To: bunn  who wrote (455 ) 10/15/2006 1:57:56 PM From: tuck     Read Replies (1)  | Respond to    of 510  [Preanalytical and analytical variation of surface-enhanced laser desorption-ionization time-of-flight mass spectrometry of human serum] I don't know exactly what step to take, but it has to be something.  The company has said snap-freezing, which most clinical diagnostic labs are not rigged for, was not required.  But it's clear that deterioration of the serum sample through clotting or whatever must be stopped if they expect to get consistent, clinically relevant results.  I think it's been shown that snap-freezing would do the trick, but it apparently isn't commercially practical. What, then, Ciphergen? The one bit of good news here is the senstence "The protein peaks in serum in healthy individuals showed no variation with gender, age, fasting, or diurnal rhythm." >>Clin Chem Lab Med. 2006;44(10):1243-52. Preanalytical and analytical variation of surface-enhanced laser desorption-ionization time-of-flight mass spectrometry of human serum. Albrethsen J, Bogebo R, Olsen J, Raskov H, Gammeltoft S. 1. Department of Clinical Biochemistry, Glostrup Hospital, Glostrup, Denmark. Background: Surface-enhanced laser desorption-ionization time-of-flight (SELDI-TOF) mass spectrometry of human serum is a potential diagnostic tool in human diseases. In the present study, the preanalytical and analytical variation of SELDI-TOF mass spectrometry of serum was assessed in healthy individuals. Methods: Serum and plasma were obtained from healthy human individuals. Protein peaks in human serum and plasma were determined by SELDI-TOF mass spectrometry. Results: The protein peaks in serum in healthy individuals showed no variation with gender, age, fasting, or diurnal rhythm. The intensity of protein peaks changed significantly during clotting of serum from 30 to 60 min, followed by smaller changes from 60 to 120 min. The intensity of protein peaks changed after 60-min storage of serum at room temperature, whereas no changes were observed for storage on ice. The number of reproducible protein peaks in serum was determined on WCX2, SAX2, and IMAC30 arrays as 29, 34, and 36, respectively. The average coefficient of variation (CV) of the mass value of protein peaks was 0.03%. The intra-assay CV of peak intensity on IMAC30 arrays was 16% (10%-36%, n=8) for 36 peaks, inter-assay CV was 18% (6%-34%, n=4) for 16 peaks, and inter-individual CV was 38% (16%-56%, n=16) for 20 peaks. Conclusions: The pre-analytical and analytical conditions of SELDI-TOF mass spectrometry of serum have a significant impact on the protein peaks, with the number of peaks low and the assay variation high. Consequently, SELDI-TOF mass spectrometry of serum needs further evaluation before application in clinical diagnostics. << Maybe this is the hold up at Quest.  Maybe they can't figure out how to practically stop deterioration of the samples.  Until Ciphergen publicly and squarely addresses this, I'll be looking for the exit.  Go ahead an submit the relevant patent app, but then tell us about it, please. Cheers,  Tuck