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

Stability of plasma analytes after delayed separation of whole blood: implications for epidemiological studies.

Author(s): Clark S, Youngman LD, Palmer A, Parish S, Peto R, Collins R

Publication: Int J Epidemiol, 2003, Vol. 32, Page 125-30

PubMed ID: 12690023 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to assess the stability of several common plasma analytes after delayed separation of whole blood and storage at either 21 or 4 degrees C.

Conclusion of Paper

Changes in concentration of less than 4% were observed for albumin, apolipoproteins A1 and B (apoA1 and apoB), total protein, triglycerides, cholesterol, and high density lipoprotein (HDL) when whole blood was stored at 21 degrees C. Low density lipoprotein (LDL) concentration changed by less than 7% when stored at 21 degrees C. On the other hand, alanine transaminase (ALT), creatinine, creatine kinase (CK), and gamma-glutamyl transferase (GGT) concentrations changed upwards of 10% after storing whole blood for 7 days at 21 degrees C. However, these analytes showed less than 4% change after storage at 4 degrees C for up to 7 days. Aspartate transaminase (AST) was the only analyte measured that showed marked differences in concentration after storage of whole blood at either temperature.

Studies

  1. Study Purpose

    The purpose of this study was to measure the concentrations and determine the stability of albumin, apoA1, apoB, total protein, triglycerides, cholesterol, HDL, LDL, ALT, creatinine, CK, GGT, and AST after delayed separation of whole blood and storage at either 21 or 4 degrees C. Blood was collected into potassium EDTA tubes with aprotinin. All plasma specimens were stored at -80 degrees C once separated and analyzed together in one batch.

    Summary of Findings:

    Changes in concentration of less than 4% were observed for albumin, apoA1, apoB, total protein, triglycerides, cholesterol, and HDL when whole blood was stored at 21 degrees C or 4 degrees C. LDL concentration changed by less than 7% when stored at either temperature. On the other hand, ALT, creatinine, CK, and GGT concentrations changed upwards of 10% after storing whole blood for 7 days at 21 degrees C. However, these analytes showed less than 4% change after storage at 4 degrees C for up to 7 days. AST was the only analyte measured that showed marked differences in concentration after storage of whole blood at either temperature.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Lipid Clinical chemistry/auto analyzer
    Lipoprotein Clinical chemistry/auto analyzer
    Protein Clinical chemistry/auto analyzer
    Steroid Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage duration 0 d
    1 d
    2 d
    3 d
    4 d
    7 d
    Storage Storage temperature 4 degrees C
    21 degrees C
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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