Preservatives in in vitro diagnostic (IVD) reagents play a crucial role in eliminating or inhibiting the growth of microorganisms, particularly bacteria and fungi. These preservatives help maintain the quality of liquid reagents throughout their shelf life and ensure accurate and stable test results by preventing microbial contamination.
What Is the Mechanism of Action of Preservatives?
Preservatives achieve antimicrobial effects by targeting various components of microorganisms, such as cell membranes, cell walls, or enzymes. This disrupts microbial cell division, ultimately inhibiting their growth and reproduction. For instance, thimerosal acts on sulfhydryl enzymes, while gentamicin targets ribosomes.
What Are the Principles for Selecting an Effective Preservative?
When selecting a preservative, several factors must be considered, including its antimicrobial efficacy, solubility in the reagent, stability, compatibility with other components, safety, and regulatory compliance. An ideal preservative should possess the following characteristics:
- Effectively inhibits microbial growth.
- Sufficiently soluble in the reagent.
- Highly stable throughout the reagent’s shelf life.
- Non-reactive with other reagent components.
- Cost-effective and readily available.
What Are the Characteristics of Common Preservatives?
Below is a summary of the properties and uses of some commonly used preservatives in IVD formulations:
Sodium Azide
- Properties: While non-flammable, sodium azide is highly explosive, especially when reacting with heavy metal salts such as those of copper, lead, or silver. It readily dissolves in water, forming a weakly alkaline solution.
- Application: Effective against microbial contamination but unsuitable for reagents interacting with horseradish peroxidase (HRP). It can also interfere with biological processes by blocking the electron transport chain.
Thimerosal
- Properties: This organic mercury compound has been widely used as a preservative in biological products and pharmaceuticals for over 60 years. It exhibits both antibacterial and antifungal properties.
- Application: Commonly used in ELISA reagents at 0.01–0.02% concentrations. However, its toxicity has led to reduced use.
Gentamicin
- Mechanism: A member of the aminoglycoside family, gentamicin inhibits bacterial protein synthesis by targeting ribosomes and disrupting membrane integrity.
- Application: Effective against various Gram-negative and some Gram-positive bacteria but ineffective against fungi or viruses.
Kathon
- Properties: A broad-spectrum biocide that effectively inhibits bacteria, fungi, and algae, even at low concentrations (e.g., 0.5 mg/L). It remains stable across a wide pH range and has low toxicity.
- Application: Ideal for preventing microbial growth and biofilm formation in diagnostic reagents.
Proclinix 300
- Properties: A highly effective preservative with broad-spectrum antimicrobial activity. It exhibits excellent compatibility with enzymes and antibodies and remains stable over a wide pH range.
- Application: Used to control microbial content in diagnostic reagents. Proclinix 300 does not interfere with antibody binding or enzymatic activity, making it an ideal choice for sensitive formulations.
How to Use Preservatives Effectively in IVD Reagents?
- Short-term use: For reagents used in a short period, preservatives may not be necessary. Instead, reagents can be stored at 4°C or frozen with glycerol.
- ELISA reagents: Thimerosal is widely used but should be minimized due to toxicity. Sodium azide can be used at 0.02% concentration but is unsuitable for HRP-related reagents.
- Biologically active reagents: Avoid preservatives to maintain stability and functionality. Instead, use aliquots stored at appropriate temperatures to prevent repeated freeze-thaw cycles.
What Are the Recommended Preservative Practices for IVD Reagents?
For example, HIV diagnostic kits produced by bioMérieux use 0.1 g/L gentamicin sulfate and 0.2 mL/L cinnamaldehyde as preservatives for control sera. Additionally, Kathon and Proclinix 300 are recognized as excellent biocides for maintaining the integrity of IVD products.
By carefully selecting and using appropriate preservatives, the quality and reliability of IVD reagents can be ensured throughout their shelf life.
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