The role of ethylenediamine tetraacetic acid (EDTA) as in vitro anticoagulant for diagnostic purposes

作者: Giuseppe Banfi , Gian Luca Salvagno , Giuseppe Lippi

DOI: 10.1515/CCLM.2007.110

关键词:

摘要: Anticoagulants are used to prevent clot formation both in vitro and vivo. In the specific field of diagnostics, anticoagulants commonly added collection tubes either maintain blood fluid state for hematological testing or obtain suitable plasma coagulation clinical chemistry analyses. Unfortunately, no universal anticoagulant that could be evaluation several laboratory parameters a sample from single test tube is available so far. Ethylenediamine tetraacetic acid (EDTA) polyprotic containing four carboxylic groups two amine with lone-pair electrons chelate calcium other metal ions. Calcium necessary wide range enzyme reactions cascade its removal irreversibly prevents clotting within tube. Historically, EDTA has been recommended as choice because it allows best preservation cellular components morphology cells. The remarkable expansion volume complexity over recent decades amplified potential spectrum applications this anticoagulant, which can stabilize variety traditional innovative tests. Specific data on behavior an hematology, including possible pitfalls, presented. use measuring cytokines, protein peptides, cardiac markers described, outline protection labile molecules provided by anticoagulant. proteomics general also described comparison serum samples. Finally, uses alternative instead illustrated.

参考文章(123)
M A Blajchman, W Pewarchuk, J VanderBoom, Pseudopolycythemia, pseudothrombocytopenia, and pseudoleukopenia due to overfilling of blood collection vacuum tubes Archives of Pathology & Laboratory Medicine. ,vol. 116, pp. 90- 92 ,(1992)
Charlotte Sissener Engstad, Tore Jarl Gutteberg, Bjarne Østerud, Modulation of blood cell activation by four commonly used anticoagulants Thrombosis and Haemostasis. ,vol. 77, pp. 690- 696 ,(1997) , 10.1055/S-0038-1656035
Richard A. Savage, Pseudoleukocytosis due to EDTA-induced platelet clumping. American Journal of Clinical Pathology. ,vol. 81, pp. 317- 322 ,(1984) , 10.1093/AJCP/81.3.317
Martial Saugy, Patrice Mangin, Neil Robinson, Time and temperature dependant changes in red blood cell analytes used for testing recombinant erythropoietin abuse in sports. Clinical Laboratory. ,vol. 50, pp. 317- 323 ,(2004)
M Gleeson, S Kinlay, Choice of anticoagulant affects measurement of plasma fibrinogen. Clinical Chemistry. ,vol. 39, pp. 1754- 1755 ,(1993) , 10.1093/CLINCHEM/39.8.1754
C. Brugnara, C. J. Rutherford, M. A. Goldberg, G. M. Colella, R. C. Langley, J. Cremins, T. J. Schneider, Effects of subcutaneous recombinant human erythropoietin in normal subjects: development of decreased reticulocyte hemoglobin content and iron-deficient erythropoiesis. Journal of Laboratory and Clinical Medicine. ,vol. 123, pp. 660- 667 ,(1994)
G Banfi, A Dolci, Preanalytical phase of sport biochemistry and haematology Journal of Sports Medicine and Physical Fitness. ,vol. 43, pp. 223- 230 ,(2003)
JG Pegels, EC Bruynes, CP Engelfriet, AE von dem Borne, Pseudothrombocytopenia: an immunologic study on platelet antibodies dependent on ethylene diamine tetra-acetate. Blood. ,vol. 59, pp. 157- 161 ,(1982) , 10.1182/BLOOD.V59.1.157.157