SOP FOR EDTA-PLASMA SPECIMEN COLLECTION AS RECOMMENDED BY HUPO PLASMA PROTEOME PROJECT SPECIMENS COMMITTEE AND APPROVED AT 5th HUPO WORLD CONGRESS WORKSHOP (Oct, 2006) Note to HUPO: The following are general procedures recommended by Pfizer for collection of plasma/serum specimens in clinical laboratories equipped with low speed centrifuges. Individual biomarker assays may have better performance with optimized temperature and centrifugation conditions. HUPO note: if you are concerned about platelet activation, be wary of the 4C step and especially the re-warming of the specimen. Biomarker Human Serum & Plasma Collection Standard Operating Procedure with EDTA-Plasma Tube Overview The measurement of biomarkers from blood samples collected in clinical and methodology studies can provide useful insights to our understanding of physiology and pathophysiology. While not one blood collection matrix and procedure can produce samples appropriate for the measurement of all blood based markers, many biomarkers can be accurately measured in blood collected in lavender-top K2 EDTA tubes for plasma, or red-top tubes (containing no anticoagulant, preservative, or separator) for serum. BD Vacutainer® venous blood collection tubes with spray-coated K2 EDTA are routinely used for whole blood hematology and immunohematology testing, and preferred over K3 EDTA tubes (which have a liquid additive). The BD Vacutainer® plastic serum tubes with spray-coated silica are the tubes of choice for serum. Following centrifugation, 10 ml blood collections produce 4-5 mL of serum or plasma. http://www.bd.com/vacutainer/products/venous/plus_plastic_tubes_docs.asp Lavender-top K2 EDTA plasma and red-top serum BD Vacutainer® venous blood collection tubes can be stored at room temperature for extended periods of time. Expiration dates are provided and should be adhered to. Materials and Equipment A refrigerated (2-8 ºC) centrifuge capable of spinning at 1500-2000g that will hold 16 x 100 mm tubes 10 mL lavender-top K2 EDTA BD Vacutainer® venous blood collection tubes and 10 mL red-top serum BD Vacutainer® venous blood collection tubes Disposable transfer pipettes VWR Low Temperature 5 ml Freezer vials, Sterile (Product # 16001-104). Serum and plasma from the BD collection tubes are transferred to these secondary tubes for freezing and storage. Freezer and cryobox for storing freezer vials. Ultra-cold freezers at or below -70 ºC are preferred. Finally, personnel performing these tasks should be receive Blood Borne Pathogen training and annual recertification from their Environmental Health and Safety Departments, and adhere to adhere to all relevant guidelines regarding the safe handling and disposal of human blood products, including but not limited to wearing safety glasses, gloves, and lab coats. Instructions for Obtaining Plasma for Biomarker Research Purposes 1. Pre-chill 10 mL lavender-top K2 EDTA BD Vacutainer® venous blood collection tubes on wet ice for at least 5 minutes. 2. Follow standard phlebotomy practices and procedures, including wearing gloves during venipuncture and when handling blood collection tube and secondary tube to minimize exposure hazard. Consult product inserts for details of collection procedures, and order of collection when also collecting samples for other purposes. 3. Immediately after allowing the lavender-top Vacutainer® tube to completely fill, gently invert the tube 8 times, and return the tube to the wet ice bath 4. Within 30 minutes of collection, centrifuge at 1500 – 2000g for 10 min in a refrigerated centrifuge (2-8 ºC). 5. Within 30 min of centrifugation carefully transfer the plasma into a 5 ml VWR freezer vial. Do not attempt to retrieve the last 0.2 ml of plasma. 6. Plasma samples should be immediately frozen at -70˚C to -80˚C, and shipped on dry ice to a designated facility. 7. Deviations from the prescribed collection protocol should be reported to the designated coordinator. Instructions for Obtaining Serum for Biomarker Research Purposes 1. Follow standard phlebotomy practices and procedures, including wearing gloves during venipuncture and when handling blood collection tube and secondary tube to minimize exposure hazard. Consult product inserts for details of collection procedures, and order of collection when also collecting samples for other purposes. 2. After allowing the red-top Vacutainer® tube to completely fill, invert 4-6 times and store upright at room temperature until clotted (approximately 30-45 min). 3. Centrifuge at 1500 – 2000g for 10 min in a refrigerated centrifuge (2-8 ºC). Room temperature centrifugation is also acceptable for serum collections. 4. Within 30 min of centrifugation carefully transfer the serum into a 5 ml VWR freezer vial. Do not attempt to retrieve the last 0.2 ml of serum. 5. Serum samples should be immediately frozen at -70˚C to -80˚C, and shipped on dry ice to a designated facility. 6. Deviations from the prescribed collection protocol should be reported to the designated coordinator. Provided by: Gregory M. Preston, Ph.D. Pfizer Global Research & Development Groton/New London Laboratories Translational Biomarkers, Discovery Email: gregory.m.preston@pfizer.com