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Dried spot cards to analyse biologic fluids for diagnostic investigation of patients

Background: Collection of biologic fluid for laboratory analysis requires relatively large samples, often with additives, and transport in fragile tubes. The analytes or matrices may be unstable so testing needs to be carried out quickly. Collection of these biologic fluids and drying them on filter...

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Main Author: Rapulana, Antony Morwamoche
Other Authors: Blackhurst, Dee M
Format: Thesis
Language:English
Published: Division of Chemical Pathology 2019
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access_status_str Open Access
author Rapulana, Antony Morwamoche
author2 Blackhurst, Dee M
author_browse Blackhurst, Dee M
Rapulana, Antony Morwamoche
author_facet Blackhurst, Dee M
Rapulana, Antony Morwamoche
author_sort Rapulana, Antony Morwamoche
collection Thesis
description Background: Collection of biologic fluid for laboratory analysis requires relatively large samples, often with additives, and transport in fragile tubes. The analytes or matrices may be unstable so testing needs to be carried out quickly. Collection of these biologic fluids and drying them on filter paper can lower the cost of transporting the sample to the laboratory, avoid instability of the matrix, and degradation of the analytes. Aim: The aim of this project was to develop an inexpensive, convenient, comprehensive and reproducible patient sample collection system which ensures integrity and ease of transport of small-scale samples at room temperature, as well as ensuring convenient long-term storage for subsequent analysis. Methods: Samples (blood, buffy coat, serum, plasma and urine) were collected into various tubes and spotted onto filter paper cards. Concentrations of total cholesterol, triglyceride, phospholipids, glucose, lactate, and protein were measured in the original sample and dried plasma spots (DPS) and the concentration of creatinine was measured in urine and dried urine spots (DUS). Determination of oxidation of lipids by measurement of conjugated dienes (CD) and thiobarbituric acid reactive substances (TBARS) on dried serum spots (DSS) was carried out. Determination of salicylate on serum and dried serum spots and cyanide on whole blood and dried blood spots was carried out. Values obtained from original samples and dried spots were compared. In addition, DNA extracted from a dried buffy coat spot (DBCS) from a familial hypercholesterolemia patient was analysed after spotting. Results: The total cholesterol, triglyceride, phospholipid, glucose, lactate and protein concentration values of 14 samples were compared in whole plasma and DPS stored at different temperatures. These were highly correlated after 1 week and 3 months of collection and storage. Plasma cholesterol, glucose and lactate concentration values for DPS as well as urinary creatinine for DUS at 1 week were not significantly different to that at both 3 and 7 months’ analyses (p>0.05). Plasma triglyceride and phospholipid concentrations were significantly different (p blood vs DBS respectively) for cyanide. Salicylate in DSS and cyanide in DBS were not significantly different to the original samples (paired t-test, p>0.05). Conclusion: Dried filter spots may be used to transport and store biologic fluid samples for analyses of a number of water-soluble and water-insoluble analytes. To protect lipids from being oxidised, the filter paper should be pre-treated with BHT.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:08.355Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher Division of Chemical Pathology
publisherStr Division of Chemical Pathology
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/29858 Dried spot cards to analyse biologic fluids for diagnostic investigation of patients Rapulana, Antony Morwamoche Blackhurst, Dee M Marais, A David Chemical Pathology Background: Collection of biologic fluid for laboratory analysis requires relatively large samples, often with additives, and transport in fragile tubes. The analytes or matrices may be unstable so testing needs to be carried out quickly. Collection of these biologic fluids and drying them on filter paper can lower the cost of transporting the sample to the laboratory, avoid instability of the matrix, and degradation of the analytes. Aim: The aim of this project was to develop an inexpensive, convenient, comprehensive and reproducible patient sample collection system which ensures integrity and ease of transport of small-scale samples at room temperature, as well as ensuring convenient long-term storage for subsequent analysis. Methods: Samples (blood, buffy coat, serum, plasma and urine) were collected into various tubes and spotted onto filter paper cards. Concentrations of total cholesterol, triglyceride, phospholipids, glucose, lactate, and protein were measured in the original sample and dried plasma spots (DPS) and the concentration of creatinine was measured in urine and dried urine spots (DUS). Determination of oxidation of lipids by measurement of conjugated dienes (CD) and thiobarbituric acid reactive substances (TBARS) on dried serum spots (DSS) was carried out. Determination of salicylate on serum and dried serum spots and cyanide on whole blood and dried blood spots was carried out. Values obtained from original samples and dried spots were compared. In addition, DNA extracted from a dried buffy coat spot (DBCS) from a familial hypercholesterolemia patient was analysed after spotting. Results: The total cholesterol, triglyceride, phospholipid, glucose, lactate and protein concentration values of 14 samples were compared in whole plasma and DPS stored at different temperatures. These were highly correlated after 1 week and 3 months of collection and storage. Plasma cholesterol, glucose and lactate concentration values for DPS as well as urinary creatinine for DUS at 1 week were not significantly different to that at both 3 and 7 months’ analyses (p>0.05). Plasma triglyceride and phospholipid concentrations were significantly different (p blood vs DBS respectively) for cyanide. Salicylate in DSS and cyanide in DBS were not significantly different to the original samples (paired t-test, p>0.05). Conclusion: Dried filter spots may be used to transport and store biologic fluid samples for analyses of a number of water-soluble and water-insoluble analytes. To protect lipids from being oxidised, the filter paper should be pre-treated with BHT. 2019-03-01T08:35:42Z 2019-03-01T08:35:42Z 2018 2019-02-25T10:53:08Z Master Thesis Masters MSc http://hdl.handle.net/11427/29858 eng application/pdf Division of Chemical Pathology Faculty of Health Sciences University of Cape Town
spellingShingle Chemical Pathology
Rapulana, Antony Morwamoche
Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
thesis_degree_str Master's
title Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
title_full Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
title_fullStr Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
title_full_unstemmed Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
title_short Dried spot cards to analyse biologic fluids for diagnostic investigation of patients
title_sort dried spot cards to analyse biologic fluids for diagnostic investigation of patients
topic Chemical Pathology
url http://hdl.handle.net/11427/29858
work_keys_str_mv AT rapulanaantonymorwamoche driedspotcardstoanalysebiologicfluidsfordiagnosticinvestigationofpatients