Laboratory Medicine and Quality Assurance

Table. 1.

A summary of previous studies on the stability of metanephrine and normetanephrine in plasma or urine

Reference Specimen Levels Method Conditions Results

Temperature (℃) Duration
Willemsen et al. [11] (2003) Whole blood plasma 1 HPLC RT (for whole blood) 6 hours In whole blood, unstable at RT; in whole blood, stable within 6 hours at 4℃
RT (for plasma) 3 days In plasma, unstable at RT
4, –20 (for plasma) 1 month In plasma, stable within 3 days at 4℃; in plasma, stable within 1 month at –20℃
de Jong et al. [12] (2007) Plasma 3 LC-MS/MS RT 24 hours In plasma, stable within 24 hours at RT
10, 4 7 days In plasma, stable within 7 days at 10℃ and 4℃
Freeze (–20)/thaw (RT) 3 cycles In plasma, stable in 3 freeze-thaw cycles
Ross et al. [13] (2011) Plasma 1 HPLC –20, –80 60 months In plasma, stable within 12 months at –20℃ and –80℃
Danese et al. [4] (2020) Whole blood plasma 1 LC-MS/MS RT, 4 (for whole blood) 3 hours In whole blood, unstable at RT; in whole blood, stable within 3 hours at 4℃
RT, 4 (for plasma) 6 hours In plasma, stable within 6 hours at RT and 4℃
Wang et al. [3] (2021) Whole blood plasma 2 LC-MS/MS RT, 4 (for whole blood) 4 hours In whole blood, unstable at RT; in whole blood, stable within 4 hours at 4℃
RT, 4 (for plasma) 6 hours In plasma, stable within 6 hours at RT and 4℃
–20, –80 7 days In whole blood & plasma, stable within 7 days at –20℃ and –80℃
Chan et al. [14] (2000) Urine with/without preservatives 1 HPLC 10, 30 8 days In urine without/with preservatives, unstable at 10℃ and 30℃
–80 1 month In urine without/with preservatives, stable within 22 days at –80℃
Willemsen et al. [15] (2007) Urine with/without preservatives 1 HPLC RT 7 days In urine without/with preservatives, stable within 7 days at RT
Peitzsch et al. [16] (2013) Urine with/without preservatives 1 LC-MS/MS RT 3 days In urine without/with acidification, stable within 3 days at RT
Urine with strong acidification RT 3 days In urine with strong acidification, unstable (especially, normetanephrine)
Wang et al. [17] (2020) Urine without preservatives 1 LC-MS/MS RT, 4 4 days In urine without preservatives, stable within 4 days at RT and 4℃
–20 7 months In urine without preservatives, stable within 7 months at –20℃
This study (2022) Plasma urine without preservatives 2 LC-MS/MS RT 24 hours In plasma/urine, stable within 24 hours at RT
4, –20 8 days In plasma/urine, stable within 8 days at 4℃ and –20℃
–80 7 months In plasma/urine, stable within 7 months at –80℃
Freeze (–20)/thaw (RT) 3 cycles In plasma/urine, stable in 3 freeze-thaw cycles
With dry-ice 7 days In plasma/urine, stable within 7 days with dry-ice

Abbreviations: HPLC, high performance liquid chromatography; RT, room temperature; LC-MS/MS, liquid chromatography-tandem mass spectrometry.

Lab Med Qual Assur 2023;45:34~41 https://doi.org/10.15263/jlmqa.2023.45.1.34
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