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January 1, 2004Clinical Chemistry and Laboratory Medicine (CCLM)

Long-term stability of endogenous B-type natriuretic peptide (BNP) and amino terminal proBNP (NT-proBNP) in frozen plasma samples

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Why the study?

Does storage at -20 degrees C without protease inhibitors affect the stability of endogenous BNP and NT-proBNP in plasma samples?

Population

60 EDTA plasma samples with initial BNP values between 30 and 420 pg/ml

Comparison

Storage at -20 degrees C without addition of… vs Initial concentrations determined within four…

Design

Other

Follow-up

120 days

Authors

TMThomas MuellerGeneral CardiologyAGAlfons GegenhuberInnsbruck Medical UniversityBDBenjamin DieplingerAGO Austria

Discussion

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Overview

BNP results from -20°C-stored plasma without inhibitors may be unreliable; leaves open optimal storage protocols for future BNP research.

Key Points

  • To evaluate the long-term stability and immunoreactivity of endogenous BNP and NT-proBNP in frozen EDTA plasma samples stored at -20 °C without protease inhibitors over a four-month period.
  • Tested 60 EDTA plasma samples with baseline BNP concentrations between 30 and 420 pg/ml, initially measured within four hours of collection.
  • Stored samples at -20 °C without protease inhibitors and reanalyzed them using AxSYM BNP and Elecsys NT-proBNP assays after 1, 30, 60, 90, and 120 days.
  • Mean recovery of BNP was less than 70% after 1 day and dropped below 50% after 2 to 4 months of storage at -20 °C, with 3-month recovery ranging from 0% to 71%.
  • Mean recovery of NT-proBNP remained above 90% across all time intervals up to 120 days of storage at -20 °C, with 3-month recovery ranging from 91% to 112%.

Structured PICO

Does storage at -20 degrees C without protease inhibitors affect the stability of endogenous BNP and NT-proBNP in plasma samples?

P
Population
60 EDTA plasma samples with initial BNP values between 30 and 420 pg/ml
I
Intervention
Storage at -20 degrees C without addition of protease inhibitors for 1, 30, 60, 90, and 120 days
C
Comparator
Initial concentrations determined within four hours after blood collection
O
Outcome
Mean recovery (residual immunoreactivity) of BNP and NT-proBNP expressed in percent of the initial valuesurrogate

NT-proBNP is stable in frozen plasma at -20°C for at least four months, whereas BNP degrades rapidly and its measurement may not be valid under these conditions.

Cite This Study

Mueller et al. (2004) studied this question.

synapsesocial.com/papers/6a71a4145671bbf00bc2ee22https://doi.org/10.1515/cclm.2004.153
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prolonged stability of brain natriuretic peptide: importance for non-invasive assessment of cardiac function in clinical practice1998 · 36 citations
  2. 2Disparity between studies of the stability of BNP in blood: comparison of endogenous and exogenous peptide1999 · 14 citations
  3. 3Stability of Brain Natriuretic Peptide (BNP) in Human Whole Blood and Plasma2000 · 46 citations
  4. 4Cardiac peptide stability, aprotinin and room temperature: importance for assessing cardiac function in clinical practice1999 · 79 citations
  5. 5Time Course of B-Type Natriuretic Peptide (BNP) and N-Terminal ProBNP Changes in Patients with Decompensated Heart Failure2004 · 40 citations