Stability of ten serum tumor markers after one year of storage at −18°C

The storage of serum tumor markers (STM) at -18 °C for one year has been a legal requirement in France since 1999, but has been abolished in 2022. This raises the question of the relevance of maintaining these biobanks in terms of conditions of storage. These should only be implemented after validat...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2024-07, Vol.62 (8), p.1611-1617
Hauptverfasser: Mondésert, Etienne, De Brauwere, David-Paul, Lumbroso, Serge, Brouillet, Jean-Paul, Bancal, Candice
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container_end_page 1617
container_issue 8
container_start_page 1611
container_title Clinical chemistry and laboratory medicine
container_volume 62
creator Mondésert, Etienne
De Brauwere, David-Paul
Lumbroso, Serge
Brouillet, Jean-Paul
Bancal, Candice
description The storage of serum tumor markers (STM) at -18 °C for one year has been a legal requirement in France since 1999, but has been abolished in 2022. This raises the question of the relevance of maintaining these biobanks in terms of conditions of storage. These should only be implemented after validation; in order to maintain the integrity of the biological sample and must be controlled over time according to the laboratory's procedures. The aim of the study was to assess the suitability of storing 10 STMs by evaluating their stability after one year of storage at -18 °C. A new immuno-enzymatic assay (A+1) was conducted on samples that had been stored at -18 °C for one year after an initial assay (A) of one of the following STMs: carcino-embryonic antigen (CEA), alpha-fetoprotein (AFP), carbohydrate antigen 125 (CA125), carbohydrate antigen 15-3 (CA15-3), carbohydrate antigen 19-9 (CA19-9), total (TPSA), and free (FPSA) prostate-specific antigen, calcitonin (CT), thyroglobulin (TG), and neuro-specific enolase (NSE). The results were confronted to four different permissible error sources. In total, 1148 A+1 assays were performed. A strong correlation between A+1 and A values was found for all analytes, but with a statistically significant reduction in the mean A+1 concentration compared to the mean A concentration in 7/10 STMs. The bias induced by conservation seems to be technically unsustainable if we rely on the repositories closest to the current analytical performances. These results support the discontinuation of mandatory STM biobank storage at -18 °C, which requires considerable technical time and organizational effort.
doi_str_mv 10.1515/cclm-2023-1312
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A strong correlation between A+1 and A values was found for all analytes, but with a statistically significant reduction in the mean A+1 concentration compared to the mean A concentration in 7/10 STMs. The bias induced by conservation seems to be technically unsustainable if we rely on the repositories closest to the current analytical performances. These results support the discontinuation of mandatory STM biobank storage at -18 °C, which requires considerable technical time and organizational effort.</abstract><cop>Germany</cop><pub>De Gruyter</pub><pmid>38353169</pmid><doi>10.1515/cclm-2023-1312</doi><tpages>07</tpages></addata></record>
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ispartof Clinical chemistry and laboratory medicine, 2024-07, Vol.62 (8), p.1611-1617
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source MEDLINE; De Gruyter journals
subjects analyte stability
Antigens
Assaying
Biomarkers
Biomarkers, Tumor - blood
Calcitonin
Carbohydrates
Humans
Immunoassay
Permissible error
Phosphopyruvate hydratase
preanalytical
Prostate-specific antigen
Protein Stability
serum tumor markers
Shelf life
Sialyl Lewis a antigen
Specimen Handling - standards
Stability
Statistical analysis
Storage
Thyroglobulin
Time Factors
Tumor markers
Tumors
α-Fetoprotein
title Stability of ten serum tumor markers after one year of storage at −18°C
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