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 anticoagulants on plasma homocysteine determination.

Author(s): Caliskan S, Kuralay F, Onvural B

Publication: Clin Chim Acta, 2001, Vol. 309, Page 53-6

PubMed ID: 11408006 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of anticoagulant and storage temperature prior to centrifugation on homocysteine (Hcy) levels in plasma.

Conclusion of Paper

Significantly higher Hcy levels were measured in specimens collected with EDTA than with sodium citrate or with sodium fluoride and potassium oxalate. Hcy levels decreased when fluoride specimens were kept on ice for 3 h prior to centrifugation, and Hcy levels increased when specimens with any of the three anticoagulants were held at room temperature for 3 hours prior to centrifugation.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of anticoagulant and storage temperature prior to centrifugation on Hcy levels in plasma. After experimental storage, all specimens were frozen at -70 degrees C for 15 days prior to analysis. To achieve a 0 degrees C storage temperature, specimens were kept on crushed ice.

    Summary of Findings:

    Significantly higher Hcy levels were measured in specimens collected with K3EDTA than with sodium citrate (p=0.02) or sodium fluoride and potassium oxalate (p=0.000), and the latter two specimen types were not significantly different from one another. Hcy levels decreased compared to baseline (measured after immediate centrifugation) when sodium fluoride/potassium oxalate specimens were kept on ice for 3 h prior to centrifugation (p=0.043), but the same was not observed for K3EDTA or sodium citrate specimens stored on ice. Hcy levels increased when specimens with any of the three anticoagulants were held at room temperature for 3 hours prior to centrifugation compared to baseline (all p=0.000).

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Small molecule Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage temperature 0 degrees C
    22 degrees C
    Storage Storage duration 0 h
    3 h
    Biospecimen Acquisition Anticoagulant Potassium EDTA
    Sodium citrate
    Sodium fluoride/potassium oxalate
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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