Plasma Proteome Stability at the Time of Sudden Cardiac Arrest: Implications for Biomarker Studies in Post-Resuscitation Survival
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ABSTRACT: Plasma serves as a crucial source of circulating protein biomarkers for advancing resuscitation strategies in sudden cardiac arrest (SCA). However, emergency blood collection under SCA introduces preanalytical variables that may affect proteomic analyses. This study assessed plasma protein stability under blood handling conditions that simulate real-world first responder scenarios. Blood from four individuals was aliquoted and subjected to different (a) initial storage conditions and (b) delays after collection, simulating first responder blood handling scenarios. Plasma was analyzed using data-independent acquisition mass spectrometry (DIA-MS) for global proteomics and parallel reaction monitoring (PRM-MS) for 16 SCA biomarker candidates. Global proteomic variation was primarily driven by inter-individual differences, with less influence from storage conditions or delays. Notably, 87.5% of the candidate biomarkers (14/16) remained stable under ideal storage (4°C storage immediately after blood collection), and 62.5% (10/16) retained stability even under worst-case (room temperature storage for 8 hours after blood collection) for up to 24 hours. However, several proteins lost stability with delayed processing, even under ideal storage. Our study highlights the critical importance of processing blood within 24 hours of collection and accounting for protein stability to preserve the reliability of biomarkers for improving resuscitation strategies in SCA.
ORGANISM(S): Homo Sapiens
SUBMITTER:
Jihyeon Lee
PROVIDER: PXD067885 | panorama | Wed Apr 29 00:00:00 BST 2026
REPOSITORIES: PanoramaPublic
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