ANALYTE STABILITY & FREEZE-THAW INFORMATION (assembled by Elaine Gunter, Specimen Solutions, LLC)
Proteases: trypsin, chymotrypsin, kallikrein, thrombin
Protein degradation during prolonged storage represents a unique problem that may introduce bias when existing biobank resources are applied to future putative biomarker analyses. Plasma samples should
be stored at - 70 C or lower for LTS.
Presentation at BRN Symposium 2010. http://biospecimens.cancer.gov/meeting/brnsymposiu
Some fibrinogen peptides are m/2010/docs/Zimmerman%20BRN%20Protein%20Ststable up to to F/T, others
ability%20Studies.pdf Assessment of protein stability
C-reactive protein. D-dimer, plasmin-alpha2-antiplasmin complex,
degradation over time for the Thromb Haemost. 2001 Dec;86(6):1495-500.
Measured in frozen plasma samples stored at -70
Longitudinal stability of coagulation, fibrinolysis, and
fibrinogen
degrees C on LN2 for months or up to 6 years
inflammation factors in stored plasma samples.
From 1-6 hr after thawing, no significant difference in marker levels. In FVII activity Anesth Analg 2006: 103(4)969-74. Thawing
procedures and the time course of clotting factor
monomers, D-dimers; α-1 antiplasmin, Fresh plasma stored at - 40C for at least 8 wk.
activity in fresh-frozne plasma: controlled laboratory
20 units collected, initially measured, kept 1 dat @ 4 Mean levels not statistically Transfusion 2003; 43:873-7. Vitamin K-dependent
C, stored 1 wk @ -20 C thawed, stored another wk @ different. Levels remained
coagulation factors and fibrinogen levels in FFP
and fibrinogen in fresh-frozen plasma
remain stable upon repeated freezing and thawing.
Breast cancer biomarker generated in complement activation; all specimen handling operations should
https://www.cambridgebiomedical.com/media/PDFLibr
be carried out at 4 C to avoid generating C3a. Freeze Avoid repeated F/T,
ary/TechBriefs/C3a%20des%20Arg%20in%20Plasma
immediately, preferred frozen for < 3 D before
Biomedical kit insert. a number of stabilzers used for prepared LDH solutions, e.g., trehalose and borate, glycine,
polyethylene glycols, sucrose, maltodextrinClin Chem 1983;29(5):832-5. Creatine Kinase and
Storage @ -90 C has no effect on total or isoenzyme
lactate dehydrogenase: Stability of isoenzymes and
Creatine Kinase and LDH isoenzymes activity for LDH or CK as long as not thawed to 37 C
their activity in stored frozen plasma and prostatis
tissue extracts and effect of sample dilution.
Collected serum subdivided into 3 parts: 1st analyzed immediately, 2nd stored @ -20 C and analyzed after 30 d; the 3rd stored @ -20 C and analyzed after 50 d.
Scand J Lab Anim Sci Suppl 1 1998; 25: 2059.
Creatine Kinase and LDH isoenzymes The total CK and LDH activities were stable in frozen
Stability of Ck- and Ldh-isoenzyme values in minipig
samples; thawed results equivalent to initial
serum under different storage conditions.
Serum samples were frozen @ -20 & -70 C, and then thawed up to six times.According to the Arrhenius calculation, MMP-7 showed excellent stability, at least 5 years at -20°C and several 100 years at -
75°C. The VEGF-receptor maintains 90% of its initial TIMP-1 was stable, even concentration at -20°C over 3 months, and decades after six freeze/thaw cycles. at -75°C. TIMP-1 and VEGF showed poor stability
with cryopreservation, even at -75°C. The stability of the concentration of MMP-7 MMP-7, TIMP-1, VEGF or VEGF-receptor in
biobanking is highly variable, and this should be
taken into account in the interpretation of results. A
temperature -20°C is unsuitable for prolonged
Clin Chem Lab Med. 2011 Feb;49(2):229-35. Epub
storage of the biomarkers investigated, and repeated significantly. Decreases in
2010 Dec 1. Impact of cryopreservation on serum
thawing of sera is not recommended. VEGF is
concentration of matrix metalloproteinases (MMP)-7,
especially unstable and should be quantitated
dramatic, even after the first TIMP-1, vascular growth factors (VEGF) and VEGF-
using serum that has never been frozen.
Delayed storage of CSF led to changes in prostaglandin D-synthase derived peptides as well as to increased levels of certain amino acids and metabolites. The changes of metabolites, amino acids and proteins in the delayed storage study
appear to be related to remaining white blood cells.
Our recommendations are to centrifuge CSF samples transthyretin peptide levels immediately after collection to remove white blood
(due to trypsin digestion]. F/T J Proteome Res. 2009 Dec;8(12):5511-22. The effect
Polymeric proteins such as transthyretin cells, aliquot, and then snap-freeze the supernatant cycles should be avoided if at of preanalytical factors on stability of the proteome in CSF
in liquid nitrogen for storage at -80 degrees C.
and selected metabolites in cerebrospinal fluid (CSF).
serum and cerebrospinal fluid carrier of the thyroid
http://www.uscnk.us/pdf/20091014105437.pdf. Uscn
hormone thyroxine (T4); also 1:1 complexes with
Life Sciences ELISA Kit insert for Rat Serum
Other markers: Interleukin-6 (IL-6) and TNF-α levels remained stable for at least 6 h in timely separated plasma but not in unseparated plasma 4 h after blood draw, in which IL-6 was decreased by mean 14.3% and TNF-α increased by mean 9.6%. Leptin was unchanged in both conditions, presumably due to the involvement of blood cells in the release and clearance of IL-6 and TNF-α but not of leptin. Interleukin-6 and leptin were not affected by freezing and thawing for their stable α-helical structure, while TNF-α concentration increased by 17.0% after 3 cycles and by 23.9% after 6 cycles due to the unstable β–pleated sheet structure.[8] Delayed
(overnight) separation and short-term frozen-storage h in unseparated sera stored affected plasma but not serum IL-7 concentration.[9] at 4°C or in separated sera Hepatocyte growth factor (HGF), also a glycoprotein stored at room temperature, of 190 kDa heterodimer, remained stable in serum
after 20 freeze-thaw cycles, or after 4-months of
frozen storage, but increased by 20% after 10-
months of frozen storage, which was possibly
http://www.medscape.com/viewarticle/564090_4.
ascribable to interassay variation, release of HGF
Medscape Today: Serum Thyroglobulin Stability for
from binding serum proteins, and some mechanism of storage. Compared with samples separated within 1 h, serum HGF was not altered when whole blood was stored for 24 h at 6°C before or 6 h at room temperature after separation, but increased when whole bloo
Tg is stable for at least 24 hr in unseparated sera @
http://labmed.ascpjournals.org/content/38/10/618.full.p
4 C or separated sera @ RT, but not in sera
df (Science) Serum thyroglobulin stability for
undergoing even a short period of frozen storage.
Lab has determined that insulin is stable 5X F/T [other http://www.cdc.gov/nchs/data/nhanes/nhanes_07_08/
glu_e_met_insulin.pdf. Human insulin immunoassay.
Glycoproteins [ e.g., α-1 acid glycroprotein, thyroglobulin]
Sensitive to freeze/thaw cycles in a -20 C frost-free
[Given that RBCF must be stabilized with asorbic
acid preservative!] Whole blood hemolysates less
stable than intact whole blood; plasma folate less
cycles (exposed to ambient Clinical Laboratory News, Jan 2011, 8-10. Folte:
Clinical Utility of Serum & Red Blood Cell Analysis
Various assay kit inserts. Also: http://repository.unm.edu/bitstream/handle/1928/6875/Norman_Ornelas%20Final%20Paper.pdf?sequence=1
Samples split & stored at -20 & -70 C for 1,3,6,& 12
. Stability of abnormal D-dimer levels in platelet-poor
mo. Stable on storage at either temperature.
In vitro D-dimer stability in plasma is widely assumed, but has not yet been documented by systematic studies using samples covering a wide range of D-dimer. We investigated the short- and long-term stability of D-dimer in clinical citrated plasma samples with normal and pathological levels. The short-term stability was analysed by measuring D-dimer fresh, after storage of plasma for 4 hours at room temperature (RT) and after an additional 24 h storage at +2 to +8 degrees C (n=40). Long-term stability samples (n=40) were measured fresh and after storage for 19, 25 and 36 months at < or =-60 degrees C. The effect of repeated freezing was analysed by measuring samples (n=50) fresh and
after four consecutive freeze-thaw cycles. D-dimer
was measured on the BCS System using the
INNOVANCE D-Dimer assay (Siemens Healthcare
Diagnostics Products GmbH, Marburg, Germany). D- consecutive freeze-thaw dimer values at baseline ranged from 0.23-22.2 mg/l cycles. Repeated freezing FEU. The mean percentage change after storage for did not significantly alter D-
Thromb Haemost. 2010 Feb;103(2):461-5. Epub 2009
4 hours at RT and additional 24 hours at +2 to +8
dimer values (mean change Nov 13. Long- and short-term in vitro D-dimer stability
degrees C was +3.8% and +2.7%, respectively. The mean percentage change after frozen storage for 19, 25 and 36 months at < or =-60 degrees C was -1
1.7%, -4.8% and -9.3%, respectively. The small decrease of D-dimer values after frozen storage was not time-
Endogenous LH, FSH, TSH, growth hormone, prolactin and insulin were measured by radioimmunoassay in human plasma samples stored at 4°, 20° and 37° for up to 8 days or repeatedly frozen and thawed. At 4°, the concentrations of all
Clinical Biochemistry 1980 13(4):151-5. Effect of time,
hormones were stable for at least 8 days; at 20° only All the hormones except
temperature and freezing on the stability of
LH, FSH and TSH were stable for 8 days; at 37° only insulin were stable during 5 immunoreactive LH, FSH, TSH, growth hormone,
All contemporary assays detected significantly lower
Clinical Chemistry and Laboratory Medicine. Volume
TSH and increased FT4 and FT3 concentrations in
48, Issue 3, Pages 409–412 Stability of serum
the stored samples after 8-11 yr @ -80 C.
thyroid hormones following 8–11 years of cold storage
3X F/T no effect on CHOL, retinol & carotenoids, & most
Clinical Chemistry 47: 139-142, 2001. Effects of
repeated freeze-thaw cycles on concentrations of
variability. [Driskell 17X F/T cholesterol, micronutrients, and hormones in human
A majority of analytes showed no significant changes until 30 freeze–thaw cycles. After 30 freeze–thaw cycles, the largest percent change was observed for free fatty acids (+32%), AST (+21%), and
Cell Preservation Technology. Volume: 6 Issue 3:
triglycerides (−19%). Human plasma can go through
September 6, 2010. Evaluation of Freeze–Thaw
vitamin E, aspartate aminotransferase several freeze–thaw cycles before analysis without
Cycles on Stored Plasma in the Biobank of the
influencing sample integrity for the selected analytes.
average decreases of 2.0% per year for total cholesterol over 7 years and 2.8% per year in
Clin Chem. 2000 Mar;46(3):351-64.Estimating the
triglycerides for the first 5 years. HDL-cholesterol
long-term effects of storage at -70 degrees C on
decreased by 1.3% per year, but this change was not
cholesterol, triglyceride, and HDL-cholesterol
Int J Epi 2008:37:234-44.The UK Biobank sample
apolipoprotein B, cholesterol, creatinine Stored at -20, -40, -80, -180 C for up to 6 years.
handling and storage protocol for the collection,
kinase, creatinine,k fibrinogen, HDL-C, Degradation detected in some samples at -20 & -40,
processing, and archiving of human blood and urine.
simultaneously investigated the stability of 24 analytes (a) after prolonged contact of plasma and
serum with blood cells and (b) after immediate
separation of plasma and serum (centrifuged twice at
2000g for 5 min). We verified biochemical mechanisms of observed analyte change by
concomitant measurement of pH, PCO2, and PO2.
Hemolysis was qualitatively and semiquantitatively assessed. All specimens were maintained at room
temperature (25 °C) and analyzed in duplicate 0.5, 4,
albumin, alkaline phosphatase (ALK), aspartate aminotransferase (AST),
8, 16, 24, 32, 40, 48, and 56 h after collection. Fifteen of 24 analytes in plasma and serum maintained in
direct bilirubin, total bilirubin, calcium,
contact with cells showed clinically relevant changes,
with the degree of change more pronounced in most
plasma specimens. All analytes in plasma and serum immediately separated from cells after collection
dehydrogenase (LD), Mg2+, Pi, K+, Na+, Conclusion: Storage of uncentrifuged specimens
Clinical Chemistry. 2002;48:2242-2247. Stability
total protein, triglycerides, uric acid, and beyond 24 h caused significant changes in most
Studies of Twenty-Four Analytes in Human Plasma
analytes investigated because of (a) glucose
N=25 stored at -20 C and reassayed on days
Clin Chem 1984; 30(1), 114-5. Freeze-thaw stability of
3,4,8,16,22. N=74 specimens stored at 4 C and
transferrin and reference values obtained bykinetic
nephelometryhttp://www.tricitieslab.com/Files/TestUpdates/Gliadin%20Antibodies.pdf. Anti-gliaden test for gluten-sensitive
Anti-gliadin antibodies IgA, IgG in serum
Lipoprotein a 19% in serum stored 3 yr @-70C; 30% increase in serum
Ca Epi Biomarkers Prev 2005: 141899-907. Design
testosterone in samples stored @ -80 c Lpa 25% decrease after 2X F/T to -20C, 23%
Options for Molecular Epidemiology Research Within
Demography, 44(4) Nov 2007: 899-925. What a drop can do: Dried Blood spots as a minimall invasive
no evidence of deterioration method for integrating biomarkers int population-
CRP was measured in serum samples at the baseline and in thawed plasma samples after an average storage period of 13.8 years. Geometric means of CRP were 0.25 mg/L and 0.59 mg/L before
J Epi Vol. 17 (2007) , No. 4 pp.120-124. Comparison
and after storage, respectively. The CRP values were
of C-reactive Protein Levels between Serum and
significantly higher after long-term frozen storage
Plasma Samples on Long-term Frozen Storage after a
Comparable results were obtained for plasma (heparin and EDTA treated) and serum samples, and
levels were unaffected by delays in sample
Clin Diagn Lab Immunol. 2003 July; 10(4): 652–657.
processing and storage temperature. CRP levels
Analytical Performance of a Highly Sensitive C-
were also unaffected by up to seven freeze-thaw
Reactive Protein-Based Immunoassay and the Effects
of Laboratory Variables on Levels of Protein in BloodAnn Clin Biochem 2008;45:575-584 . Simultaneous determination of guanidinoacetate, creatine and
. stable in urine for up to seven freeze thaw
creatinine in urine and plasma by un-derivatized liquid
Br J Nutr. 2010 Sep;104(5):629-32. Epub 2010 Apr 26. Temporal reproducibility of taurine measurements
is not affected by freeze–thaw cycles
in frozen serum of healthy postmenopausal women. H. pylori Test.
Serum or plasma samples may be . frozen and
http://www.fishersci.com/wps/downloads/segment/Hea
thawed repeatedly.
OPG is stable at –20 C in serum and in EDTA, citrate,
and heparin plasma, and also at 4 C for up to 14 d; Three freeze-thaw cycles did not affect recovery of sample from serum, EDTA plasma, or citrate plasma, although recovery was significantly reduced in heparinized plasma. In one study, sRANKL was stable at up to four freeze-thaw cycles in serum and
The Journal of Clinical Endocrinology & Metabolism
heparinized plasma (41). Another study showed that
collection of sample on Li-heparin and storage for
Osteoprotegerin and Receptor Activator for Nuclear
Osteoprotegerin and Receptor Activator over 6 months at –70 C led to significant loss of
Factor ; KB Ligand: Clinical Utility in Metabolic Bone
Disease AssessmentProteome Science 2009, 7:15. Development of
no change in clusterin levels after five freeze/thaw
reverse phase protein microarrays for the validation of
clusterin, a mid-abundant blood biomarker
Advances in Chromatographic Techniques for
freeze-thaw cycles demonstrate protein interference
Therapeutic Drug Monitoring. Immunoassays for
Therapeutic Drug Monitoring. CRC Press 2010Current standards for the storage of human samples
metabolic analysis of human serum
in biobanks. Genome Medicine 2010, 2:72 (5 October
and urine for large scale population
.http://genomemedicine.com/content/pdf/gm193.pdf
Post-collection, pre-measurement variables affecting
Measuring VEGF in the urine, as opposed to serum
or plasma, is preferable
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2367114Comparison of Two Methods to Determine Plasma
Two freeze-thaw cycles decreased activity by over
Bile Acid in Healthy Birds. J Avian Med Surg . 17(1),
J Lipid Res. 2010 Oct;51(10):3074-87. Epub 2010 Jul
.examined the effect of freeze-and-thaw cycles on
21.Blood sphingolipidomics in healthy humans: impact
the stability of sphingolipids in serum and plasma
freeze-thawing human plasma either had no effect or
Coupling of Proadipocyte Growth and Arrest. http://jcb.rupress.org/content/94/2/394.full.pdf. Aug 1. 1982
storage at -20 C not acceptabel for sex hormones - -
70 C acceptable. Cartenoids drop substatntially at -
Sep;15(9):1578-81. Collection, processing, and
20 C after 6 months, up to 97% over 10 yrs; -70 C
storage of biological samples in epidemiologic studies:
storage stable up to 1`0 yr. Store inflammatory
sensitive to F/T - avoid F/T if sex hormones, carotenoids, inflammatory markers,
markers or proteomic assay materials <-70 C.
Informa Healthcare - Biomarkers - 16(1):83.
http://informahealthcare.com/doi/abs/10.3109/135475
Serum gonadotrophins & steroid homones (FSH, LH, estrone, estradiol, No effects on serum hormone levels of repeated
JAMA. 1995;274:1926-1930). Serum Gonadotropins
freeze-thaw cycles, up to three cycles were
and steroid hormones and the development of ovarian
observed (another ref: "decades")
estradiol, prolactin, and total testosterone had fairly
good performance for both serum and plasma.
Cancer Epidemiol Biomarkers Prev. 1995 Jul-
Serum-free testosterone increased in time up to 30%,
Aug;4(5):509-13. Validity for epidemiological studies of
whereas progesterone decreased by about 40% of
long-term cryoconservation of steroid and protein
Urine hepcidin is more affected by multiple freeze-
Clinical Chemistry. 2007; 53(4). Mass spectrometry-
thaw cycles and storage . analytical, and biological affected by multiple freeze-
based hepcidin measurements in serum and urine:
variations that effect serum and urine differently.
analytical aspects and clinical implications
CT should be analyzed within 2X FT; PGT more
Steroids 2001;66:737-41. Stability of salivary steroids:
the influences of storage, food, and dental care.
concentrations by ELISA that were significantly lower
than those of fresh samples after one freeze-thaw cycle. By ITA the decrease was significant only after
two cycles. In specimens frozen at -70 degrees C,
Lp(a) concentrations determined by ELISA decreased after two cycles, and by ITA after three freeze-thaw
cycles. Serum samples subjected to quick freezing at -
70 degrees C and thawing did not show significant
decreases in Lp(a) immunoreactivity during four cycles. Immunoreactivity of Lp(a) in samples stored
Clinical Chemistry 38: 1873-1877, 1992; Effect of
at 4 degrees C decreased after 6 days but fell faster
freezing and thawing of serum on the immunoassay of
in serum samples subjected to freezing and thawing
lipoprotein(a)Long-Term Fatty Acids Stability in Human Serum Cholesteryl Ester, Triglycerideand Phospholipid Fractions. http://www.jlr.org/content/early/2010/05/06/jlr.D007534
no significant decrease after 10 yr @ -80C
.full.pdfHigh Stability of Markers of Cardiovascular Risk in Blood Samples. Clinical Chemistry 49: 652-655, 2003;
Approximately 1% of the free PSA was lost per hour of clotting time. Between 2% and 3% of the free PSA was lost per day of storage at 4 degrees C or 23 degrees C. About 0.9% of the free PSA was lost per month of storage at -20 degrees C compared with
Urology. 1996 Dec;48(6A Suppl):33-9. Stability of free
about 0.4% per month at -70 degrees C. Total PSA
prostate-specific antigen in serum samples under a
appeared to be stable throughout these studies.
free or total PSA, or % free variety of sample collection and sample storage
Clin Chim Acta. 2003 Dec;338(1-2):131-4. Effects of
stable for up to 3 months when stored at -30 degrees repeated freeze–thawing did storage time on stability of salivary immunoglobulin A
not affect s-IgA and albumin and lysozyme.
decline appeared to occur most often between the second and third freeze-thaw cycle. Eight anticardiolipin IgG and three IgM-containing samples
Am J Clin Pathol. 1994 Nov;102(5):586-8. Effects of
which had been positive initially became negative by
repeated freeze-thaw cycles on anticardiolipin
antibody immunoreactivity. Clinical Chemistry 43: 2281-2291, 1997; Development and validation of sensitive method for determination of
After >4 years, we have seen no evidence of
serum cotinine in smokers and nonsmokers by liquid
instability in any of these serum pools during storage
chromatography/atmospheric pressure ionization
Clinical Chemistry. 1997;43:1570-1576 Comparison of
All the urine samples for the biological variability
analytical performance and biological variability of
studies were stored at <=20 °C until testing.
Both the free and conjugated forms of PYD and DPD have been shown to be stable in urine samples kept at room temperature for several weeks. Several reports show that pyridinium crosslinks can be stored Repeated freeze-thaw cycles at –20°C for years. Similar stability has been reported of urine samples have no for urinary N-terminal (NTX) and C-terminal (CTX)
collagen type I telopeptides, while ICTP in serum
loses up to 12% of the signal when stored at room
temperature for 5 days. The activity of serum tartrate- have a deleterious effect on
resistant acid phosphatase (TRAP) declines rapidly serum TRAP activity. BSP
cathepsin K (CK), osteocalcin (OC) and during storage at room temperature or even at −20°C levels have been shown to
alkaline phosphatase (AP), N-terminal but is stable when stored at −70°C or lower. Serum not change significantly
Clin Biochem Rev. 2005 November; 26(4): 97–122.
levels of BSP appear rather stable, both at room
during repeated freeze-thaw- Biochemical Markers of Bone Turnover Part I:
Samples mailed. Aliquots (1 mL) of plasma and serum were stored at –80 °C and transferred on dry ice to collaborating laboratories for analysis within 1 week. For CRP, retinol, and ferritin, changes in concentration during the 96-h storage period were small and not significant (≤10%; P ≥0.1). For folic
Clinical Chemistry 51: 230-232, 2005. Whole-Blood
acid, the mean concentration changed significantly
over time (P = 0.037), with the sharpest decrease
Compromising Stability of C-Reactive Protein, Retinol,
Ferritin, Folic Acid, and Fatty AcidsJ Clin Lab Anal. 1999;13(4):166-72. Insulin-like growth factors (IGF-I, free IGF-I and IGF-II) and insulin-like
Freeze-thaw treatment up to five cycles had little
growth factor binding proteins (IGFBP-2, IGFBP-3,
impact on plasma levels of IGFs and IGFBP-3.
IGFBP-6, and ALS) in blood circulation.
aliquots stored as plasma or whole blood at 4, 21, or 30 degrees C for 1-5 days and after 1-5 freeze-thaw cycles. stability duration in plasma was 5 days for sVCAM-1 and sICAM-1 and at least 2 days for sE-
selectin at 4, 21, and 30 degrees C and 5 days for
CRP at 4 and 21 degrees C and 1 day at 30 degrees sICAM-1, sVCAM-1, CRP, C. Stability duration in whole blood was 5 days for
and sE-selectin were stable Clin Chem. 2007 Oct;53(10):1858-60. Epub 2007 Aug
sVCAM-1 and sICAM-1 and at least 2 days for sE-
3. Stability of soluble adhesion molecules, selectins,
selectin at 4, 21, and 30 degrees C and 5 days for
sP-selectin is not stable and and C-reactive protein at various temperatures;
CRP at 4 and 21 degrees C and 2 days at 30
therefore requires immediate implications for epidemiological and large-scale
After completing 10 freeze-thaw cycles, we found no clinically or statistically significant effect on measured
Clinical and Diagnostic Laboratory Immunology,
antibody levels and found no discernible detrimental
January 2003, p. 19-21, Vol. 10, No. 1. Effect of
effect on the ability to measure these antibodies by
Multiple Freeze-Thaw Cycles on Detection of
Measles, Mumps, and Rubella Virus Antibodies
One week storage at +4 degrees C did not significantly affect the serum apo E concentration. At -20 degrees C or -80 degrees C no significant change in apo E concentration occurred during up to three months of storage. Moreover, the concentration of apo E was not modified after long-term storage of serum samples kept at -196 degrees C in liquid nitrogen for up to four years. 15 freeze-thaw cycles, over a 3-week period, did not affect the apo E concentration in serum. A similar freeze-thaw procedure applied to purified human recombinant
apo E showed that apo E2 isoform was the most
3-week period, did not affect Clin Chem Lab Med. 2000 Jun;38(6):525-8. Effect of
apolipoprotein (apo) E concentration in stable in comparison with the apo E3 and apo E4
short- and long-term storage on human serum and
recombinant apolipoprotein E concentration.
Samples were stable for up to 10, <1, and at least
Clinical Biochemistry, Volume 37, Issue 9, September
100 days for whole blood stored at 4, −20, and −80
2004, Pages 836-839 . Effect of pre-analytical
°C. Samples may be kept under refrigeration up to 10
variables on glycohemoglobin measurements in
days and at −80 °C if long-term storage is required.
Compared with its initial value, urine albumin,
creatinine and UACR all did not show any significant frozen and thawed at least
Scand J Clin Lab Invest. 2009;69(8):886-8. Effect of repeated freeze-thaw cycles on urinary albumin-to-creatinine ratio
Plasma albumin values were not affected (P 0.05) by the http://linkinghub.elsevier.com/retrieve/pii/0921448895
first two freeze thaw cycles; 006658 up to 5X (> decreases Ab
WHO/CS/CSR/EDC2001.16 Guidelines for Using HIV
Testing Techologies I SurveillanceBioactiva Diagnostica kit insert, http://www.bioactiva.com/resources/RUBM0400BAen
HCV TMA exhibited robust performance in detecting HCV RNA in samples subjected to various conditions
commonly encountered in a clinical laboratory,
including long-term storage, multiple freeze-thaw
J Clin Microbiol. 2003 January; 41(1): 310–317.
cycles, different collection tubes, and the presence of OK in multiple F/T [Hepatitis Performance Evaluation of the VERSANT HCV RNA endogenous substances, commonly prescribed
Qualitative Assay by Using Transcription-Mediated
drugs, or other microorganisms and viruses.
samples stored @ -70C gave identical spectra to
Molecular & Cellular Proteomics 5.10; 1760-71, 2006.
J Biomed Biotech 2010 article ID 906082, 16 pp.
Plasma, serum, urine, saliva for protein Store urine & saliva at -80 C. DBS for blood
urinary proteome or salivary Challenges for Biomarker Discovery in Body Fluids
plasma preferred ver serum; EDTA-plasma pref over
Internation Collaboration in Proteomics & Informatics,
Clin Adv Hemat Oncol; 4(7): 2006, 541-9. Clinical
Proteomics: The Promises and Challenges of Mass
Spectrometry-Based Biomarker DiscoveryComb Chem High Throughput Screen. 2005 Dec;8(8):725-33. Prerequisites for peptidomic analysis of blood samples: I. Evaluation of blood specimen
plasma vs serum, ULT processing after thrombocytes
qualities and determination of technical performance
1% of the proteins changed by 67% after 1 F/T. 2nd, 3rd, 4th, 5th F/T changed a given peak intensity by a median of Cancer Informatics 2005:1, 98-104. Impact of freeze-1.7, 2.4, 3.5, and 3.1 %. 5X thaw cycles and storage time on plasma samples F/T - repeatedly F/T leads to used in mass spectrometry based biomarker
platelet-depleted plasma preferable, -80 C good, LN2 storage best, addition of protease inhibitors
Proteomics 2005, 5, 3262-77. HUPO Plasma
recommended but should be incorporated early &
Proteome Project specimen collection & hndling:
used judiciously as some form non-specific protein
Towards the standardization of paraneters for plasma
aducts & others interfere with peptide studies
proteome projects. Expert Review of Proteomics. Review article Plasma/serum proteomics: pre-analytical issues. June
plasma & serum proteins for proteomes
LiHep plasma used since EDTA produces strong
cycles found to be relatively Anal Chem 2006, 78, 4307-18. Impact of analytical
signals for for CaEDTA and MgEDTA as well as free small, but keep # F/T to a
bias in metabolonomic studies of human blood serum
Macromolecules (> 5000 Da, e.g. amino
Cancer Informatics 2005:1, 98-104. Impact of freeze-
thaw cycles and storage time on plasma samples
degradation after sequential used in mass spectrometry based biomarker
Storage at 4 °C resulted in altered spectra over a 3-day period reflecting sample degradation. Samples stored at −70 °C, however, gave identical spectra to those from fresh urine samples. Freezing and
thawing had little effect on the spectra for up to four
freeze-thaw cycles, although evidence of degradation
Discovery of Urinary Biomarkers* October 1, 2006
began to be apparent after five freeze-thaw cycles.
Molecular & Cellular Proteomics, 5, 1760-1771.
PATH June 2005. RBP-EIA: Collecting, processing,
and handling venous capillary, and blood spot
very stable in ph1 Acidic conditions, higher
concentration in serum than in milk. Milk has more
Silence 2010, 1:7, 1-7. microRNA as a new immune-
freeze at -80 C until assayed. Most cytokines are
stable for up to 2 yr stotage. Degradation of IL-13, IL- However, levels of certain 15, IL-17 & CXCL8 appear within 1 yr of storage,
CKs like TNK-α increase with Curr Opin Clin Nutr Metab Care. Digital Commons @
whereas IL-2, IL-4, IL-12, & IL-18 are stable for up to each successive F/T,
UConn, 9-1-2010. Conceptual and methodologial
3 yr. IL-1α, IL-1-β, IL-5, IL-6, & IL-10 are degraded
issues relevant to cytokine and inflammatory marker
up to 50% with 2-3 years of storage.
measurements in clinical research. Clin Diagn Lab Immunol 1999; 6:89-95. Stability of plasma levels of cytokines and soluble activation
measured as stored at ambient to -70 C over 20
markers in patients with human immunoideficiency
Only 2 of 15 cytokines remained stable after several F/T cycles. Although most cytokines are stable in a high protein matrix such as
LTS showed cytokines are stable for a period up to 2 plasma during the 1st F/T,
yr at -80 C. After 4 yr IL-1α, IL-1β, IL-10, IL-15,
the second+ F/Ts should be Prerequisites for cytokine measurements in clinical
UCPCR remained stable after 7 freeze-thaw cycles but decreased with freezer
Clin Chem. 2009 Nov;55(11):2035-9. Epub 2009 Aug
UCPCR was unchanged at room temperature for 24 storage time and dropped to 27. Stability and reproducibility of a single-sample h and at 4 degrees C for 72 h even in the absence of 82%-84% of baseline by 90 urinary c-peptide/creatinine ratio and its correlation
mulitple product inserts from assay kits for C-peptide
Tg small decrease after 3 F/T and a large decrease after 3 months of frozen storage. IL-6 and leptin not affected by F/T (stable α-helical structure), TNF-α increased by 17% after 3 F/T,
HGF stable through 4 months of frozen storage, but 23.9% after 6 F/T; HGF
Medscape Today discussion, Nov. 9, 2007. Serum
thyroglobulin stability for immunoassay: discussion.
BHBA in humans is unaffected by storage temp &
J Dairy Sci 2005; 88 (9): 3139-44. Effect of
time; NEFA are far less stable. -affected by
anticoagulant, storage temperature, and duration of
Bovine non-esterified fatty acid & β-
anticoagulants, increase with time esp @ higher
BHBA did not change after 1 storage on non-esterified fatty acid and B-
hydroxybutyrate concentrations from dairy cattle.
When separated serum was stored at + 9 degrees C for seven days, the mean changes in inorganic phosphate and lactate dehydrogenase exceeded significantly (p < 0.05 or 0.001, respectively) the maximum allowable inaccuracy according to the Guidelines of the German Federal Medical Council; all other quantities were sufficiently stable. In serum at room temperature, inorganic phosphate, uric acid, HDL-cholesterol and triacylglycerols increased continuously, whereas bilirubin, LDL-cholesterol, creatine kinase and aspartate aminotransferase decreased more than the guidelines permit during the
storage period (p < 0.05 for aspartate
aminotransferase, p < 0.001 for the other analytes
mentioned). In whole blood stored for 7 days at + 9
cholesterol, HDL- and LDL-cholesterol, degrees C, only the following serum analytes triacylglycerols, creatine kinase,
satisfied the stability requirements of the guidelines:
calcium, urea, cholesterol, HDL-cholesterol, LDL-
cholesterol, triacylglycerols, creatine kinase, gamma-
glutamyltransferase and cholinesterase. When stored
Eur J Clin Chem Clin Biochem. 1995 Apr;33(4):231-8.
at room temperature, only sodium, uric acid, bilirubin,
Storage of serum or whole blood samples? Effects of
cholesterol, triacylglycerols, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, alpha-amylase and cholinesterase were still stable after 3 days.
time and temperature on 22 serum analytes.
The data collected show that all quantities examined are sufficiently stable for fo
glucose, urea, creatinine, total proteins, One aliquot was considered as the reference aliquot sodium, potassium, chloride, calcium,
and used immediately for the assay of all of the
biochemical constituents. All of the other aliquots
were stored at −20°C. Three aliquots underwent 1, 2, Repeated freeze-thaw cycles
aminotransferase (ALT), creatine kinase or 3 freeze-thaw cycles during a 1- to 3-day period.
do not cause changes in the Vet Clin Pathol 35:339-40. Effect of repeated freeze-
(CK), and alkaline phosphatase (ALP) The last aliquot remained at −20°C throughout the
thaw cycles on routine plasma biochemical
study and was thawed on the third day.
F/T process can disruptcellular compartments where Rnases are stored, giving them access to the
RNA quality depends on tissue handling prior to RNA RNA. Keep tissue frozen at isolation. This article examines the effect of freeze
thaw cycles prior to RNA isolation on RNA
http://www.ambion.com/techlib/tn/93/9314.htm Effect of Freeze-Thawing of Tissue on RNA Integrity - Ambion, Inc
Never-frozen plasma, freeze-thawed plasma, and thawed plasma left at room temperature for 1 h showed no significant differences in RNA concentration. Plasma RNA is stable in uncentrifuged EDTA blood stored at 4 °C, but to obtain a stable serum RNA concentration, uncentrifuged clotted
blood should be stored at 4 °C and processed within observed for freeze-thawed
Clin Chem. 2002 Oct;48(10):1647-53. Stability of endogenous and added RNA in blood specimens, serum, and plasma. Toxicol Appl Pharamcol 2005;206:261-8. Molecular
need protease inhibitors for LTS, store in RNAse free
epidemiology biomarkers - sample collection and
both DNA & RNA must be stored LT @ -80 C, although -20C may be adequate for DNA for up to 5
Profiling of microRNA in blood serum/plasma.
Guidelines for the miRCURY LNA™ Universal RT
high stability of microRNA in EDTA plasma samples
There were no differences in TSH, fT4, TPO-Ab, or TG-Ab concentrations when 50 frozen and thawed serum samples were compared with 50 fresh serum samples. fT3 concentrations were
Clin Chem. 2007 Nov;53(11):1986-7. The effect of
significantly higher (Student t- freezing, thawing, and short- and long-term storage on
TSH, fT4, and fT3 can reliably be analyzed in
serum thyrotropin, thyroid hormones, and thyroid
Serum Thyrotropin, Thyroid Hormones, samples stored for 23 years at –25 °C, and that TPO- samples but remained within autoantibodies: implications for analyzing samples and Thyroid Autoantibodies
Ab and TG-Ab are also stable for 14 years of storage reference intervals.
Choline concentrations with heparin in 5 of 12 volunteers were >10% higher than with EDTA; For freshly collected samples stored at ambient temperature, choline concentrations in all types of samples increased with storage time. For EDTA whole blood, EDTA plasma, and heparin plasma, the choline concentration increased for the first 60 min
and then stabilized. For heparin whole blood, the
choline concentration continued to increase linearly increases in choline with storage time for >4 h, at which time the choline concentrations in heparin concentrations were increased by approximately
Clinical Chemistry. 2008;54:590-593. Choline in Whole Blood and Plasma: Sample Preparation and Stability
human transforming growth factor-β1 (TGF--β1)
Quantikine human TGF-β1 immunoassay kit insert
Samples included in the 12 plates selected for reanalysis for both IGF-I and IGFBP-3 indicated that an additional freeze-thaw cycle did not influence levels of either analyte, confirming previous studies of these assays (19) and suggesting that extended time spent at room temperature may be more
Cancer Epidemiol Biomarkers Prev May 2007 16;
1017 . Serum Levels of Insulin-like Growth Factor-I
and Insulin-like Growth Factor-I Binding Protein-3:
2X previously F/T samples from NHANES used
additional freeze thaw cycle. Quality Control for Studies of Stored Serum
routine serum preparation and refrigerated storage of samples for up to 24 hours is acceptable for the measurement of both free and total PSA. Samples that are to be retained for longer than 24 hours
Urology 1996; 48(6)S1:33-9. Stability of free prostate-
should be frozen. Samples stored for extended
specific antigen in serum samples under a variety of
sample collection and sample storage conditions
Urine samples from 24 h collections were portioned into 50 ml plastic and stored at −80°C until analysis. The endogenous analytes in For freeze-thaw stability, triplicate samples at each
concentration for synthetic urine samples and
iPF2α-III and 15-epi-iPF2α-III,2,3-dinor- authentic urine samples were subjected to three
The Journal of Lipid Research, 2007; 48, 1607-17.
complete freeze-thaw cycles with freezing at −20°C thaw, short-term, and long-
Quantitation of isoprostane isomers in human urine
Repeated freeze-thaw cycles may affect factor level, for example, a reduction in vWF:CB activity and FXII levels. Freeze-thawing may also produce phospholipid
The temperature at which archived samples are
stored affects their shelf-life. For most coagulation
Hemostasis agents (Vitamin K, clotting tests storage at -35°C or less gives a shelf life of
several years but storage at -20°C is inadequate.
Practical-Haemostasis.com: a practical guide to laboratory haemostasis
more than six cycles of repeated freezing and thawing significantly changed Molecular & Cellular Proteomics 2008; 7: 2061-6. the TIMP-1 concentrations;
Banking of Biological Fluids for Studies of Disease-
steroids stable to multi-X F/T associated Protein Biomarkers
A mean decrease of 2.3% was noted after 72 h
storage of whole blood on the bench at room
temperature, and a mean decrease of 3.4% after 24 effect on 25(OH)–vitamin D3 h and 8.5% after 7 days storage of serum on the
bench in daylight. Mean decreases of 4.5% after 3
days and 8.1% after 7 days storage of serum in the
dark at room temperature were noted, whereas a
mean decrease of 1.8% was observed after 7-day
storage of serum in the refrigerator.A 4.0% decrease concentration was seen
Clinical Chemistry. 2009;55:1584-1585. Preanalytical
25(OH)–Vitamin D3 in Human Blood or in the mean concentration was seen following
Stability of 25(OH)–Vitamin D3 in Human Blood or
storage at –20 °C for up to 2 months.
Serum at Room Temperature: Solid as a Rock
Three different patient sample pools were prepared The equivalence of fresh, by serial dilution with Zero Standard, and aliquots
individually frozen at –20°C to accommodate multiple sample values over as much testing. Each sample and dilution were assayed in
multiple replicates each day over three different
assay dates. All data are based on a single freeze-
thaw of each aliquot. Additionally, seven serum
considerable flexibility in the Clinical Biochemistry 2002; 35(7): 517-21. Analytical
samples were subjected to three freeze/thaw cycles logistics of sample
and clinical validation of a radioimmunoassay for the
Kisspeptin is a peptide product of the KiSS-1 gene and a key regulator of the hypothalamo-pituitary-gonadal axis. Pregnancy is associated with raised plasma kisspeptin concentrations.Kisspeptin-IR was Freeze-thaw cycles did not
Endocrine Abstracts (2008) 15 P281. Pre-analytical
poorly preserved in serum samples, but was
significantly influence plasma factors affecting measurement of plasma kisspeptin by
When Plasma Separating II gel tubes were kept at +4°C or at ambient temperature for up to 24 hours
Therapeutic Drug Monitoring:April 2010 - Volume 32 -
before centrifugation, ribavirin concentrations
Issue 2 - pp 237-241. Stability of Ribavirin
Concentrations Depending on the Type of Blood
Collection Tube and Preanalytical Conditions
F/T significantly increased in Clinical Science 2006, III: 341-7. Influence of pre-
proatherogenic mediator. Serum levels higher than
platelet rich, but not platelet- analytical and analytical factors on measurement of
Cancer biomarkers (a-fetoprotein (AFP) for staging of non-seminomatous testicular cancer and monitoring of hepatocellular carcinoma; cancer antigen-125 (CA-125); and human epididymis protein 4 (HE4) for monitoring of ovarian cancer; thyroglobulin (Tg) for monitoring of thyroid cancer; prostate specific antigen (PSA) for screening and monitoring of
clinical samples often used in Medical Laboratory Observer On-line March 2011
of pancreatic cancer; and CA15-3/CA27- a lack of standardization in sample collection,
online.com/features/201103/cover_story.aspx ) Cancer
processing, and storage has been shown to affect
Biomarkers: Surviving the journey from bench to
Thawing and refreezing of whole salivary specimens up to 3 times in the pre-analytical period does not
Presentation #1045 at ADEA/AADR/CADR Meeting &
Aliquot 1 was thawed once prior to analysis, aliquot 2 appreciably affect the
Exhibition (March 8-11, 2006). Effects of Repeated
was refrozen and thawed twice and aliquot 3 was
Freeze-Thaw in Self-collected Salivary Hormone
Refrigerate or freeze samples as soon as possible after collection. Many analytes are not stable at room temperature, and keeping samples cold after collection is important. When samples remain at room temperature for periods of time longer than a few hours there is also opportunity for bacterial growth, which can compromise assay validity.(33) We advocate a conservative approach and advise that all samples should be maintained at 4ºC for no longer than several hours before freezing them at or However, freeze-thaw cycles http://www.salimetrics.com/spit-tips/publications/saliva- below -20ºC (temperature of a regular household
collection-handbook.php. Salimetrics Spit Tips - Saliva
serum sample fingerprint based on IgG titers
obtained with three different antigens. tested one
Epstein-Barr virus (EBV), the Bordetella aliquot after 1 freeze-thaw cycle, one aliquot after 2 samples were tested against Clinical and Vaccine Immunology, May 2010, p. 735-pertussis toxin (PT), and the outer
freeze-thaw cycles, and one aliquot after 10 freeze-
either pepEBNA1, pepPT, or 740, Vol. 17, No. 5. Immunological Fingerprinting
thaw cycles. These aliquots were tested against
Method for Differentiation of Serum Samples in
pepEBNA1, pepPT, and pepOMP2 in triplicate.
part of the defense mechanism in polymorphonuclear
clinical or forensic specimens should always be
stored at least in the refrigerator and preferably at
−20 °C or lower to avoid any degradation. Finally,
results obtained from biosamples that have been
stored at room temperature for a longer time should cycles had no significant
Analytical and Bioanalytical Chemistry, 388(7), 1505-
antiepileptics, cardiovascular drugs, and be interpreted with great care and partial degradation effect on methylphenidate
19. Stability of analytes in biosamples—an important
issue in clinical and forensic toxicology?
Storage up 72 hr @ 25 C did not affect any analyte. Multi-X F/T led to decreases In: Biomarker's for Early Diagnosis of Alzheimer's
P-tau and T-tau stable for up to 4 yrs -20 C LTS. At
in Aβ1-42; no decreases for Disease. 2008, Nova Science Pubs. Alzheimer's
Disease Biomarkers: From concept to utility.
ASMS 2010 conferemce presentation (http://www.ppdi.com/resource_library/posters/Octreoti
[anti-neoplastic agent]stored at -20 C prior to analysis stable up to 5X F/T
de_ASMS_2010.pdf ) Assessment effects and
http://www.basinc.com/library/presentations/pdf/rsun-
stable at least 9 months stored as lysate matrix @ -
05.pdf. Method development & validation of cystine in
http://www.xcdtech.com/dioxin2010/pdf/1568.pdf.
Pthalates stable multi-X F/T Stability factors influencing the analysis of
AFP, hCG and DIA can be reliably determined in sera stored at 4-8°C for days and at -20°C for years. µE3 is not stable in whole blood; samples should be promptly centrifuged in separator tubes or separated from the clot. µE3 is stable in sera stored at 4-8°C for days. In the past, some kits produced systematically different µE3 values after the sera were frozen and thawed. For optimal performance, shipping time should be minimized (e.g., express mail, courier service) and samples should not be exposed to high temperatures. Free beta subunit is not stable in serum when exposed to high temperatures (e.g., daytime summer temperatures in the southern United States), due to dissociation of intact hCG. If free beta
is to be measured, samples must be protected from If frozen samples are to be Standards and Guidelines for Clinical Genetics high temperatures (e.g., cool packs with overnight
shipment in the summertime). Shipping samples in
possible freeze/thaw effects Edition.http://www.acmg.net/Pages/ACMG_Activities/s
Prenatal screening for Down Syndrome the form of blood spots can also result in improved
[a selective, potent, H1-antihistamine compound indicated for the treatment of allergic rhinitis and
Biomirror August 2010. Determination of Levocetrizine
chronic idiopathic urticaria] Freezer stability of the
in human plasma by liquid chromatography
analytes in biomatrix was assessed by analyzing the
QC samples stored at –20 ⁰C for at least 30 days.
http://www.bmjournal.in/index.php?option=com_conte
The stability of analytes in biomatrix following
nt&view=article&id=147:determination-of-levocetirizine-
repeated three freeze-thaw cycles (stored at –20 C
in-human-plasma-by-liquid-chromatography-
between cycles) was assessed using QC samples
spiked with analytes. Stable at -20 and -70 C.
spectrometry&catid=51:august&Itemid=143
Pharmaceutics 2010; 2: 105-18. Automated
[Monoclonal Ab Ca treatment, Tarciva] stable for 24-
supported liquid extraction (SLE) coupled with HILIC-
hr at ambient temp, and 227 days @ -20 or -70 C.
MS/MS: An appplication to method development and
The freeze−thaw stability of paroxetine was determined from spiked human whole
[SSRI antidepressant, Paxil ] Replicate (n = 6) 15 µL plasma samples after three human plasma samples at 0.8 and 160 ng/mL were freeze−thaw cycles from −20 spotted onto 226 paper and stored desiccated at
room temperature for 35 days. The measured
difference of stored samples Anal. Chem., 2011, 83 (1), pp 118–124. Use of Dried
concentrations were compared to those of the same compared to fresh samples Plasma Spots in the Determination of samples extracted and analyzed immediately after
was −1.6% and 1.4% at 0.8 Pharmacokinetics in Clinical Studies: Validation of a
initial spotting and drying. The samples were stable. and 160 ng/mL, respectively. Quantitative Bioanalytical Method
Four freeze-thaw cycles had no influence on the analyte
http://www.thefreelibrary.com/Immunoluminometric+as
say+for+the+midregion+of+pro-atrial+natriuretic.-
a0209407126. Immunoluminometric assay for the
Mean recovery in eight samples after 6 months of
after the first thawing, 100%; midregion of pro-atrial natriuretic peptide in human
after the last thawing, 110%). plasmaLimited experiments showed that undiluted serum samples could be thawed and refrozen a few times without any change in analyte concentration. Diluted serum samples also appear to be stable to freeze-thawing. Only sTfR seems to be
J. Nutr. 134:3127-3132, November 2004. Combined
Measurement of Ferritin, Soluble Transferrin Receptor,
Retinol Binding Protein, and C-Reactive Protein by an
Inexpensive, Sensitive, and Simple Sandwich Enzyme-
Linked Immunosorbent Assay TechniquePresentation at 57th ASMS Conference on Mass Spectrometry. http://www.qps-
(Combination medicines used for treatment of HIV.)
usa.com/Userfiles/Docs/QPS%202009-016.pdf. LC-
Stability of the analytes evaluated at ambient, -20
MS/MS determination of Emtricitabine and Tenofir in
and -70 C storage. Stable at all conditions.
human plasmaPresentation at 57th ASMS Conference on Mass Spectrometry. http://www.qps-
L-arginine, L-citrulline, and asymmetric
usa.com/UserFiles/Docs/Posters%20Abstracts/QPS%
202010-002%20Abstract.pdf Journal of Mass Spectrometry 005; 40(11):1412-16.
LC–ESI-MS/MS analysis for the quantification of
morphine, codeine, morphine-3-β-D-glucuronide,
morphine-6-β-D-glucuronide, and codeine-6-β-D-
glucuronide in human urineJ Chromatography B 8, 878 (2010 169-77. Simultaneous dtermination of Tolbutamide,
Tolbutamide, omeprazole, midazolam, Analyte stabilty was tested by using QC samples for
omeprazole, midazolam, and dextromethorphan in
multiple F/T cycles at ambient and -20 C storage.
human plasma by LC-MS/MS - A high throughput
Stale in -20 C freezer at least 90 days.
approach to evaluate drug-drug interactions.
Six 1,4-benzodiazepines (alprazolam, brompazolam, cloazepam, diazepam, flunitrazepam, lorazepam) in human
Stored for 180 days for plasma and urine, 120 days
Chiang Mai J Sci 2010; 37(3) 451-63. Stability study of
Six 1,4-benzodiazepines in bio-fluids stored at -20 C. J Chromatography B 857 (2007) 67-75. Steroselective analysis of bupropion and
(treatments for depression) Stored at -20 C for 45
hydroxybupropion in human plasma & urine by LC-
Effect of freeze and thaw cycles on stability of plasma samples after three freeze
(lipid-lowering drug Crestor) Stable at –70 ± 5 °C for and thaw cycles was also
J. Braz. Chem. Soc. vol.16 no.5 São Paulo Sept./Oct.
138 days (long term stability) in human plasma.
was determined. stable even 2005. Estimation of rosuvastatin in human plasma by
Stable over 24.0 hours in human plasma at room
HLPC tandem mass spectroscopic method and its
application to bioequivalence studyClinical Chermistry and Laboratory Medicine 2008; 46(11):1589-97. Rapid sample preparation and simultaneous quantitation of prostaglandins and
lipoxygenase derived fatty acid metabolites by liquid
chromatography-mass spectrometry from small
(lipid oxidation products important in diabetes)
http://www.wwctrials.com/UserFiles/Docs/Levodopa%20&%20Carbidopa_1.2.pdf. Measurement of
(Parkinson's Disease treatments) Stable LTS @ -70
levodopa and cardidopa in human plasma by SPE and
LC-MS/MS. The Journal of Lipid Research, 2006; 47, 2340-45.
(related to statin treatment of hyperlipidemia) MVA
Validation of the LC-MS/MS method for the
was found to be stable for up to 28 days of storage
quantification of mevalonic acid in human plasma and
(a synthetic estrogen antagonist used clinically to
treat male and female estrogen receptor-positive
breast cancer ) Specimens collected during clinical
studies are generally stored frozen at –30 to –80°C
freeze/thaw cycles
four cycles of freezing (20 hours at -70°C) and thawing (4 hours at room temperature) induced no discernible loss of Ang-1 immunoreactivity (102% (97% to 107%) versus 100% at baseline) or of Ang-2
immunoreactivity (92% (85% http://ccforum.com/content/12/4/R94. Circulating to 105%) versus 100% at
angiopoietin-1 and angiopoietin-2 in critically ill
(novel biomarkers of endothelial integrity ) Stability
patients: development and clinical application of two
only examined for 24 hr at ambient and + 4 C.
To counteract these limitations, several methods have been proposed for determination of total plasma antioxidant capacity (TAC). They can be divided in two main classes: Either distinct antioxidant components are assayed (ex. Vitamin E, ascorbic
BMC Clinical Pathology 2002, 2:3. A new automated
acid, etc), or the total antioxidant potency is
method for the determination of the Total Antioxidant
estimated by the combined reducing activities of a
during three freeze thawing Capacity (TAC) of human plasma, based on the crocin
total plasma antioxidant capacity (TAC) given body fluid (especially plasma)
bleaching assay [cocin is a carotenoid]
Determination of Naloxone and Nornaloxone (Noroxymorphone) by High-Performance Liquid
Analytes were stable in plasma and urine for up to 24
Chromatography–Electrospray Ionization-Tandem
h at room temperature and in plasma after three
powder forms mixed with DMSO & stored in sealed
microtiter plates under Ar2. LC-MS assay after every never Th. No degradation - J Biomole Scrn 8(2), 200321-5. The effect of freeze-
5th F/T cycle, plus ambient and never Th controls
thaw cycles on the stability of compounds in DMSO
TREATMENT AND PROPHYLAXIS OF SCABIES A. Application of Scabicides: General Principles 1. Gowns and gloves are worn when applying scabicides to patients. 2. Bathe patients as usual and change bed linens. Allow skin to cool 3. Apply scabicide to every square inch of skin, from the posterior ear folds down over the entire body. Include intergluteal cleft, umbilicus, skin folds, palms a
Nana A. Y. Twum-Danso, MD, MPH, FACPM 2716 Elliott Avenue, Apt. 806, Seattle, WA 98121, USA SUMMARY: Licensed medical doctor who is board certification in preventive medicine and public health and has more than 12 years of experience in global health research, policy and practice with: Subject matter expertise in quality improvement, organizational transformation, health systems s