“…Although bioassays for assessment of functional TGF-b (Randall et al, 1993) and determination of TGF-b concentrations (Danielpour, 1993;Grainger et al 1995;Meager, 1991;Phillips et al, 1995;Szymkowiak et al, 1995) have been extensively described, substantially different ranges given for the concentration of TGF-b in blood, and several different recommendations for pre-analytical sample handling are reported (Heddle et al, 2005;Tylman et al, 2006;Walther et al, 2009). In current conventional assays, blood collection methods, sample handling and temperature storage proved to crucially impact the outcome of the assays (van Waarde et al, 1997;Wakefield et al, 1995) and to be in fact key factors for TGF-b levels variability to the extent of invalidating the accuracy of correlative studies where TGF-b is used as a prognostic biomarker for clinical outcome and disease progression (Pircher et al, 1986;Wakefield et al, 1988).…”