The influence of EDTA Vacutainer blood collection tube on the level of blood interleukin-1 receptor antagonist

J Immunol Methods. 2019 Jan:464:114-118. doi: 10.1016/j.jim.2018.10.009. Epub 2018 Oct 19.

Abstract

Background: The use of anticoagulants may influence the composition of blood cells and interfere with plasma levels of IL-1ra when unprocessed EDTA blood samples are stored for long periods of time.

Methods: Blood was drawn into EDTA and heparinized blood collection tubes from 11 HIV-1 negative men participating in the Multicenter AIDS Cohort Study (MACS) and 4 healthy volunteers. The blood was processed according to the experiments detailed in the method and after incubation; supernatants were collected and stored at -70 °C until batch testing using IL-1ra ELISA.

Results: There was no difference between the levels of IL-1ra in EDTA blood collected into plastic and glass tubes (p = .911). There were significant increases from baseline levels of IL-1ra (p ≤ .05) after 24 h incubation for diluted whole blood and PBMC supernatants but not for granulocytes supernatants.

Conclusion: EDTA as an anticoagulant influences the blood concentrations of IL-1ra in unprocessed blood. Thus, EDTA blood is not a suitable specimen for measurement of IL-1ra. Other types of anticoagulated blood should be processed within one hour of draw whenever measuring plasma levels of IL-1ra.

Keywords: Biomarker; Cytokine; EDTA blood; IL-1ra; Stability.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Anticoagulants / adverse effects*
  • Biomarkers / blood
  • Blood Specimen Collection* / adverse effects
  • Blood Specimen Collection* / instrumentation
  • Calcium Chelating Agents / adverse effects*
  • Disposable Equipment*
  • Edetic Acid / adverse effects*
  • Female
  • Granulocytes / drug effects*
  • Granulocytes / immunology
  • Humans
  • Interleukin 1 Receptor Antagonist Protein / blood*
  • Leukocytes, Mononuclear / drug effects*
  • Leukocytes, Mononuclear / immunology
  • Male
  • Pregnancy

Substances

  • Anticoagulants
  • Biomarkers
  • Calcium Chelating Agents
  • IL1RN protein, human
  • Interleukin 1 Receptor Antagonist Protein
  • Edetic Acid