Extension of useful reagent shelf life beyond manufacturers' recommendations. Cell Markers Committee of the College of American Pathologists.
OBJECTIVE
The College of American Pathologists Cell Markers Committee designed a study to evaluate the use of immunohistochemistry primary antibodies beyond manufacturers' recommended dates.


METHODS
Pathologists were asked to save aliquots of primary antibodies during mid-1997 so that by spring 1998 the reagents would be "outdated" according to manufacturers' recommendations. Three tumors were immunostained both in mid-1997 and early 1998 (using outdated reagents in 1998). Two hundred twenty-one laboratories participated.


METHODS
Immunostained materials consisted of an angiomyolipoma immunostained for muscle-specific actin and HMB-45, a melanoma immunostained for S100 protein and HMB-45, and a large cell lymphoma immunostained for common leukocyte antigen and HMB-45. Blocks from the same tumor were used in each instance.


METHODS
We compared the immunostaining results as a percentage of laboratories indicating a positive or negative immunohistochemical result between the 1997 and 1998 time points.


RESULTS
Only minor differences were identified for the 221 reporting laboratories in 1998 as compared with those in 1997.


CONCLUSIONS
The data suggest review of the Health Care Financing Administration's ruling on extending the useful reagent shelf life beyond manufacturers recommendations. Similar studies using more inherently quantitative methodology are suggested.
Tubbs
R R
RR
Department of Clinical Pathology, Cleveland (Ohio) Clinic Foundation, 44195-5131, USA.
Nagle
R
R
Leslie
K
K
Pettigrew
N M
NM
Said
J W
JW
Corwin
D J
DJ
Rickert
R R
RR
Roche
P C
PC
D000906:Antibodies / Q000191:economics; D014408:Biomarkers, Tumor / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry / Q000191:economics / Q000592:standards*; D007202:Indicators and Reagents / Q000191:economics / Q000592:standards; D009369:Neoplasms / Q000378:metabolism; D011786:Quality Control
D000906:Antibodies; D014408:Biomarkers, Tumor; D007202:Indicators and Reagents