BackgroundSerum and plasma are commonly used biofluids for large-scale metabolomic-epidemiology studies.Their metabolomic profile is susceptible to changes due to variability in pre-analytical conditions and the impact of this is unclear.
MethodsParticipant-matched EDTA-plasma and serum samples were collected from 37 non-fasting volunteers and profiled using a targeted nuclear magnetic resonance (NMR) metabolomics platform (N=151 traits). Metabolic concentrations were compared between reference (pre-storage: 4°C, 1.5h; poststorage: no sample preparation or NMR-analysis delays) and four, pre-storage, blood processing conditions, where samples were incubated at (i) 4°C, 24h; (ii) 4°C , 48h; (iii) 21°C, 24h; (iv) 21°C, 48h, before centrifugation; and two, post-storage, sample processing conditions in which samples (i) thawed overnight, then left for 24h before addition of sodium buffer followed by immediate NMR analysis; (ii) thawed overnight, addition of sodium buffer, then left for 24h before profiling. Linear regression models with random-intercepts were used to assess the impact of these six pre-analytical conditions on EDTA-plasma/serum metabolome.
ResultsFatty acids, beta-hydroxybutyrate, glycoprotein-acetyls and most lipid-related traits, in serum and plasma, were robust to the tested pre and post-storage conditions. Pre-storage conditions impacted concentrations of glycolysis metabolites, acetate, albumin and amino-acids by levels that could potentially bias research results (up to 1.4SD difference compared with reference). Post-storage conditions affected histidine, phenylalanine and LDL-particle-size, with differences up to 1.4SD.
ConclusionsMost metabolic traits are robust to the pre-and post-storage conditions tested here and that may commonly occur in large-scale cohorts. However, concentrations of glycolysis metabolites, and aminoacids may be compromised.
Key messages• In large scale epidemiological studies, blood processing delays, incubation at high temperature prior to long term storage, and NMR profiling delays after long term storage, may occur.• Concentrations of fatty acids, beta-hydroxybutyrate, glycoprotein acetyls and most lipidrelated traits are robust to variations in pre-storage temperature and duration of incubation (4 o C or 21 o C for up to 48h prior to centrifugation) and post-storage sample handling (24h delay in sample preparation or NMR profiling).• Glycolytic metabolite concentrations are altered by pre-storage conditions and amino-acids, particularly histidine and phenylalanine, by both, pre and post-storage conditions.