Prerequisites for cytokine measurements in clinical trials with multiplex immunoassays

Wilco de Jager1, Katarzyna Bourcier, Ger T Rijkers

  • 1Department of Pediatric Immunology, Centre for Molecular and Cellular Intervention (CMCI), University Medical Centre Utrecht, Utrecht, The Netherlands. wjager@umcutrecht.nl

BMC Immunology
|September 30, 2009
PubMed

Insights

Proper sample handling and storage are crucial for reliable cytokine measurements in clinical trials. Cytokines are stable for up to 2 years at -80°C, but degrade after 4 years and are sensitive to freeze-thaw cycles.

Area of Science:

  • Immunology
  • Biochemistry

Background:

  • Advances in understanding immune cellular interactions and cytokine networks have spurred the development of monoclonal antibody therapies.
  • Systemic cytokine levels serve as vital surrogate markers for evaluating inflammatory pathways in vivo during therapeutic interventions.
  • Multiplex immunoassay (MIA) technologies enable the simultaneous detection of multiple cytokines, but sample handling and storage can impact assay reliability.

Purpose of the Study:

  • To investigate the impact of pre-analytical variables on cytokine detection using multiplex immunoassays.
  • To assess the influence of blood collection tubes, storage duration, and freeze-thaw cycles on cytokine profiles.

Main Methods:

  • Cytokine recovery was assessed by spiking known amounts into plasma and serum samples.
  • Stability of cytokines was evaluated during long-term storage at -80°C and after multiple freeze-thaw cycles.
  • An internal control was developed and implemented for multiplex cytokine immunoassays.

Main Results:

  • Cytokine recoveries generally ranged from 80-120% in spiked samples.
  • Cytokines remained stable for up to 2 years of storage at -80°C.
  • Significant degradation (up to 75%) was observed for several cytokines (IL-1α, IL-1β, IL-10, IL-15, CXCL8) after 4 years of storage. Only 2 out of 15 cytokines were stable after multiple freeze-thaw cycles.

Conclusions:

  • Key parameters influencing cytokine measurement reliability in clinical trials were identified.
  • Establishing standardized protocols for sample handling, storage, and processing is essential for accurate cytokine analysis.
Abstract

Related Concept Videos