plasma from ACD tubes (p<0.05), but the difference was not significant when the K3EDTA concentration was decreased to be the same as the ACD concentration. Storage of blood at room temperature in K3EDTA tubes, prior to centrifugation, resulted in progressive increases in tHcy levels (p<0.05) and slight decreases in tCys levels (p<0.05), but when whole blood was stored at room temperature in ACD tubes prior to centrifugation, there was only a slight increase in tHcy levels (p<0.05) and no change in tCys levels. Delayed centrifugation had no effects on tHcy or tCys levels when tubes were stored on ice. tCys and tHcy levels were stable in ACD-plasma stored at room temperature for 72 h, but tCys levels decreased by 6% in K3EDTA-plasma stored at room temperature for the same duration (p<0.05).

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Small molecule HPLC
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Time at room temperature 15 min
    4 h
    6 h
    24 h
    48 h
    72 h
    Storage Storage duration 15 min
    2 h
    4 h
    6 h
    Storage Storage temperature On ice
    Room temperature
    Biospecimen Acquisition Anticoagulant Acid-citrate-dextrose
    Potassium EDTA
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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