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 twenty-five analytes in human serum at 22 degrees C, 4 degrees C, and -20 degrees C.

Author(s): Donnelly JG, Soldin SJ, Nealon DA, Hicks JM

Publication: Pediatr Pathol Lab Med, 1995, Vol. 15, Page 869-74

PubMed ID: 8705197 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of storage temperature and duration on the levels of 25 clinical chemistry analytes in serum.

Conclusion of Paper

Amylase, lactate dehydrogenase (LDH) and carbon dioxide (CO2) generally decreased with storage at -20, 4, and 22 degrees C, but alanine aminotransferase (ALT), alkaline phosphatase (AP), aspartate aminotransferase (AST), and high-density lipoprotein cholesterol (HDLC) were affected differently by the three storage temperatures.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of storage temperature and duration on the levels of 25 clinical chemistry analytes in serum. Serum from four volunteers was pooled into two pools, aliquoted and stored in the dark at room temperature (0-48 h), 4 degrees C (0-8 days), and -20 degrees C (0-4 months). One pool was analyzed 3 times for each analyte, while the other was analyzed 5 times.

    Summary of Findings:

    ALT, AP, AST, and HDLC generally increased with increasing storage duration at room temperature, but HDLC levels were lower in specimens stored at room temperature for 8 h than in fresh specimens. Amylase, LDH and CO2 generally decreased with increasing storage at room temperature, but CO2 levels were higher in specimens stored for 8 h at room temperature than in fresh specimens. ALT and AST levels increased during the first 2 days and between 4-8 days of storage at 4 degrees C, but levels of ALT and AST decreased between 2 and 4 days of storage at 4 degrees C. Amylase and LDH decreased progressively with storage at 4 degrees C, and AP, AST and CO2 were generally lower after storage at 4 degrees C than in fresh specimens but did not decrease linearly. ALT, amylase, AP, AST, CO2, HDLC, and LDH generally decreased with increasing storage durations at -20 degrees C, but AST and LDH were higher after 8 days of frozen storage than in fresh specimens, and HDLC was higher in specimens stored frozen for 2 months than at any other time point. Storage had no effect on levels of glucose, blood urea nitrogen, sodium, potassium, chloride, creatinine, calcium, phosphorous, uric acid, total protein, albumin, triglycerides, lipase, creatinine kinase, gamma-glutamyltransferase, iron, magnesium or cholesterol.

    Biospecimens
    Preservative Types
    • Frozen
    • Other Preservative
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Carbohydrate Clinical chemistry/auto analyzer
    Electrolyte/Metal Clinical chemistry/auto analyzer
    Gas Clinical chemistry/auto analyzer
    Lipid Clinical chemistry/auto analyzer
    Small molecule Clinical chemistry/auto analyzer
    Protein Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Frozen
    None (fresh)
    Refrigeration
    Storage Storage temperature 22 degrees C
    4 degrees C
    -20 degrees C
    Storage Storage duration 0 h
    8 h
    24 h
    36 h
    48 h
    4 days
    1 weeks
    8 days
    14 days
    1 month
    2 months
    3 months
    4 months

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