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Preanalytical Workflow Establishment for Reproducible Clinical Blood-Based Infrared Molecular Fingerprinting.

Katharina E Dietmann1,2,3, Guanting Guo1, Jacqueline Aschauer1,4

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Summary

Standardizing preanalytical sample handling is crucial for reliable molecular analytics. This study quantifies how blood sample variables impact infrared molecular fingerprinting (IMF), finding harmonization is feasible for clinical settings.

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Area of Science:

  • Biochemistry
  • Analytical Chemistry
  • Spectroscopy

Background:

  • Standardized preanalytical sample handling is essential for reliable molecular analytics.
  • Variations in blood sample processing workflows can limit study comparability and complicate evaluations.
  • The influence of individual technical parameters on molecular profiling remains poorly quantified.

Purpose of the Study:

  • To systematically investigate the effects of major preanalytical variables on infrared molecular fingerprinting (IMF) of blood serum and plasma.
  • To examine impacts of tube types, fill volumes, delays, centrifugation, and freeze-thaw cycles on IMF.
  • To provide guidance for harmonizing preanalytical workflows in IMF-based biofluid analysis.

Main Methods:

  • Fourier transform infrared (FTIR) spectroscopy was used for infrared molecular fingerprinting.
  • Systematic investigation of variables including blood draw tube types, fill volumes, pre-centrifugation delays, centrifugation conditions, freeze-thaw cycles, and post-preparation delays.
  • Multivariate analysis and machine learning were employed to detect spectral variations.

Main Results:

  • Blood collection tube type, fill volume, pre-centrifugation delay (>4 h), >2 freeze-thaw cycles, and pre-measurement delays cause systematic changes in infrared fingerprints.
  • These spectral variations are detectable using multivariate analysis and machine learning.
  • Parameter-related spectral variation is generally smaller than intrinsic biological variability, supporting IMF feasibility.

Conclusions:

  • Preanalytical variables significantly impact IMF of blood serum and plasma.
  • Harmonizing preanalytical workflows is crucial for reducing confounding and improving cross-study comparability in IMF.
  • The findings support the feasibility of IMF in clinical settings and may generalize to other molecular profiling technologies.