Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A

Abstract Background Studies in many populations have reported associations between circulating cytokine levels and various physiological or pathological conditions. However, the reliability of cytokine measurements in population studies, which measure cytokines in multiple assays over a prolonged pe...

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Main Authors: Tomoki Nakamizo, John Cologne, Takeshi Kishi, Tetsuya Takahashi, Mayumi Inoue, Hiroyuki Ryukaku, Tomonori Hayashi, Yoichiro Kusunoki, Saeko Fujiwara, Waka Ohishi
Format: Article
Language:English
Published: BMC 2024-02-01
Series:European Journal of Medical Research
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Online Access:https://doi.org/10.1186/s40001-024-01722-w
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author Tomoki Nakamizo
John Cologne
Takeshi Kishi
Tetsuya Takahashi
Mayumi Inoue
Hiroyuki Ryukaku
Tomonori Hayashi
Yoichiro Kusunoki
Saeko Fujiwara
Waka Ohishi
author_facet Tomoki Nakamizo
John Cologne
Takeshi Kishi
Tetsuya Takahashi
Mayumi Inoue
Hiroyuki Ryukaku
Tomonori Hayashi
Yoichiro Kusunoki
Saeko Fujiwara
Waka Ohishi
author_sort Tomoki Nakamizo
collection DOAJ
description Abstract Background Studies in many populations have reported associations between circulating cytokine levels and various physiological or pathological conditions. However, the reliability of cytokine measurements in population studies, which measure cytokines in multiple assays over a prolonged period, has not been adequately examined; nor has stability during sample storage or intra-individual variation been assessed. Methods We assessed (1) analytical reliability in short- and long-term repeated measurements; (2) stability and analytical reliability during long-term sample storage, and (3) variability within individuals over seasons, of four cytokines—osteopontin (OPN), osteoprotegerin (OPG), vascular endothelial growth factor-A (VEGF-A), and interleukin-17A (IL-17A). Measurements in plasma or serum samples were made with commercial kits according to standard procedures. Estimation was performed by fitting a random or mixed effects linear model on the log scale. Results In repeated assays over a short period, OPN, OPG, and VEGF-A had acceptable reliability, with intra- and inter-assay coefficients of variation (CV) less than 0.11. Reliability of IL-17A was poor, with inter- and intra-assay CV 0.85 and 0.43, respectively. During long-term storage, OPG significantly decayed (− 33% per year; 95% confidence interval [− 54, − 3.7]), but not OPN or VEGF-A (− 0.3% or − 6.3% per year, respectively). Intra- and inter-assay CV over a long period were comparable to that in a short period except for a slight increase in inter-assay CV of VEGF-A. Within-individual variation was small for OPN and VEGF-A, with intra-class correlations (ICC) 0.68 and 0.83, respectively, but large for OPG (ICC 0.11). Conclusions We conclude that OPN and VEGF-A can be reliably measured in a large population, that IL-17A is suitable only for small experiments, and that OPG should be assessed with caution due to degradation during storage and intra-individual variation. The overall results of our study illustrate the need for validation under relevant conditions when measuring circulating cytokines in population studies.
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spelling doaj.art-9ce9561e37254aa4926bcd64cb63c33a2024-03-05T18:04:38ZengBMCEuropean Journal of Medical Research2047-783X2024-02-012911810.1186/s40001-024-01722-wReliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17ATomoki Nakamizo0John Cologne1Takeshi Kishi2Tetsuya Takahashi3Mayumi Inoue4Hiroyuki Ryukaku5Tomonori Hayashi6Yoichiro Kusunoki7Saeko Fujiwara8Waka Ohishi9Department of Clinical Studies, RERFDepartment of Statistics, RERFDivision of Clinical Laboratories, RERFFaculty of Rehabilitation, Hiroshima International UniversityDivision of Clinical Laboratories, RERFDivision of Clinical Laboratories, RERFDepartment of Molecular Biosciences, RERFDepartment of Molecular Biosciences, RERFFaculty of Pharmacy, Yasuda Women’s UniversityDepartment of Clinical Studies, RERFAbstract Background Studies in many populations have reported associations between circulating cytokine levels and various physiological or pathological conditions. However, the reliability of cytokine measurements in population studies, which measure cytokines in multiple assays over a prolonged period, has not been adequately examined; nor has stability during sample storage or intra-individual variation been assessed. Methods We assessed (1) analytical reliability in short- and long-term repeated measurements; (2) stability and analytical reliability during long-term sample storage, and (3) variability within individuals over seasons, of four cytokines—osteopontin (OPN), osteoprotegerin (OPG), vascular endothelial growth factor-A (VEGF-A), and interleukin-17A (IL-17A). Measurements in plasma or serum samples were made with commercial kits according to standard procedures. Estimation was performed by fitting a random or mixed effects linear model on the log scale. Results In repeated assays over a short period, OPN, OPG, and VEGF-A had acceptable reliability, with intra- and inter-assay coefficients of variation (CV) less than 0.11. Reliability of IL-17A was poor, with inter- and intra-assay CV 0.85 and 0.43, respectively. During long-term storage, OPG significantly decayed (− 33% per year; 95% confidence interval [− 54, − 3.7]), but not OPN or VEGF-A (− 0.3% or − 6.3% per year, respectively). Intra- and inter-assay CV over a long period were comparable to that in a short period except for a slight increase in inter-assay CV of VEGF-A. Within-individual variation was small for OPN and VEGF-A, with intra-class correlations (ICC) 0.68 and 0.83, respectively, but large for OPG (ICC 0.11). Conclusions We conclude that OPN and VEGF-A can be reliably measured in a large population, that IL-17A is suitable only for small experiments, and that OPG should be assessed with caution due to degradation during storage and intra-individual variation. The overall results of our study illustrate the need for validation under relevant conditions when measuring circulating cytokines in population studies.https://doi.org/10.1186/s40001-024-01722-wMolecular epidemiologyBiomarkersCytokinesBiological variationIndividualReproducibility of results
spellingShingle Tomoki Nakamizo
John Cologne
Takeshi Kishi
Tetsuya Takahashi
Mayumi Inoue
Hiroyuki Ryukaku
Tomonori Hayashi
Yoichiro Kusunoki
Saeko Fujiwara
Waka Ohishi
Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
European Journal of Medical Research
Molecular epidemiology
Biomarkers
Cytokines
Biological variation
Individual
Reproducibility of results
title Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
title_full Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
title_fullStr Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
title_full_unstemmed Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
title_short Reliability, stability during long-term storage, and intra-individual variation of circulating levels of osteopontin, osteoprotegerin, vascular endothelial growth factor-A, and interleukin-17A
title_sort reliability stability during long term storage and intra individual variation of circulating levels of osteopontin osteoprotegerin vascular endothelial growth factor a and interleukin 17a
topic Molecular epidemiology
Biomarkers
Cytokines
Biological variation
Individual
Reproducibility of results
url https://doi.org/10.1186/s40001-024-01722-w
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