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

Microalbumin and freezing.

Author(s): Innanen VT, Groom BM, de Campos FM

Publication: Clin Chem, 1997, Vol. 43, Page 1093-4

PubMed ID: 9191573 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of freezing and specimen mixing on microalbumin (MA) quantification in urine.

Conclusion of Paper

In the majority of specimens frozen for up to 3 weeks, no change in MA was observed if the specimens were inverted 3-4 times after specimen thawing. In 5% of cases, decreased MA was observed after thawing despite mixing, and missing MA levels were not able accounted for by further mixing or analysis of the pellet. When post-thaw mixing did not occur, 77% of specimens had decreased MA levels. The authors conclude that in most cases, MA quantification in urine specimens is not impacted by freezing, as long as specimens are adequately mixed upon thaw.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effect of freezing urine specimens for 1 or 3 weeks on MA quantification.

    Summary of Findings:

    MA levels were measured in 23 fresh urine specimens and again after freezing with post-thaw mixing for 1 and 3 weeks. MA concentrations in the urine frozen for 1 or 3 weeks were comparable to those observed in fresh urine.

    Biospecimens
    Preservative Types
    • Frozen
    • None (Fresh)
    Diagnoses:
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Protein Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Frozen
    None (fresh)
    Storage Storage duration 1 week
    3 weeks
    Storage Storage temperature -20 degrees C
  2. Study Purpose

    The purpose of this study was to determine the effect of freezing and post-thaw mixing on MA quantification from 39 urine specimens.

    Summary of Findings:

    MA levels were measured in 39 fresh urine specimens and again after freezing for 1 week with and without mixing. In specimens that were frozen and not mixed prior to MA quantification, 77% had MA levels decrease by >30%. The mean decrease in MA levels among unmixed frozen specimens was 38%. In contrast, 95% of specimens that were frozen for 1 week and mixed post-thaw retained the MA levels found prior to freeze. In the 5% of specimens in which MA was not retained, an approximately 50% reduction in MA levels was found. Repeat measurements, vigorous mixing and analysis of the pellet did not allow the authors to determine where the MA was lost. The authors conclude that well mixed frozen urine specimens can be used for MA analysis, but in a small percentage of cases this will lead to falsely low results.

    Biospecimens
    Preservative Types
    • Frozen
    • None (Fresh)
    Diagnoses:
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Protein Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage temperature -20 degrees C
    Storage Storage duration 1 week
    Biospecimen Aliquots and Components Biospecimen mixing Unmixed
    Inverted 3-4 times
    Biospecimen Preservation Type of fixation/preservation Frozen
    None (fresh)

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