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

Stability of endogenous and added RNA in blood specimens, serum, and plasma.

Author(s): Tsui NB, Ng EK, Lo YM

Publication: Clin Chem, 2002, Vol. 48, Page 1647-53

PubMed ID: 12324479 PubMed Review Paper? No

Suggested by: ISBER


Purpose of Paper

The purpose of this paper was to determine the effects of delayed processing, filtration and freeze-thaw cycling on nucleic acid content of EDTA-plasma and serum.

Conclusion of Paper

Filtration of plasma through a 5 uM filter did not affect glyceraldehyde 3-phosphate dehydrogenase (GAPDH) mRNA levels, but levels declined in plasma with further decreases in filter size. Storage of EDTA-blood or clotted blood at room temperature led to increased GAPDH mRNA levels in unfiltered EDTA-plasma and increased filtered and unfiltered serum beta-globin (b-globin) levels, but did not affect GAPDH mRNA levels in filtered EDTA-plasma or b-globin DNA levels in filtered or unfiltered EDTA-plasma. Storage at 4 degrees C did not affect GAPDH mRNA levels in filtered or unfiltered EDTA-blood or filtered, clotted blood, but GAPDH mRNA and b-globin DNA increased in unfiltered, clotted blood stored at 4 degrees C. Regardless of filter size, there was no effect of 1 freeze-thaw cycle and subsequent storage at room temperature for 1 h on GAPDH mRNA or b-globin DNA levels in serum or plasma. Plasma spiked with RNA showed rapid declines in RNA recovery, and after 15 sec, 99% of the RNA was not amplifiable.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of delayed processing, filtration and freeze-thaw cycling on nucleic acid content of EDTA-plasma and serum. 20 EDTA-blood and 20 clotted blood specimens from healthy volunteers were stored at room temperature and 4°C for 0, 6 and 24 h before centrifugation and filtration. Additionally, plasma and serum from 16 healthy patients were divided into thirds for freezing/thawing experiments in which plasma was snap-frozen, but serum was frozen at -20°C. RNA was extracted using RNeasy and DNA was extracted using the QIAamp blood mini-kit. RNA and DNA were quantified by real-time qPCR amplification of GAPDH and β-globin, respectively.

    Summary of Findings:

    Filtration of plasma through a 5 uM filter did not affect GAPDH mRNA levels, but levels declined in plasma with further decreases in filter size. When EDTA-blood was left at room temperature, GAPDH mRNA levels increased in unfiltered plasma but were not affected when unfiltered plasma was stored at 4 degrees C or when filtered (0.22 uM) plasma was stored at either temperature. B-globin DNA levels in plasma were unaffected by storage of filtered (0.22 uM) or unfiltered EDTA-blood at room temperature or 4 degrees C for up to 24 h. When clotted blood was left at room temperature, GAPDH mRNA levels in serum increased after 6 h but declined slightly (still above baseline) with longer storage. When clotted blood was stored at 4 degrees C, GAPDH levels in serum were higher after 24 h compared to baseline. Filtration (0.22 uM) removed the effects of room temperature and 4 degrees C storage of clotted blood on levels of GAPDH mRNA in serum. Interestingly, serum b-globin DNA levels increased when clotted blood was stored unfiltered at 4 degrees C for 24h or at room temperature, filtered or unfiltered, for 24 or 6 h, respectively. Regardless of filter size, there was no effect of 1 freeze-thaw cycle and subsequent storage at room temperature for 1 h on GAPDH mRNA and b-globin DNA levels in serum or plasma.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Storage Freeze/thaw cycling 0 cycles
    1 cycle
    Storage Post-thaw duration 0 h
    1 h
    Storage Storage duration 0 h
    6 h
    24 h
    Storage Storage temperature 4 degrees C
    Room temperature
    Biospecimen Aliquots and Components Filtration None
    5 uM
    0.45 uM
    0.22 uM
    Real-time qPCR Specific Targeted nucleic acid b-globin
    Real-time qRT-PCR Specific Targeted nucleic acid GAPDH
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated
  2. Study Purpose

    The purpose of this study was to determine the effect of room temperature storage on the concentration of exogenous RNA in plasma. 67,605 ng/L of purchased human RNA was added to a single plasma specimen and stored at room temperature for 0, 5, 10 and 15 s before addition of Trizol. RNA was extracted using RNeasy. RNA was quantified by real-time qPCR amplification of GAPDH.

    Summary of Findings:

    Plasma spiked with RNA showed rapid declines in RNA recovery, and after 15 sec, 99% of the RNA was not amplifiable.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage duration 0 sec
    5 sec
    10 sec
    15 sec

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