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

Adding calcium to EDTA plasma samples prior to analysis could solve the compatibility issue in commercially available ELISAs that are standardized for serum.

Author(s): Tenland E, Hillman M

Publication: Clin Chem Lab Med, 2013, Vol. 51, Page e145-7

PubMed ID: 23314548 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of analyzing EDTA plasma rather than serum and adding calcium chloride (CaCl2) to EDTA plasma on results of the quantikine human soluble hemoglobin scavenger receptor (sCD163) ELISA.

Conclusion of Paper

While the majority of EDTA plasma specimens assayed by the sCD163 ELISA performed similarly to serum, some EDTA plasma specimens gave significantly higher sCD163 measurements than their serum counterparts. Overnight incubation of EDTA plasma with CaCl2 was able to attenuate the falsely high results so that there was no effective bias between the plasma and corresponding serum specimens.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of analyzing EDTA plasma rather than serum and adding CaCl2 to EDTA plasma on results of the quantikine human sCD163 ELISA. The manufacturer recommends against the use of EDTA plasma in this ELISA but claims that it is suitable for use with serum and heparin plasma. Specimens were obtained from 49 diabetic patients and serum and plasma were stored at -20 degrees C until analysis. An aliquot of EDTA plasma was thawed and incubated with CaCl2 overnight at 4 degrees C.

    Summary of Findings:

    While the majority of EDTA plasma specimens assayed by the sCD163 ELISA performed similarly to serum, some EDTA plasma specimens gave significantly higher sCD163 measurements than their serum counterparts. Overnight incubation of EDTA plasma with CaCl2 was able to attenuate the falsely high results so that there was no effective bias between the plasma and corresponding serum specimens.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Diabetes Type 1
    • Diabetes Type 2
    Platform:
    AnalyteTechnology Platform
    Protein ELISA
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Biospecimen Acquisition Anticoagulant EDTA
    None
    Biospecimen Aliquots and Components Biospecimen components 25 mM CaCl2
    No added CaCl2

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