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Effects of a Serum Heating Procedure for Inactivating COVID-19 on Common Biochemical Tests
Clinical Laboratory
|February 22, 2021
Summary
Heating patient samples for COVID-19 testing can affect certain biochemical markers. Four key indicators (CK, CK-MB, ALP, insulin) are sensitive to heat, potentially impacting diagnostic accuracy.
Area of Science:
- Clinical Chemistry
- Virology
- Biochemistry
Background:
- The COVID-19 pandemic necessitates rapid assessment of affected individuals.
- Heat treatment is a proposed method for specimen inactivation.
- Evaluating the impact of heat on biochemical markers is crucial for accurate COVID-19 diagnostics.
Purpose of the Study:
- To assess the effect of serum heating on biochemical indexes.
- To provide a basis for accurate detection results in COVID-19 patients.
- To determine which biochemical markers are affected by heat inactivation.
Main Methods:
- Collected whole blood samples from 29 normal cases.
- Analyzed one set of samples directly.
- Analyzed a second set after heat treatment at 56°C for 30 minutes.
Main Results:
- 34 serum biochemical indexes were analyzed.
- 28 out of 34 indexes remained clinically interpretable after heating.
- Albumin, CysC, and CO2CP showed good correlation post-heating.
- Alkaline phosphatase (ALP), creatine kinase (CK), CK-MB, and insulin were significantly affected (p < 0.001).
Conclusions:
- CK, CK-MB, ALP, and insulin are sensitive to heat inactivation and may degrade.
- Observed decreases in these markers in COVID-19 patients could be due to sample heat treatment.
- Recommend point-of-care testing for specific analytes and high-level biosafety practices.
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