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. 2023 May 16;15(10):2780. doi: 10.3390/cancers15102780

Table 2.

Pre-analytical variables during sample collection and handling.

Pre-Analytical Variable Literature Findings
Collection Tubes
  • Sample collection containers are frequently overlooked variables in laboratory settings [110]

  • The same sample might have different protein profiles when collected in two different types of tube [111,112,113]

  • Blood tube components may adsorb some analytes, particularly proteins, leading to their detection loss [114]

  • Release of plasticisers from tubes into samples may adversely affect high-resolution mass spectrometric examinations [62]

Anti-Coagulant
  • For metabolomics profiling, sodium fluoride (NaF) and EDTA salts caused less interference than sodium citrate or lithium-heparin [115]

  • Heparin [116,117] or EDTA plasma [115,118,119] is recommended for mass spectrometry-based lipidomic and metabolomic analyses; EDTA plasma is unsuitable for NMR-based approaches as it leads to interferences in the spectra [120]

  • EDTA anti-coagulant is preferable for proteomics [111,121]

Hemolysis
  • One of the most common pre-analytical errors [122]

  • Destruction of red blood cells

  • Release of proteins, metabolites, and lipids into serum or plasma [115,123]

  • May obstruct correct profile interpretation [115,122]

  • MS-based assessments may be affected [124]

Incubation Time
  • Many chemical and enzymatic reactions will continue and eventually metabolise the lipids [125,126]

  • Blood cells constantly release, uptake, and metabolise compounds [69,119,127]

  • Metabolites are more sensitive to prolonged incubation at room temperature than at 0–4 °C [124]

  • Peptides and degraded proteins can be released from blood cells [128]

Centrifugation Force
  • Minor differences in centrifugation could lead to variations in metabolomic patterns [129]

  • Higher centrifugation (between 2300 and 4000× g for 5–10 min) is recommended for lipidomic and metabolomic studies [69]

  • Centrifugation at 1300–2000× g for 15 min was recommended for proteomic studies [130]

Storage Conditions
  • Several analytes can be affected by storage temperature and time [131]

  • Serum proteins change more at room temperature compared with −20 °C and −80 °C [132]

  • Storage at lower temperatures, such as −80 °C, is recommended [133,134]

Freeze–Thaw Cycles
  • Repeated freeze–thaw of samples can result in profile alterations [135,136]

  • One freeze–thaw cycle leads to dramatic alterations in several urinary proteins [132]