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Serum

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

The clear portion of blood that is left after blood coagulation to remove blood cells and clotting proteins.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (847 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The clear portion of blood that is left after blood coagulation to remove blood cells and clotting proteins.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Serums; Blood Serum; Serum, Blood.

Where it fits in the MeSH classification

Broader topics
Blood
Narrower topics
Immune Sera
See also
Plasma

Related concepts

  • Blood
  • Blood Coagulation
  • Blood Cells

Research landscape

PubMed indexes 70,786 records tagged with the MeSH heading “Serum” (counts retrieved 2026-10-31). 2,402 of them (3.4%) were published from 2020 onward, and the busiest period so far is through 1999 with 54,216 records.

Reviews account for 1,939 records (2.7%) and meta-analyses for 92. Randomized controlled trials number 652 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 54,216 records; 2000-2009: 6,672 records; 2010-2019: 7,496 records; 2020 onward: 2,402 records54,216through 19996,6722000-20097,4962010-20192,4022020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199954,216
2000-20096,672
2010-20197,496
2020 onward2,402
Share of records by publication typeReviews: 2.7 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.9 percentReviews2.7% (1,939)Meta-analyses0.1% (92)Randomized controlled trials0.9% (652)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 70,786 PubMed records
TypeRecordsShare
Reviews1,9392.7%
Meta-analyses920.1%
Randomized controlled trials6520.9%

Method: PubMed query "Serum"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Establishment and validation of a pseudovirus neutralization assay for SARS-CoV-2
Nie J, Li Q, Wu J, Zhao C, Hao H, Liu H, et al.
2020Research article
Design not recorded in structured metadata
656cc by
PMID 32207377 · DOI · PMC7144318
Serum or Plasma (and Which Plasma), That Is the Question
Vignoli A, Tenori L, Morsiani C, Turano P, Capri M, Luchinat C
2022Research article
Design not recorded in structured metadata
72cc by
PMID 35271285 · DOI · PMC8981325
Stability of circulating microRNAs in serum
Kupec T, Bleilevens A, Iborra S, Najjari L, Wittenborn J, Maurer J, et al.
2022Research article
Design not recorded in structured metadata
47cc by
PMID 36044434 · DOI · PMC9432728
Serum coating enables feeder-free culture of naive human pluripotent stem cells preserving developmental potential
Rossignoli G, Oberhuemer M, Brun IS, Zorzan I, Osnato A, Wenzel A, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 41820618 · DOI · PMC13083898

Establishment and validation of a pseudovirus neutralization assay for SARS-CoV-2 [1]

Research article Nie J, Li Q, Wu J, Zhao C, Hao H, Liu H, et al. · · 2020 · cited 656 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Pseudoviruses are useful virological tools because of their safety and versatility, especially for emerging and re-emerging viruses.
Closing excerpt
Taken together, we established a robust pseudovirus-based neutralization assay for SARS-CoV-2 and are glad to share pseudoviruses and related protocols with the developers of vaccines or therapeutics to fight against this lethal virus.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (207 words)

Pseudoviruses are useful virological tools because of their safety and versatility, especially for emerging and re-emerging viruses. Due to its high pathogenicity and infectivity and the lack of effective vaccines and therapeutics, live SARS-CoV-2 has to be handled under biosafety level 3 conditions, which has hindered the development of vaccines and therapeutics. Based on a VSV pseudovirus production system, a pseudovirus-based neutralization assay has been developed for evaluating neutralizing antibodies against SARS-CoV-2 in biosafety level 2 facilities. The key parameters for this assay were optimized, including cell types, cell numbers, virus inoculum. When tested against the SARS-CoV-2 pseudovirus, SARS-CoV-2 convalescent patient sera showed high neutralizing potency, which underscore its potential as therapeutics. The limit of detection for this assay was determined as 22.1 and 43.2 for human and mouse serum samples respectively using a panel of 120 negative samples. The cutoff values were set as 30 and 50 for human and mouse serum samples, respectively. This assay showed relatively low coefficient of variations with 15.9% and 16.2% for the intra- and inter-assay analyses respectively. Taken together, we established a robust pseudovirus-based neutralization assay for SARS-CoV-2 and are glad to share pseudoviruses and related protocols with the developers of vaccines or therapeutics to fight against this lethal virus.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32207377 · DOI · PMC7144318

Serum or Plasma (and Which Plasma), That Is the Question [2]

Research article Vignoli A, Tenori L, Morsiani C, Turano P, Capri M, Luchinat C · · 2022 · cited 72 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Blood derivatives are the biofluids of choice for metabolomic clinical studies since blood can be collected with low invasiveness and is rich in biological information.
Closing excerpt
We propose a statistical solution, based on regression, that is shown to be efficient in reducing the alterations induced by the different collection tubes for both the metabolomic and lipoprotein profiles.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (197 words)

Blood derivatives are the biofluids of choice for metabolomic clinical studies since blood can be collected with low invasiveness and is rich in biological information. However, the choice of the blood collection tubes has an undeniable impact on the plasma and serum metabolic content. Here, we compared the metabolomic and lipoprotein profiles of blood samples collected at the same time and place from six healthy volunteers but using different collection tubes (each enrolled volunteer provided multiple blood samples at a distance of a few weeks/months): citrate plasma, EDTA plasma, and serum tubes. All samples were analyzed via nuclear magnetic resonance spectroscopy. Several metabolites showed statistically significant alterations among the three blood matrices, and also metabolites' correlations were shown to be affected. The effects of blood collection tubes on the lipoproteins' profiles are relevant too, but less marked. Overcoming the issue associated with different blood collection tubes is pivotal to scale metabolomics and lipoprotein analysis at the level of epidemiological studies based on samples from multicenter cohorts. We propose a statistical solution, based on regression, that is shown to be efficient in reducing the alterations induced by the different collection tubes for both the metabolomic and lipoprotein profiles.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 35271285 · DOI · PMC8981325

Stability of circulating microRNAs in serum [3]

Research article Kupec T, Bleilevens A, Iborra S, Najjari L, Wittenborn J, Maurer J, et al. · · 2022 · cited 47 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
There is a strong body of evidence by several translational studies which demonstrate the potential of circulating miRNAs as a potential biomarker in oncology.
Closing excerpt
The stability of miRNAs documented here in healthy volunteers shows their potential in the search for innovative biomarkers in oncology.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (253 words)

There is a strong body of evidence by several translational studies which demonstrate the potential of circulating miRNAs as a potential biomarker in oncology. However, recent reports documented varying stability of these small RNA molecules in serum samples. The aim of our pilot study was to evaluate the stability of miRNAs in serum in relation to food intake and sample storage. Serum miRNA expression levels of 16 different miRNAs from 8 healthy volunteers were quantified by real-time PCR. 4 samples from each donor were analysed-2 samples (fasting, in the morning and after food intake, at noon) were analysed within 24h and 2 samples (fasting and after food intake, at noon) were stored at -80°C for 14 days and subsequently analysed. Student´s t-test was used to determine significant differences. The detectability of the distinct miRNA as a surrogate for the stability of these small RNA molecules was slightly altered by the storage conditions, but only a miRNA 22-3p, out of the analysed 16 miRNAs, shows significant lower dCq expression (3.821 vs. 4.530; p<0,01) by qPCR dependent on storage conditions (-80°C vs. 4°C). However, miRNA levels were not affected by food intake. The difference between samples taken in the morning (fasting) and at noon (after a normal meal) did not show any significant differences. MiRNAs can be considered to be a relatively stable tool in laboratory diagnostics, but clearly every new assay needs thorough evaluation. The stability of miRNAs documented here in healthy volunteers shows their potential in the search for innovative biomarkers in oncology.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 36044434 · DOI · PMC9432728

Serum coating enables feeder-free culture of naive human pluripotent stem cells preserving developmental potential [4]

Research article Rossignoli G, Oberhuemer M, Brun IS, Zorzan I, Osnato A, Wenzel A, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Naive human pluripotent stem cells (hPSCs) represent a pre-implantation epiblast state able to efficiently differentiate into embryonic and extraembryonic pre-implantation lineages and to self-organise in vitro into blastocyst-like structures called blastoids.
Closing excerpt
This platform facilitates large-scale applications of naive hPSCs and enables more reproducible mechanistic studies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (190 words)

Naive human pluripotent stem cells (hPSCs) represent a pre-implantation epiblast state able to efficiently differentiate into embryonic and extraembryonic pre-implantation lineages and to self-organise in vitro into blastocyst-like structures called blastoids. Naive hPSC maintenance routinely relies on co-culture with mouse embryonic fibroblast (MEFs) as feeder cells, a method prone to variability and analytical confounders. Here, we describe a feeder-free culture system based on serum coating that supports long-term maintenance of naive hPSCs. Across five laboratories, 30 serum batches were evaluated for the expansion of eight naive hPSCs lines for up to 25 passages. Mass spectrometry analysis identified fibronectin and collagens as extracellular matrix proteins consistently present in serum coating. Cells cultured on serum coating displayed growth kinetics, clonogenic capacity, mutation rates, and global gene expression profiles comparable to MEF-based cultures. Importantly, serum-cultured naive hPSCs efficiently underwent germ layer specification, retained trophectoderm competence, and generated blastoids with efficiency similar to MEF-based cultures. Collectively, serum coating provides a scalable, cost-effective, and robust alternative to feeder-based systems, preserving genomic stability and developmental potential while eliminating MEF-associated disadvantages and variability. This platform facilitates large-scale applications of naive hPSCs and enables more reproducible mechanistic studies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41820618 · DOI · PMC13083898

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Genome-wide association study identifies multiple loci influencing human serum metabolite levels [5]
    Kettunen J, Tukiainen T, Sarin AP, Ortega-Alonso A, Tikkanen E, Lyytikäinen LP, et al. · Nat Genet · 2012 · cited 460 times (Europe PMC)
  • Research article Recommended Treatment for Antibody-mediated Rejection After Kidney Transplantation: The 2019 Expert Consensus From the Transplantion Society Working Group [6]
    Schinstock CA, Mannon RB, Budde K, Chong AS, Haas M, Knechtle S, et al. · Transplantation · 2020 · cited 254 times (Europe PMC)
  • Research article Diagnostic accuracy of serum 1,3-β-D-glucan for pneumocystis jiroveci pneumonia, invasive candidiasis, and invasive aspergillosis: systematic review and meta-analysis [7]
    Onishi A, Sugiyama D, Kogata Y, Saegusa J, Sugimoto T, Kawano S, et al. · J Clin Microbiol · 2012 · cited 218 times (Europe PMC)
  • Research article Serum and plasma proteomics [8]
    Issaq HJ, Xiao Z, Veenstra TD · Chem Rev · 2007 · cited 210 times (Europe PMC)
  • Research article Serum metabolomics as a novel diagnostic approach for disease: a systematic review [9]
    Zhang A, Sun H, Wang X · Anal Bioanal Chem · 2012 · cited 201 times (Europe PMC)
  • Research article Trace elements in hemodialysis patients: a systematic review and meta-analysis [10]
    Tonelli M, Wiebe N, Hemmelgarn B, Klarenbach S, Field C, Manns B, et al. · BMC Med · 2009 · cited 187 times (Europe PMC)

References

  1. Nie J, Li Q, Wu J, Zhao C, Hao H, Liu H, et al.. Establishment and validation of a pseudovirus neutralization assay for SARS-CoV-2. . 2020. PMID 32207377 · DOI · PMC7144318
  2. Vignoli A, Tenori L, Morsiani C, Turano P, Capri M, Luchinat C. Serum or Plasma (and Which Plasma), That Is the Question. . 2022. PMID 35271285 · DOI · PMC8981325
  3. Kupec T, Bleilevens A, Iborra S, Najjari L, Wittenborn J, Maurer J, et al.. Stability of circulating microRNAs in serum. . 2022. PMID 36044434 · DOI · PMC9432728
  4. Rossignoli G, Oberhuemer M, Brun IS, Zorzan I, Osnato A, Wenzel A, et al.. Serum coating enables feeder-free culture of naive human pluripotent stem cells preserving developmental potential. . 2026. PMID 41820618 · DOI · PMC13083898
  5. Kettunen J, Tukiainen T, Sarin AP, Ortega-Alonso A, Tikkanen E, Lyytikäinen LP, et al.. Genome-wide association study identifies multiple loci influencing human serum metabolite levels. Nat Genet. 2012. PMID 22286219 · DOI · PMC3605033
  6. Schinstock CA, Mannon RB, Budde K, Chong AS, Haas M, Knechtle S, et al.. Recommended Treatment for Antibody-mediated Rejection After Kidney Transplantation: The 2019 Expert Consensus From the Transplantion Society Working Group. Transplantation. 2020. PMID 31895348 · DOI · PMC7176344
  7. Onishi A, Sugiyama D, Kogata Y, Saegusa J, Sugimoto T, Kawano S, et al.. Diagnostic accuracy of serum 1,3-β-D-glucan for pneumocystis jiroveci pneumonia, invasive candidiasis, and invasive aspergillosis: systematic review and meta-analysis. J Clin Microbiol. 2012. PMID 22075593 · DOI · PMC3256688
  8. Issaq HJ, Xiao Z, Veenstra TD. Serum and plasma proteomics. Chem Rev. 2007. PMID 17636887 · DOI
  9. Zhang A, Sun H, Wang X. Serum metabolomics as a novel diagnostic approach for disease: a systematic review. Anal Bioanal Chem. 2012. PMID 22648167 · DOI
  10. Tonelli M, Wiebe N, Hemmelgarn B, Klarenbach S, Field C, Manns B, et al.. Trace elements in hemodialysis patients: a systematic review and meta-analysis. BMC Med. 2009. PMID 19454005 · DOI · PMC2698829

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

70,786
PubMed records on this heading
3%
published since 2020
1,939
review articles
652
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

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  • Immune SeraAnatomy and Physiology
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