Evidence map›Paper›PMID 34939056›Full record

ArticleJournal of mass spectrometry and advances in the clinical lab2021

Endocannabinoids as potential biomarkers: It's all about pre-analytics.

Daniel Kratz, Dominique Thomas, Robert Gurke

Open access · goldAbstract read
In one paragraph

Article in Journal of mass spectrometry and advances in the clinical lab, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Palmitoylethanolamide in Human and Animal Obesity.Molecules (Basel, Switzerland) · 2026
    Review
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  6. Direct modulation of human GABA-A αFrontiers in neuroscience · 2026
    Review
  7. Review
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  9. Article
  10. Review
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  13. Review
  14. Article
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  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Daniel KratzInstitute of Clinical Pharmacology, pharmazentrum frankfurt/ZAFES, University Hospital of Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Dominique ThomasInstitute of Clinical Pharmacology, pharmazentrum frankfurt/ZAFES, University Hospital of Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Robert GurkeInstitute of Clinical Pharmacology, pharmazentrum frankfurt/ZAFES, University Hospital of Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Goethe University Frankfurt · DEFraunhofer Institute for Translational Medicine and Pharmacology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArachidonoyl ethanolamide (AEA) and 2-arachidonoyl glycerol (2-AG) are central lipid mediators of the endocannabinoid system. They are highly relevant due to their involvement in a wide variety of inflammatory, metabolic or malign diseases. Further elucidation of their modes of action and use as biomarkers in an easily accessible matrix, like blood, is restricted by their susceptibility to deviations during blood sampling and physiological co-dependences, which results in high variability of reported concentrations in low ng/mL ranges.

objectivesThe objective of this review is the identification of critical parameters during the pre-analytical phase and proposal of minimum requirements for reliable determination of endocannabinoids (ECs) in blood samples.

methodsReported physiological processes influencing the EC concentrations were put into context with published pre-analytical research and stability data from bioanalytical method validation.

resultsThe cause for variability in EC concentrations is versatile. In part, they are caused by inter-individual factors like sex, metabolic status and/or diurnal changes. Nevertheless, enzymatic activity in freshly drawn blood samples is the main reason for changing concentrations of AEA and 2-AG, besides additional non-enzymatic isomerization of the latter.

conclusionBlood samples for EC analyses require immediate processing at low temperatures (>0 °C) to maintain sample integrity. Standardization of the respective blood tube or anti-coagulant, sampling time point, applied centrifugal force and complete processing time can further decrease variability caused by sample handling. Nevertheless, extensive characterization of study participants is needed to reduce distortion of clinical data caused by co-variables and facilitate research on the endocannabinoid system.

Indexed as

1-AG, 1-arachidonoyl glycerol2-AG, 2-arachidonoyl glycerol2-Arachidonoyl glycerolAEA, arachidonoyl ethanolamideAnandamideBlood samplingBMI, body mass indexCBR, cannabinoid receptorEC-like, endocannabinoid-likeECs, endocannabinoidsECS, endocannabinoid systemEDTA, ethylenediaminetetraacetic acidEndocannabinoidFAAH, fatty acid amide hydrolaseFTC, freeze–thaw cyclesFT, freezing temperatureHDL, high density lipo proteinKSCN, potassium thiocyanateLLE, liquid–liquid extractionMAGL, monoacylglycerol lipaseMS/MS, tandem mass spectrometryO-AEA, virodhamineOEA, oleoyl ethanolamidePAF, platelet-activating factorPEA, palmitoyl ethanolamidePMSF, phenylmethylsulfonyl fluoridePre-analyticsRT, room temperatureSPE, solid-phase extraction(U)HPLC, (ultra) high performance liquid chromatographyWB, whole blood

Identifiers

PMID34939056
PMCPMC8662329
OpenAlexW3213279475

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.