CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(01): 011-015
DOI: 10.4103/0974-2727.187928
Original Article

Study of the Stability of Various Biochemical Analytes in Samples Stored at Different Predefined Storage Conditions at an Accredited Laboratory of India

Kamal Kachhawa
Department of Biochemistry, Mahaveer Institute of Medical Sciences and Research, Bhopal, Madhya Pradesh, India
,
Poonam Kachhawa
Department of Biochemistry, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India
,
Meena Varma
Department of Biochemistry, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India
,
Rasmirekha Behera
Department of Pharmacology, IMS and SUM Hospital, SOA University, Bhubaneswar, Odisha, India
,
Divya Agrawal
Department of Anatomy, Mahaveer Institute of Medical Sciences and Research, Bhopal, Madhya Pradesh, India
,
Sanjay Kumar
Department of Pharmacology, Mahaveer Institute of Medical Sciences and Research, Bhopal, Madhya Pradesh, India
› Author Affiliations
Financial support and sponsorship Nil.

ABSTRACT

Background: Storage of serum and other blood products is often necessary in laboratories because of technical issues or to preserve samples for subsequent research purposes. The aim of this study was to determine whether the stability of biochemical analytes is affected by storage conditions.

Materials and Methods: A total of 17 biochemical analytes in the sera of ten patients were examined following storage. Subsequent to determining the baseline measurements, the serum of each patient was aliquoted and stored at −20°C for 7, 15, and 30 days and then analyzed for stability. The results were compared with the initial analysis measurements obtained from fresh samples. Mean changes compared to baseline (T0) concentrations were evaluated both statistically and clinically.

Results: Our results show that sodium, potassium, urea, creatinine, uric acid, total calcium, phosphorus, direct bilirubin, total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, total protein, albumin, cholesterol, and triglyceride levels were stable under all conditions. Serum amylase was the only analyte demonstrating instability following prolonged storage; amylase levels changed significantly (both statistically and clinically) at 7, 15, and 30 days (P < 0.05).

Conclusion: Most common biochemical analytes, except for amylase, showed adequate stability in serum following 30 days of storage at −20°C. Serum amylase analysis should be conducted on the same day that the sample is received in the laboratory.



Publication History

Article published online:
19 February 2020

© 2017.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • REFERENCES

  • 1 Laessig RH, Indriksons AA, Hassemer DJ, Paskey TA, Schwartz TH. Changes in serum chemical values as a result of prolonged contact with the clot. Am J Clin Pathol 1976;66:598-604.
  • 2 Ono T, Kitaguchi K, Takehara M, Shiiba M, Hayami K. Serum-constituents analyses: Effect of duration and temperature of storage of clotted blood. Clin Chem 1981;27:35-8.
  • 3 Boyanton BL Jr., Blick KE. Stability studies of twenty-four analytes in human plasma and serum. Clin Chem 2002;48:2242-7.
  • 4 Kale VP, Patel SG, Gunjal PS, Wakchaure SU, Sundar RS, Ranvir RK, et al. Effect of repeated freezing and thawing on 18 clinical chemistry analytes in rat serum. J Am Assoc Lab Anim Sci 2012;51:475-8.
  • 5 Heins M, Heil W, Withold W. Storage of serum or whole blood samples? Effects of time and temperature on 22 serum analytes. Eur J Clin Chem Clin Biochem 1995;33:231-8.
  • 6 Madira WM, Wilcox AH, Barron JL. Storage of plasma in primary plasma separator tubes. Ann Clin Biochem 1993;30(Pt 2):213-4.
  • 7 Felding P, Petersen PH, Hørder M. The stability of blood, plasma and serum constituents during simulated transport. Scand J Clin Lab Invest 1981;41:35-40.
  • 8 Berg B, Estborn B, Tryding N. Stability of serum and blood constituents during mail transport. Scand J Clin Lab Invest 1981;41:425-30.
  • 9 Männistö T, Surcel HM, Bloigu A, Ruokonen A, Hartikainen AL, Järvelin MR, et al. The effect of freezing, thawing, and short- and long-term storage on serum thyrotropin, thyroid hormones, and thyroid autoantibodies: Implications for analyzing samples stored in serum banks. Clin Chem 2007;53:1986-7.
  • 10 Gao YC, Yuan ZB, Yang YD, Lu HK. Effect of freeze-thaw cycles on serum measurements of AFP, CEA, CA125 and CA19-9. Scand J Clin Lab Invest 2007;67:741-7.
  • 11 Zivkovic AM, Wiest MM, Nguyen UT, Davis R, Watkins SM, German JB. Effects of sample handling and storage on quantitative lipid analysis in human serum. Metabolomics 2009;5:507-16.
  • 12 Zhang DJ, Elswick RK, Miller WG, Bailey JL. Effect of Serum clot contact time on clinical chemistry laboratory results. Clin Chem 1998;44:1325-33.
  • 13 Passey RB. Quality control for the clinical chemistry laboratory. In: Kaplan LA, Pesce JA, editors. Clinical Chemistry: Theory, Analysis, and Correlation. 3rd ed. St. Louis, MO:CV Mosby Company; 1996. p. 385-91.
  • 14 Cuhadar S, Atay A, Koseoglu M, Dirican A, Hur A. Stability studies of common biochemical analytes in serum separator tubes with or without gel barrier subjected to various storage conditions. Biochem Med (Zagreb) 2012;22:202-14.
  • 15 Jandl JH. Physiology of red blood cells. In: Blood: A Textbook of Hematology. 2nd ed. Boston, MA: Little Brown and Company; 1996. p. 157-77.
  • 16 Cuhadar S, Koseoglu M, Atay A, Dirican A. The effect of storage time and freeze-thaw cycles on the stability of serum samples. Biochem Med (Zagreb) 2013;23:70-7.
  • 17 Brinc D, Chan MK, Venner AA, Pasic MD, Colantonio D, Kyriakopolou L, et al. Long-term stability of biochemical markers in pediatric serum specimens stored at ߝ80°C: A CALIPER substudy. Clin Biochem 2012;45:816-26.
  • 18 Paltiel L, Rønningen KS, Meltzer HM, Baker SV, Hoppin JA. Evaluation of freeze thaw cycles on stored plasma in the biobank of the Norwegian mother and child cohort study. Cell Preserv Technol 2008;6:223-30.