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 Preanalytical Factors on the Molecular Size of Cell-Free DNA in Blood.

Author(s): Chan K, Yeung S, Lui W, Rainter T, Lo YM

Publication: Clin Chem, 2005, Vol. 51, Page 781

PubMed ID: 15708950 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to investigate the impact of (1) clotting, (2) delayed separation of blood cells from plasma, (3 and 4) freeze thaw cycling of both plasma and DNA samples, and (5) prolonged frozen storage on the integrity of circulating DNA in plasma collected from healthy volunteers.

Conclusion of Paper

The integrity (yield and DNA size) of circulating DNA was impacted by clotting (serum versus plasma), sample storage at room temperature or 4 degrees C for 6 h or more, and repeated freeze/thaw cycling of plasma but not DNA samples. The authors recommend processing blood samples within 6 h, aliquoting samples, and extracting DNA prior to long term frozen storage.

Studies

  1. Study Purpose

    To determine if clotting (serum vs plasma) affects the integrity of circulating DNA.

    Summary of Findings:

    Fresh serum samples had a significantly greater DNA yield (leptin gene) compared to plasma samples. Further, the ratio of amplicons of differing size (201 bp/ 105 bp) was greater in serum samples, indicating an increase in the size of circulating DNA.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Real-time qPCR Specific Length of gene fragment 105 bp
    201 bp
  2. Study Purpose

    The purpose of this study was to determine if whole blood storage for 0, 6, or 24 h at 4 degrees C or room temperature adversely impacts the integrity of circulating DNA in plasma.

    Summary of Findings:

    DNA yield increased significantly after whole blood storage for 24 h at 4 degrees C or room temperature. Storage at room temperature, but not 4 degrees C, also increased the relative expression of long/short PCR amplicons.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage temperature 0 degrees C
    Room temperature
    Storage Storage duration 0 h
    6 h
    24 h
  3. Study Purpose

    The purpose of this study was to determine if the number of freeze thaw cycles plasma samples are subjected to affects the integrity of circulating DNA.

    Summary of Findings:

    Plasma samples that underwent three freeze thaw cycles had significantly decreased PCR amplicon size ratios (201 bp / 105 bp), suggesting possible DNA fragmentation.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Freeze/thaw cycling 0 cycles
    1 cycle
    3 cycles
    Real-time qPCR Specific Length of gene fragment 105 bp
    201 bp
  4. Study Purpose

    To determine if the number of freeze thaw cycles of DNA samples extracted from plasma affects the integrity of circulating DNA.

    Summary of Findings:

    DNA concentration and relative expression of amplicon sizes were not affected by freeze thaw cycling up to three times.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Freeze/thaw cycling 0 cycles
    1 cycle
    3 cycles
    Real-time qPCR Specific Length of gene fragment 105 bp
    201 bp
  5. Study Purpose

    To determine if plasma storage at -80 degrees C for 2 weeks affects the integrity of circulating DNA.

    Summary of Findings:

    DNA yield and integrity were unaffected by prolonged plasma sample storage at -80 degrees C.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Real-time qPCR Specific Length of gene fragment 105 bp
    201 bp

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