Serum eosinophil cationic protein determination in asthmatic children-effect of different collecting tubes used for

S J Lin1, H C Chao, D C Yan

  • 1Department of Pediatrics, Chang Gung Children's Hospital, Taiwan.

Insights

Serum collection tubes impact eosinophil cationic protein (ECP) levels in asthmatic children. Serum separation tubes (SST) showed higher ECP than glass tubes, necessitating careful interpretation of results.

Area of Science:

  • Clinical Chemistry
  • Pediatric Allergy and Immunology

Background:

  • Eosinophil cationic protein (ECP) is a key marker for eosinophilic inflammation, particularly relevant in asthma.
  • Accurate measurement of biomarkers like ECP is crucial for diagnosis and monitoring of pediatric asthma.

Purpose of the Study:

  • To compare the effect of two different serum collection tubes on circulating eosinophil cationic protein (ECP) levels.
  • To evaluate ECP levels in asthmatic children versus controls using serum separation tubes (SST) and conventional glass tubes.

Main Methods:

  • Serum samples were collected from asthmatic children and healthy controls using serum separation tubes (SST) and glass tubes.
  • Circulating eosinophil cationic protein (ECP) levels were measured in both tube types.
  • Correlation analysis was performed between ECP levels, peripheral eosinophil counts, and tube type.

Main Results:

  • Serum ECP levels were significantly higher in asthmatic children compared to controls, irrespective of tube type.
  • ECP levels were significantly higher in serum from SST compared to glass tubes in asthmatic children (P<0.01), but not in controls.
  • ECP levels correlated with peripheral eosinophil counts in both tube types, and the difference in ECP between tubes correlated with eosinophil counts.

Conclusions:

  • Serum ECP measurements are influenced by the type of collection tube used, particularly in asthmatic children.
  • Direct comparison of ECP levels obtained from SST and glass tubes is not recommended, especially for asthmatic children with eosinophilia.
  • Standardization of serum collection methods is important for reliable ECP assessment in pediatric asthma research and clinical practice.