Blood Collection Tubes and Storage Temperature Should Be Evaluated when Using the Siemens ADVIA Centaur XP for Measuring 25-Hydroxyvitamin D

PLoS One. 2016 Nov 10;11(11):e0166327. doi: 10.1371/journal.pone.0166327. eCollection 2016.

Abstract

A significant bias was found when using the Siemens ADVIA Centaur XP system for measurement of 25-hydroxyvitamin D (25OHD) with VACUETTE® tubes with Serum Clot Activator and Gel. Here, we examined whether other commonly used tubes or temperatures affected 25OHD results obtained with the Siemens ADVIA Centaur XP system. Serum was collected into five types of vacuum blood collection tubes from three manufacturers, and 25OHD was analyzed using the Siemens ADVIA Centaur XP system and liquid chromatography tandem mass spectrometry (LC-MS/MS) immediately or after storage at 4°C or -80°C for 48 h. Significantly higher 25OHD values were found when using the Siemens ADVIA Centaur XP system with VACUETTE® tubes with serum clot activator and gel and VACUETTE® tubes with clot activator but no gel compared with VACUETTE® tubes with no additives. The 25OHD values in all of these tubes were not significantly different from those obtained by LC-MS/MS. Moreover, after storage at -80°C for 48 h, the values obtained in IMPROVEVACUTER® tubes with serum clot activator and gel significantly increased, with a mean bias of 74.6% compared with the values before storage, on analysis with the Siemens ADVIA Centaur XP system. VACUETTE® tubes containing additives significantly affect the accuracy of 25OHD results obtained using the Siemens ADVIA Centaur XP system. Additionally, the composition of serum collected in IMPROVEVACUTER® tubes was affected by freezing, resulting in different measurements when using the Siemens 25OHD assay platform.

Publication types

  • Comparative Study

MeSH terms

  • Blood Preservation
  • Blood Specimen Collection / instrumentation*
  • Blood Specimen Collection / methods
  • Chromatography, Liquid
  • Freezing
  • Humans
  • Reagent Kits, Diagnostic
  • Tandem Mass Spectrometry
  • Temperature
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood

Substances

  • Reagent Kits, Diagnostic
  • Vitamin D
  • 25-hydroxyvitamin D

Grants and funding

This work was funded by the China National Clinical Key Subject Program and by research grants from the National Natural Science Foundation of China (81201337) (http://www.nsfc.gov.cn/), and the National High Technology Research and Development Program of China (863 Program, 2014AA022304) (http://program.most.gov.cn/). The funding bodies were not involved in conducting or analyzing this work, and were not involved in the decision to publish.