The stability of interleukin 6 (IL-6), its soluble receptor (sIL-6R), IL-10 and CC16 or uteroglobin (an endogenous cytokine inhibitor) in human serum was examined using an accelerated stability testing protocol according to the Arrhenius equation. Further, the effect of time delay between blood sampling and sample processing, clotting temperature and repeated freeze-thaw cycles on serum levels of these proteins were determined. Paired serum samples were stored at 4degreesC, 20degreesC, 30degreesC and 40degreesC for 1 to 21 days. We found that IL-6 and CC16 concentrations did not change at 4degreesC, 20degreesC and 30degreesC. Interleukin-6 concentrations significantly declined after 11 days at 40degreesC. The concentrations of sIL-6R and IL-10 did not change at 4degreesC but significantly decreased at 20degreesC (after 21 and 14 days respectively), 30degreesC and 40degreesC (after I day at both temperatures for both cytokines). Arrhenius-plots indicated that sIL-6R and IL-10 are stable for at least several years at - 20degreesC and - 70degreesC, respectively. Since their relative stability, no Arrhenius-plot could be calculated for IL-6 and CC16. The concentrations of the proteins examined were not significantly altered by repeated freeze-thaw cycles, nor by extended clotting times at 4degreesC or 20'C. We conclude that serum samples for the determination of IL-6, sIL-6R and CC16 can be stored at - 20degreesC for several years, but for IL-10 determinations, storage at - 70degreesC is recommended. (C) 2002 Elsevier Science Ltd. All rights reserved.