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

Heparin and EDTA anticoagulants differentially affect the plasma cytokine levels in humans.

Author(s): Patil R, Shukre S, Paranjape R, Thakar M

Publication: Scand J Clin Lab Invest, 2013, Vol. 73, Page 452-5

PubMed ID: 23772882 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of type of anticoagulant on the measurement of cytokines in plasma from healthy individuals and human immunodeficiency virus (HIV) positive patients.

Conclusion of Paper

Levels of 12 of the 15 cytokines measured were significantly different between EDTA and heparin plasma in healthy individuals and HIV patients. The levels of one additional cytokine (Interleukin-7, IL-7) were significantly different between heparin and EDTA plasma when specimens from HIV patients and normal controls were analyzed separately.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of type of anticoagulant on the measurement of cytokines in plasma from healthy individuals and HIV positive patients. Plasma was stored at -80 degrees C for between 1 month and 1 year before analysis.

    Summary of Findings:

    When specimens from healthy individuals and HIV positive patients were analyzed together, significantly higher levels of tumor necrosis factor (TNF)-alpha, interferon (IFN)-gamma, IL-4, granulocyte colony-stimulating factor (G-CSF), and IL-5 were measured in EDTA plasma than in heparin plasma (all p<0.05). On the other hand, significantly higher levels of macrophage inflammatory protein (MIP)-1beta, granulocyte-macrophage colony-stimulating factor (GM-CSF), monocyte chemotactic protein-1 (MCP-1), IL-6, IL-8, IL-10, and IL-17 were measured in heparin plasma than in EDTA plasma (all p<0.05). The type of anticoagulant did not affect levels of IL-7, IL-12, or IL-13. When specimens from healthy individuals and HIV positive patients were analyzed separately, the only significant difference was that IL-7 levels were higher in EDTA plasma than heparin plasma from healthy controls, but they were higher in heparin plasma than EDTA plasma from HIV patients.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • AIDS/HIV-related
    • Normal
    Platform:
    AnalyteTechnology Platform
    Protein Immunoassay
    Glycoprotein Immunoassay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Anticoagulant EDTA
    Heparin
    Preaquisition Diagnosis/ patient condition HIV positive
    Normal

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