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

Effect of collection tube type and preanalytical handling on myeloperoxidase concentrations.

Author(s): Shih J, Datwyler SA, Hsu SC, Matias MS, Pacenti DP, Lueders C, Mueller C, Danne O, Möckel M

Publication: Clin Chem, 2008, Vol. 54, Page 1076-9

PubMed ID: 18509013 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of collection tube type, storage duration prior to and following centrifugation, storage temperature, and freeze-thaw cycling on mycloperoxidase (MPO) concentration.

Conclusion of Paper

EDTA or EDTA plasma preparation tubes consistently performed the best with respect to stabilizing MPO concentration. Whole blood was able to be stored at room temperature for 2 hours or on ice for 8 hours in these tubes without significantly affecting MPO concentrations. In addition, separated plasma was able to be stored at room temperature for 2 days, at 2-8 degrees C for 8 days, or through 3 freeze/thaw cycles in these tubes without significantly affecting MPO concentration.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of collection tube type and storage duration prior to centrifugation either in an ice bath or at room temperature on MPO concentration in normal blood specimens.

    Summary of Findings:

    EDTA and citrate plasma tubes gave the lowest concentrations of MPO and were not significantly different. Average MPO concentrations were significantly higher in heparin (10%) and serum specimens (up to 100%) (p<0.001). A spike recovery experiment showed that the higher MPO concentrations were not due to direct anticoagulant interference. MPO concentration was stable when whole blood was kept on ice for 8 hours or at room temperature for 2 hours prior to centrifugation in either EDTA or EDTA plasma preparation tubes. In citrate and lithium heparin tubes, MPO concentrations were only stable when whole blood was kept on ice for 2 hours prior to centrifugation and were not stable when whole blood was stored at room temperature.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Biospecimen Acquisition Type of collection container/solution Serum (glass)
    Serum (plastic)
    Serum separator
    K2 EDTA
    K2 EDTA plasma preparation
    Lithium heparin (glass)
    Lithium heparin (plastic)
    Lithium heparin plasma separator
    Sodium heparin
    Sodium citrate
    Storage Storage temperature 0 degrees C
    RT
    Storage Storage duration 0 h
    2 h
    8 h
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated
  2. Study Purpose

    The purpose of this study was to determine the effects of storage of plasma or serum at room temperature or at 2-8 degrees C, and freeze/thaw cycling following centrifugation on MPO concentration in normal specimens.

    Summary of Findings:

    Storage of plasma or serum at room temperature for 2 days, at 2-8 degrees C for 8 days, or during up to 3 freeze/thaw cycles only altered MPO concentrations by 7% or less from baseline in any tested tube type with EDTA tubes performing the best.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Biospecimen Acquisition Type of collection container/solution Serum separator
    K2 EDTA plasma preparation
    Lithium heparin plasma separator
    Storage Storage temperature 2-8 degrees C
    Storage Storage duration 0 d
    1 d
    2 d
    5 d
    8 d
    Storage Time at room temperature 0 h
    3.5 h
    24 h
    48 h
    Storage Freeze/thaw cycling 0 cycles
    1 cycle
    2 cycles
    3 cycles
  3. Study Purpose

    The purpose of this study was to determine the effects of collection tube type on MPO concentration in specimens collected from patients presenting with chest pain.

    Summary of Findings:

    EDTA and citrate plasma tubes were similar and gave the lowest concentrations of MPO. Lithium heparin and serum samples had average MPO concentrations of between 2.5 and 3 times those levels found in EDTA and citrate tubes.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Cardiovascular Disease
    Platform:
    AnalyteTechnology Platform
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Biospecimen Acquisition Type of collection container/solution Serum separator
    K2 EDTA
    Lithium heparin plasma separator
    Citrate
    Storage Storage temperature 2-8 degrees C

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