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 prolonged ambient storage of sodium fluoride/heparin specimens on plasma homocysteine.

Author(s): Scheidhauer R, Guessregen B, Hohl A, Arndt T

Publication: Clin Chem, 2005, Vol. 51, Page 1564-5

PubMed ID: 16040865 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine if the use of the anticoagulant sodium fluoride (NaF)/heparin as an alternative to EDTA allows for longer storage of blood at room temperature prior to centrifugation for the measurement of homocysteine concentration.

Conclusion of Paper

Specimens collected in tubes containing EDTA and centrifuged within 15 minutes and specimens collected in tubes with NaF/heparin and stored for 24-144 h prior to centrifugation had equivalent levels of homocysteine. Specimens collected in NaF/heparin tubes and centrifuged within 15 minutes had significantly lower levels of homocysteine than EDTA specimens centrifuged within 15 minutes. This was presumably due to plasma dilution from erythrocyte water loss caused by the NaF, which was no longer an issue at the 24-hour time point. In conclusion, the use of NaF/heparin allows for storage of blood for up to 144 h at room temperature prior to centrifugation without altered homocysteine levels.

Studies

  1. Study Purpose

    The purpose of this study was to compare homocysteine levels in blood collected in tubes with the anticoagulant NaF/heparin and stored for up to 48 h at room temperature prior to centrifugation with specimens collected in tubes containing EDTA and centrifuged after 15 minutes.

    Summary of Findings:

    Specimens collected in tubes containing EDTA and centrifuged within 15 minutes and specimens collected in tubes with NaF/heparin and stored for 24-144 h prior to centrifugation had equivalent levels of homocysteine. Specimens collected in NaF/heparin tubes and centrifuged within 15 minutes had significantly lower levels of homocysteine than EDTA specimens centrifuged within 15 minutes. This was presumably due to plasma dilution from erythrocyte water loss caused by the NaF, which was no longer an issue at the 24-hour time point. In conclusion, the use of NaF/heparin allows for storage of blood for up to 144 h at room temperature prior to centrifugation without altered homocysteine levels.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Small molecule LC-MS or LC-MS/MS
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Anticoagulant EDTA
    Sodium fluoride/heparin
    Storage Time at room temperature 15 min
    24 h
    48 h
    144 h
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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