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Pre-analytical considerations in biomarker research: focus on cardiovascular disease
Elena Revuelta-López1,2,3, Jaume Barallat4, Adriana Cserkóová3
1Heart Failure Unit and Cardiology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Insights
Precise cardiovascular medicine requires robust biomarker research. Standardizing pre-analytical variables in biospecimen handling is crucial for accurate diagnostic and therapeutic strategies in complex heart conditions.
Area of Science:
- Biomedical research
- Cardiovascular medicine
- Precision medicine
Background:
- Cardiovascular biomarker research is rapidly advancing to support personalized medicine.
- Current diagnostic and therapeutic approaches for cardiovascular diseases are often generalized due to a lack of distinct molecular signatures.
- This generalized approach can lead to suboptimal outcomes in heterogeneous conditions like heart failure with preserved ejection fraction.
Purpose of the Study:
- To highlight the critical role of pre-analytical variables in cardiovascular biomarker research.
- To emphasize the need for standardized biospecimen management to ensure data validity.
- To advocate for awareness among researchers regarding pre-analytical recommendations for reliable results.
Main Methods:
- Review of current practices in clinical biomarker research, particularly in cardiovascular diseases.
- Discussion of the impact of pre-analytical variables (sample collection, handling, processing, storage) on research outcomes.
- Emphasis on the necessity of a multidimensional biomarker approach and proper biospecimen handling.
Main Results:
- Pre-analytical errors can introduce systematic bias and imprecision, compromising research findings.
- Standardized pre-analytical procedures are essential for generating valid and reproducible biomarker data.
- Awareness and implementation of biospecimen management guidelines are key to overcoming these challenges.
Conclusions:
- Standardizing pre-analytical variables is fundamental for the success of cardiovascular biomarker research and personalized medicine.
- Adequate study design incorporating essential pre-analytical recommendations is crucial for generating efficient and valid data.
- Academic clinicians and investigators must prioritize biospecimen integrity for reliable cardiovascular research outcomes.
Abstract:
Clinical biomarker research is growing at a fast pace, particularly in the cardiovascular field, due to the demanding requirement to provide personalized precision medicine. The lack of a distinct molecular signature for each cardiovascular derangement results in a one-size-fits-all diagnostic and therapeutic approach, which may partially explain suboptimal outcomes in heterogeneous cardiovascular diseases (e.g., heart failure with preserved ejection fraction). A multidimensional approach using different biomarkers is quickly evolving, but it is necessary to consider pre-analytical variables, those to which a biological sample is subject before being analyzed, namely sample collection, handling, processing, and storage. Pre-analytical errors can induce systematic bias and imprecision, which may compromise research results, and are easy to avoid with an adequate study design. Academic clinicians and investigators must be aware of the basic considerations for biospecimen management and essential pre-analytical recommendations as lynchpin for biological material to provide efficient and valid data.
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