PMID- 34414423 OWN - NLM STAT- MEDLINE DCOM- 20211105 LR - 20220829 IS - 2576-9456 (Print) IS - 2475-7241 (Electronic) IS - 2475-7241 (Linking) VI - 6 IP - 6 DP - 2021 Nov 1 TI - Sample Processing and Stability for Urine Biomarker Studies. PG - 1628-1634 LID - 10.1093/jalm/jfab082 [doi] AB - BACKGROUND: Current methods of processing and storing urine samples have not been compared systematically to determine optimal conditions for advancing research on urinary biomarkers. Often, preanalytical handling is nonideal, especially considering the COVID-19 pandemic; consequently, we compared the effects of different short-term storage and processing methods on urinary biomarker measurements. METHODS: Spot urine samples were collected via a Foley catheter from 20 hospitalized patients from the Yale New Haven Hospital within 48 hours postcardiac surgery. The effects of 3 urine storage and processing methods on biomarkers were tested: (a) 48-hour temporary storage at 4 degrees C prior to freezing at -80 degrees C, (b) 48-hour temporary storage at 25 degrees C prior to freezing at -80 degrees C, and (c) no centrifugation and immediate storage at -80 degrees C. Established Meso-Scale Device assay methods were used to measure the urine concentrations of 18 biomarkers: interferon gamma (IFN-ɣ), interleukin (IL)-10, IL-12p70, IL-13, IL-1beta, IL-2, IL-4, IL-6, IL-8, IL-18, tumor necrosis factor alpha (TNF-alpha), epidermal growth factor (EGF), neutrophil gelatinase-associated lipocalin (NGAL), osteopontin (OPN), uromodulin (UMOD), kidney injury molecule-1 (KIM-1), monocyte chemoattractant protein-1 (MCP-1), and chitinase-3-like protein 1 (YKL-40). RESULTS: Measurements of most biomarkers investigated remained stable after temporary storage at 4 degrees C. IL-6, IL-8, KIM-1, MCP-1, YKL-40, EGF, and NGAL were stable across all 3 processing conditions. IL-12p70 and IL-4 demonstrated significant differences in all tested conditions compared to the reference standard. CONCLUSIONS: We identified several notable biomarkers that are robust to variations in preanalytical techniques and can be reliably investigated with nonideal handling conditions. CI - (c) American Association for Clinical Chemistry 2021. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Chang, Crystal AU - Chang C AD - Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAU - Obeid, Wassim AU - Obeid W AD - Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAU - Thiessen-Philbrook, Heather AU - Thiessen-Philbrook H AUID- ORCID: 0000-0003-2067-0514 AD - Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAU - Parikh, Chirag R AU - Parikh CR AUID- ORCID: 0000-0001-9051-7385 AD - Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. LA - eng GR - R01 HL085757/HL/NHLBI NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - P30 DK079310/DK/NIDDK NIH HHS/United States GR - R01HL085757/NH/NIH HHS/United States GR - UH3 DK114866/DK/NIDDK NIH HHS/United States GR - U01 DK082185/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - J Appl Lab Med JT - The journal of applied laboratory medicine JID - 101693884 RN - 0 (Biomarkers) SB - IM MH - *Acute Kidney Injury MH - Biomarkers MH - *COVID-19 MH - Humans MH - Pandemics MH - SARS-CoV-2 MH - Specimen Handling PMC - PMC8561784 OTO - NOTNLM OT - acute kidney injury OT - biospecimen handling OT - biospecimen storage OT - protein stability OT - urinalysis EDAT- 2021/08/21 06:00 MHDA- 2021/11/06 06:00 PMCR- 2022/08/28 CRDT- 2021/08/20 07:12 PHST- 2021/03/03 00:00 [received] PHST- 2021/06/22 00:00 [accepted] PHST- 2021/08/21 06:00 [pubmed] PHST- 2021/11/06 06:00 [medline] PHST- 2021/08/20 07:12 [entrez] PHST- 2022/08/28 00:00 [pmc-release] AID - 6355316 [pii] AID - jfab082 [pii] AID - 10.1093/jalm/jfab082 [doi] PST - ppublish SO - J Appl Lab Med. 2021 Nov 1;6(6):1628-1634. doi: 10.1093/jalm/jfab082.