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

Short- and long-term cardiac troponin I analyte stability in plasma and serum from healthy volunteers by use of an ultrasensitive, single-molecule counting assay.

Author(s): Wu AH, Shea E, Lu QT, Minyard J, Bui K, Hsu JC, Agee SJ, Todd J

Publication: Clin Chem, 2009, Vol. 55, Page 2057-9

PubMed ID: 19729470 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of delayed centrifugation of blood and room temperature storage of serum on the measurement of cardiac troponin I (cTnI) in EDTA-plasma, serum, and whole blood using the ultrasensitive Erenna cTnI immunoassay.

Conclusion of Paper

Clinically irrelevant increases in cTnI were observed in plasma and serum after delayed centrifugation of whole blood and in serum after storage at room temperature. The authors report that cTnI stability was similar in EDTA-plasma and serum.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of delayed centrifugation of whole blood and room temperature storage of serum on the measurement of cTnI using the ultrasensitive Erenna cTnI immunoassay in EDTA-plasma and serum from healthy individuals and patients with chest pain without elevated cTnI. All specimens were frozen at -80 degrees C after room temperature storage. Effects of storage on serum and plasma levels were not differentiated by the authors.

    Summary of Findings:

    In healthy subjects, storing specimens at room temperature for 6 and 48 h led to 11% and 16% coefficients of variance (CV), respectively. Further, the CV of cTn1 in over 1 h in healthy subjects and 6 h in chest pain patients were <1% and <3%, respectively. Over 48 h storage a 0.015-0.339 ng/ul per h increase in cTnI levels were observed, but the authors report that these changes would not be clinically relevant. The authors report that stability was similar in whole blood, EDTA-plasma and serum.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    • Not specified
    • Cardiovascular Disease
    Platform:
    AnalyteTechnology Platform
    Protein Immunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Time at room temperature 0 h
    1 h
    2 h
    4 h
    6 h
    24 h
    48 h
    Biospecimen Aliquots and Components Blood and blood products Plasma
    Serum
    Whole blood
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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