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A researcher’s guide to choosing the right anticoagulant for blood research, including PBMCs and plasma

Sourcing blood products for life science research can be daunting, especially when selecting the right anticoagulant for your study. Whether you’re working with PBMCs, plasma, serum, or whole blood, choosing the correct anticoagulant is crucial to avoid interference in assays and to preserve sample integrity.

What are anticoagulants and how do they work?

Anticoagulants prevent blood from clotting in two primary ways:

  1. Binding calcium ions – e.g., EDTA, citrate.
  2. Inhibiting thrombin activity – e.g., heparin.

The three most widely used anticoagulants are:

  • Ethylenediaminetetraacetic acid (EDTA)
  • Heparin
  • Citrate

Potential interference of anticoagulants with analysis

While anticoagulants are essential in research, they can interfere with analytical methods or alter the concentrations of certain constituents in blood. Here are key considerations:

  • Contamination with cations: For example, NH4+, Li+, Na+, and K+.
  • Assay interference: Caused by the complexation of metals with EDTA and citrate, leading to:
    • Inhibition of alkaline phosphatase and metalloproteinase activities.
    • Binding of ionized calcium to heparin.
  • Impact on fibrinogen: Can affect heterogeneous immunoassays.
  • Inhibition of metabolic reactions: Heparin, for example, can inhibit Taq polymerase in PCR.

Can anticoagulants affect PCR assays?

Yes, particularly heparin-based anticoagulants, which can inhibit PCR analysis. To mitigate these effects, consider these precautions:

Simple PCR tests:

  • Dilution of nucleic acids often resolves inhibition.
  • For high-sensitivity PCR, isolate nucleated cells and wash them repeatedly in physiological buffers.

Highly sensitive RT-PCR:

  • More advanced methods, such as lithium chloride treatment, effectively remove heparin without degrading RNA.
  • Alternative techniques include Sephadex chromatography or heparinase treatment, but these can be costly and time-consuming.

Anticoagulant selection guide

The table below summarises the most common anticoagulants, their applications, advantages, and disadvantages:

Anticoagulant

Best for

Not recommended for

Advantages

Disadvantages

K2EDTA / K3EDTA

Haematology, donor screening, PBMC isolation

Calcium/iron estimation, PCR

Preserves RBC morphology, low hyperosmolar effect

Can inhibit certain enzyme activities, diluted specimen (K3EDTA only)

Lithium/sodium heparin

Plasma determinations, pH and blood gas analysis

PCR

Minimal hemolysis, preserves RBC morphology

Inhibits acid phosphatase, interferes with metabolic reactions

Sodium citrate

Coagulation studies, platelet function tests

Calcium estimation

Reversible anticoagulation, preserves coagulation factors

Inhibits aminotransferase and alkaline phosphatase activities

ACD-A

PBMC preservation, DNA analysis

Biochemical/metabolomics studies

Prolongs shelf-life of blood (6–8 hours), stabilizes lymphocytes for LCL establishment

Can impact biochemical assay results

CPD

PBMC preservation, red blood cell storage

N/A

Enhances ATP synthesis, isotonic for RBCs

Limited compatibility with some analytical methods

Fluoride/oxalate

Glucose determinations, alcohol testing

Enzymatic immunoassays, WBC morphology

Preserves glucose concentrations

Inhibits many enzymes, poorly preserves WBC morphology

Serum vs. plasma for metabolomics studies

For metabolomics research, serum is often the preferred choice. Unlike plasma, serum avoids interference from anticoagulants, making it ideal for downstream applications such as:

  • Immunoassays (ELISA, RIA).
  • Serological diagnostics.

However, for some tests (e.g., ELISAs, immunoblots), both serum and plasma can be used interchangeably.

Considerations for gel separator tubes

While gel separator tubes are useful for rapid serum/plasma separation, studies show they may alter metabolite profiles, particularly for amino acids. To ensure accurate metabolomic analysis, avoid using gel separator tubes.

Ensuring quality for your research

At Research Donors, we provide high-quality blood products tailored to your research needs. Our extensive donor pool allows us to deliver diverse sample types, including whole blood, leukopaks, PBMCs, plasma, serum, and more.

  • High standards: All samples are processed in an ISO-accredited, HTA-licensed facility under informed consent.
  • Flexibility: Customise your sample requirements to suit your specific project.

Explore our selection of blood products and find the right sample type for your research. View our blood biospecimens to get started today!

References & further reading

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