Diurnal and day-to-day biological variation of salivary cortisol and cortisone.

biological variation cortisol cortisone saliva

Journal

Clinical chemistry and laboratory medicine
ISSN: 1437-4331
Titre abrégé: Clin Chem Lab Med
Pays: Germany
ID NLM: 9806306

Informations de publication

Date de publication:
09 May 2024
Historique:
received: 09 02 2024
accepted: 02 05 2024
medline: 9 5 2024
pubmed: 9 5 2024
entrez: 9 5 2024
Statut: aheadofprint

Résumé

There is a growing interest in the relevance of salivary cortisol and cortisone concentrations in stress-related research. To correctly attribute the magnitude of salivary cortisol and cortisone variation as an effect of a stressful event, a coherent understanding of the day-to-day intra-individual and inter-individual variability across the diurnal cycle of the two steroids is required. However, such information is currently lacking. This study aimed to overcome these existing limitations by performing an investigation of the biological variation (BV) of salivary cortisol and cortisone within one day and between five days using an LC-MS/MS method. Saliva samples were collected from 20 healthy volunteers immediately after waking up, at 8:00, 12:00, 15:00, 19:00 and 23:00 on each day over five days. All samples were analyzed in duplicate in one run. Nested ANOVA was used to calculate the sums of squares for analytical and biological components of variation. The within-subject BV of salivary cortisol and cortisone (CV This study provides updated BV estimates and RCVs for different times of day that can be used to assess the magnitude of change in biomarkers in future stress-related research.

Identifiants

pubmed: 38721806
pii: cclm-2024-0196
doi: 10.1515/cclm-2024-0196
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Walter de Gruyter GmbH, Berlin/Boston.

Références

Chrousos, GP. Stress and disorders of the stress system. Nat Rev Endocrinol 2009;5:374–81. https://doi.org/10.1038/nrendo.2009.106 .
doi: 10.1038/nrendo.2009.106
Herman, JP, McKlveen, JM, Ghosal, S, Kopp, B, Wulsin, A, Makinson, R, et al.. Regulation of the hypothalamic-pituitary-adrenocortical stress response. Compr Physiol 2016;6:603–21. https://doi.org/10.1002/cphy.c150015 .
doi: 10.1002/cphy.c150015
Pruessner, JC, Wolf, OT, Hellhammer, DH, Buske-Kirschbaum, A, von Auer, K, Jobst, S, et al.. Free cortisol levels after awakening: a reliable biological marker for the assessment of adrenocortical activity. Life Sci 1997;61:2539–49. https://doi.org/10.1016/s0024-3205(97)01008-4 .
doi: 10.1016/s0024-3205(97)01008-4
Adam, EK, Kumari, M. Assessing salivary cortisol in large-scale, epidemiological research. Psychoneuroendocrinology 2009;34:1423–36. https://doi.org/10.1016/j.psyneuen.2009.06.011 .
doi: 10.1016/j.psyneuen.2009.06.011
Blair, J, Adaway, J, Keevil, B, Ross, R. Salivary cortisol and cortisone in the clinical setting. Curr Opin Endocrinol Diabetes Obes 2017;24:161–8. https://doi.org/10.1097/med.0000000000000328 .
doi: 10.1097/med.0000000000000328
Dorn, LD, Lucke, JF, Loucks, TL, Berga, SL. Salivary cortisol reflects serum cortisol: analysis of circadian profiles. Ann Clin Biochem 2007;44:281–4. https://doi.org/10.1258/000456307780480954 .
doi: 10.1258/000456307780480954
Hellhammer, DH, Wüst, S, Kudielka, BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology 2009;34:163–71. https://doi.org/10.1016/j.psyneuen.2008.10.026 .
doi: 10.1016/j.psyneuen.2008.10.026
Adam, EK. Transactions among adolescent trait and state emotion and diurnal and momentary cortisol activity in naturalistic settings. Psychoneuroendocrinology 2006;31:664–79. https://doi.org/10.1016/j.psyneuen.2006.01.010 .
doi: 10.1016/j.psyneuen.2006.01.010
Lovallo, WR, Cohoon, AJ, Acheson, A, Vincent, AS, Sorocco, KH. Cortisol stress reactivity in women, diurnal variations, and hormonal contraceptives: studies from the family health patterns project. Stress 2019;22:421–7. https://doi.org/10.1080/10253890.2019.1581760 .
doi: 10.1080/10253890.2019.1581760
Chiu, SK, Collier, CP, Clark, AF, Wynn-Edwards, KE. Salivary cortisol on ROCHE elecsys immunoassay system: pilot biological variation studies. Clin Biochem 2003;36:211–4. https://doi.org/10.1016/s0009-9120(02)00471-x .
doi: 10.1016/s0009-9120(02)00471-x
Casals, G, Foj, L, de Osaba, MJ. Day-to-day variation of late-night salivary cortisol in healthy voluntaries. Clin Biochem 2011;44:665–8. https://doi.org/10.1016/j.clinbiochem.2011.02.003 .
doi: 10.1016/j.clinbiochem.2011.02.003
Perogamvros, I, Ray, D, Trainer, P. Regulation of cortisol bioavailability – effects on hormone measurement and action. Nat Rev Endocrinol 2012;8:717–27. https://doi.org/10.1038/nrendo.2012.134 .
doi: 10.1038/nrendo.2012.134
Bae, YJ, Reinelt, J, Netto, J, Uhlig, M, Willenberg, A, Ceglarek, U, et al.. Salivary cortisone, as a biomarker for psychosocial stress, is associated with state anxiety and heart rate. Psychoneuroendocrinology 2019;101:35–41. https://doi.org/10.1016/j.psyneuen.2018.10.015 .
doi: 10.1016/j.psyneuen.2018.10.015
Fraser, CG, Harris, EK. Generation and application of data on biological variation in clinical chemistry. Crit Rev Clin Lab Sci 1989;27:409–37. https://doi.org/10.3109/10408368909106595 .
doi: 10.3109/10408368909106595
Fraser, CG. Reference change values. Clin Chem Lab Med 2011;50:807–12. https://doi.org/10.1515/cclm.2011.733 .
doi: 10.1515/cclm.2011.733
Røraas, T, Støve, B, Petersen, PH, Sandberg, S. Biological variation: the effect of different distributions on estimated within-person variation and reference change values. Clin Chem 2016;62:725–36. https://doi.org/10.1373/clinchem.2015.252296 .
doi: 10.1373/clinchem.2015.252296
Frankenstein, L, Wu, AH, Hallermayer, K, Wians, FHJr, Giannitsis, E, Katus, HA. Biological variation and reference change value of high-sensitivity troponin T in healthy individuals during short and intermediate follow-up periods. Clin Chem 2011;57:1068–71. https://doi.org/10.1373/clinchem.2010.158964 .
doi: 10.1373/clinchem.2010.158964
Korkmaz, S, Zarasız, G, Göksülük, D, Senes, M, Sönmez, C, Yucel, D. BioVar: an online biological variation analysis tool. Turk J Biochem 2020;45:479–89. https://doi.org/10.1515/tjb-2019-0437 .
doi: 10.1515/tjb-2019-0437
World Health Organization . Mental Health. https://www.who.int/health-topics/mental-health#tab=tab_1 [Accessed 12 Jan 2024].
Focus on stress. Nat Neurosci 2015;18:1343.
Schneiderman, N, Ironson, G, Siegel, SD. Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol 2005;1:607–28. https://doi.org/10.1146/annurev.clinpsy.1.102803.144141 .
doi: 10.1146/annurev.clinpsy.1.102803.144141
Dickerson, SS, Kemeny, ME. Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychol Bull 2004;130:355–91. https://doi.org/10.1037/0033-2909.130.3.355 .
doi: 10.1037/0033-2909.130.3.355
Boucher, P, Plusquellec, P. Acute stress assessment from excess cortisol secretion: fundamentals and perspectives. Front Endocrinol 2019;10:749. https://doi.org/10.3389/fendo.2019.00749 .
doi: 10.3389/fendo.2019.00749
Iglesias, N, Petersen, PH, Ricós, C. Power function of the reference change value in relation to cut-off points, reference intervals and index of individuality. Clin Chem Lab Med 2005;43:441–8. https://doi.org/10.1515/cclm.2005.078 .
doi: 10.1515/cclm.2005.078
Matsuda, S, Yamaguchi, T, Okada, K, Gotouda, A, Mikami, S. Day-to-day variations in salivary cortisol measurements. J Prosthodont Res 2012;56:37–41. https://doi.org/10.1016/j.jpor.2011.04.004 .
doi: 10.1016/j.jpor.2011.04.004
Raff, H, Phillips, JM. Bedtime salivary cortisol and cortisone by LC-MS/MS in healthy adult subjects: evaluation of sampling time. J Endocr Soc 2019;3:1631–40. https://doi.org/10.1210/js.2019-00186 .
doi: 10.1210/js.2019-00186
Bae, YJ, Gaudl, A, Jaeger, S, Stadelmann, S, Hiemisch, A, Kiess, W, et al.. Immunoassay or LC-MS/MS for the measurement of salivary cortisol in children? Clin Chem Lab Med 2016;54:811–22. https://doi.org/10.1515/cclm-2015-0412 .
doi: 10.1515/cclm-2015-0412
Calvi, JL, Chen, FR, Benson, VB, Brindle, E, Bristow, M, De, A, et al.. Measurement of cortisol in saliva: a comparison of measurement error within and between international academic-research laboratories. BMC Res Notes 2017;10:479. https://doi.org/10.1186/s13104-017-2805-4 .
doi: 10.1186/s13104-017-2805-4
Kushnir, MM, Rockwood, AL, Roberts, WL, Yue, B, Bergquist, J, Meikle, AW. Liquid chromatography tandem mass spectrometry for analysis of steroids in clinical laboratories. Clin Biochem 2011;44:77–88. https://doi.org/10.1016/j.clinbiochem.2010.07.008 .
doi: 10.1016/j.clinbiochem.2010.07.008
Bakusic, J, De Nys, S, Creta, M, Godderis, L, Duca, RC. Study of temporal variability of salivary cortisol and cortisone by LC-MS/MS using a new atmospheric pressure ionization source. Sci Rep 2019;9:19313. https://doi.org/10.1038/s41598-019-55571-3 .
doi: 10.1038/s41598-019-55571-3
Bozovic, D, Racic, M, Ivkovic, N. Salivary cortisol levels as a biological marker of stress reaction. Med Arch 2013;67:374–7. https://doi.org/10.5455/medarh.2013.67.374-377 .
doi: 10.5455/medarh.2013.67.374-377
Petersen, PH, Fraser, CG, Sandberg, S, Goldschmidt, H. The index of individuality is often a misinterpreted quantity characteristic. Clin Chem Lab Med 1999;37:655–61. https://doi.org/10.1515/cclm.1999.102 .
doi: 10.1515/cclm.1999.102

Auteurs

Elisa Danese (E)

Section of Clinical Biochemistry, Department of Engineering for Innovation Medicine, 19051 University of Verona , Verona, Italy.

Andrea Padoan (A)

Department of Medicine - DIMED, University of Padova, Padova, Italy.

Davide Negrini (D)

Section of Clinical Biochemistry, Department of Engineering for Innovation Medicine, 19051 University of Verona , Verona, Italy.

Elisa Paviati (E)

Section of Clinical Biochemistry, Department of Engineering for Innovation Medicine, 19051 University of Verona , Verona, Italy.

Matteo De Pastena (M)

General and Pancreatic Surgery Unit, Pancreas Institute, 19051 University of Verona , Verona, Italy.

Alessandro Esposito (A)

General and Pancreatic Surgery Unit, Pancreas Institute, 19051 University of Verona , Verona, Italy.

Giuseppe Lippi (G)

Section of Clinical Biochemistry, Department of Engineering for Innovation Medicine, 19051 University of Verona , Verona, Italy.

Martina Montagnana (M)

Section of Clinical Biochemistry, Department of Engineering for Innovation Medicine, 19051 University of Verona , Verona, Italy.

Classifications MeSH