The HemoCue system (Glucose 201+, Hb201, and WBC DIFF, HemoCue AB, Angelholm, Sweden) was used to determine blood glucose concentration, haemoglobin, total and differential leukocyte counts (including neutrophils, lymphocytes and monocytes) in duplicate from whole blood samples. The coefficient of variation (CV) for blood glucose concentration, haemoglobin and leukocyte counts was 5.1%, 1.6%, and 13.6% respectively. Haematocrit was determined by capillary method in triplicate from heparin whole blood samples using a microhematocrit reader (CV: 0.7%) (Thermo Fisher Scientific). The haemoglobin and haematocrit values were used to determine changes in plasma volume (P
v) relative to baseline, and to correct plasma variables (Dill and Costill, 1974 (
link)). Bacterially-stimulated elastase release was determined as previously described (Costa et al., 2009 (
link); Costa et al., 2011 (
link); Costa et al., 2019a (
link); Costa R. J. S. et al., 2020 (
link)). The remaining whole blood in the heparin and K3EDTA vacutainers was centrifuged at 4,000 rpm (1,500 g) for 10 min within 15 min of sample collection and aspirated into 1.5 ml micro-storage tubes and frozen at −80°C until analysis. Prior to freezing, two 50 µl aliquots of heparin plasma were used to determine plasma osmolality (P
Osmol), in duplicate (CV: 0.7%), by freeze point osmometry (Osmomat 030, Gonotec, Berlin, Germany). Circulating concentrations of cortisol (DKO001; DiaMetra, Italy), PMN elastase (BMS269; Affymetrix EBioscience, Vienna, Austria), I-FABP (HK406; Hycult Biotech, Uden, Netherlands), sCD14 (HK320; Hycult Biotech), and LBP (HK315, Hycult Biotech) were determined by ELISA. Additionally, systemic cytokine profile [i.e., plasma IL-1β, TNF-α, IL-10, and IL-1ra concentrations] (HCYTMAG-60K, EMD Millipore, Darmstadt, Germany) were determined by multiplex system (Magpix, Luminex, Austin, TX, United States). All variables were analysed as per manufacturer’s instructions on the same day, with standards and controls on each plate, and sample from each participant assayed on the same plate. The intra- and inter-assay CV for analysed biomarkers, respectively, was 6.1% and 10.4% for cortisol, 2.8% and 3.6% for I-FABP, 4.0% and 9.3% for LBP, 3.3% and 4.2% for sCD14, 5.5% and 9.7% for elastase, 16.0% and 16.6% for IL-1β, 14.9% and 15.5% for TNFα, 15.8% and 9.1% for IL-6, 14.7% and 12.6% for IL-8, 15.9% and 11.1% for IL-10, and 9.2% and 8.8% for IL-1ra.
Young P., Russo I., Gill P., Muir J., Henry R., Davidson Z, & Costa R.J. (2023). Reliability of pathophysiological markers reflective of exercise-induced gastrointestinal syndrome (EIGS) in response to 2-h high-intensity interval exercise: A comprehensive methodological efficacy exploration. Frontiers in Physiology, 14, 1063335.