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

J Immunol Methods

Department of Epidemiology, UCLA, Fielding School of Public Health, Los Angeles, CA 90095, USA; Department of Medicine, UCLA, David Geffen School of Medicine, Los Angeles, CA 90095, USA.

Published: January 2019

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.

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http://dx.doi.org/10.1016/j.jim.2018.10.009DOI Listing

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