Exploring phlebotomy technique as a pre-analytical factor in proteomic analyses by mass spectrometry.

Abstract:

:Multiple reaction monitoring mass spectrometry (MRM-MS) is an emerging technology for blood biomarker verification and validation; however, the results may be influenced by pre-analytical factors. This exploratory study was designed to determine if differences in phlebotomy techniques would significantly affect the abundance of plasma proteins in an upcoming biomarker development study. Blood was drawn from 10 healthy participants using four techniques: (1) a 20-gauge IV with vacutainer, (2) a 21-gauge direct vacutainer, (3) an 18-gauge butterfly with vacutainer, and (4) an 18-gauge butterfly with syringe draw. The abundances of a panel of 122 proteins (117 proteins, plus 5 matrix metalloproteinase (MMP) proteins) were targeted by LC/MRM-MS. In addition, complete blood count (CBC) data were also compared across the four techniques. Phlebotomy technique significantly affected 2 of the 11 CBC parameters (red blood cell count, p = 0.010; hemoglobin concentration, p = 0.035) and only 12 of the targeted 117 proteins (p < 0.05). Of the five MMP proteins, only MMP7 was detectable and its concentration was not significantly affected by different techniques. Overall, most proteins in this exploratory study were not significantly influenced by phlebotomy technique; however, a larger study with additional patients will be required for confirmation.

journal_name

Genome

journal_title

Genome

authors

Penn AM,Lu L,Chambers AG,Balshaw RF,Morrison JL,Votova K,Wood E,Smith DS,Lesperance M,del Zoppo GJ,Borchers CH,SpecTRA Study Group.

doi

10.1139/gen-2015-0036

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

569-76

issue

12

eissn

0831-2796

issn

1480-3321

journal_volume

58

pub_type

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