Serum creatine kinase
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Serum Creatine kinase. Description. Creatine kinase (CK), also known as creatine phosphokinase (CPK) or phospho-creatine kinase is an enzyme ( EC ) expressed by various tissues and cell types. Function.

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Serum creatine kinase

Serum Creatinekinase


  • Creatine kinase (CK), also known as creatine phosphokinase (CPK) or phospho-creatine kinase is an enzyme (EC2.7.3.2) expressed by various tissues and cell types.


  • CK catalyses the conversion of creatine and consumes adenosine triphosphate (ATP) to create phosphocreatine (PCr) and adenosine diphosphate (ADP).

  • This CK enzyme reaction is reversible, such that also ATP can be generated from PCr and ADP.

Tissue origin
Tissue Origin

  • It is In tissues and cells that consume ATP rapidly, especially skeletal muscle, but also brain, of and cardiac muscle.

  • phosphocreatine serves as an energy reservoir for the rapid buffering and regeneration of ATP in situ.


  • Isozymes are enzymes that catalyze the same reaction. However, they do not have the same physical properties because of genetically determined differences in amino acid sequence.

  • Isoenzymes may contain different numbers of charged amino acids and may, therefore, be separated from each other by electrophoresis.

  • Different organs frequently contain characteristic proportions of different isoenzymes.

    The pattern of isoenzymes found in the plasma may therefore, serve as a means of identifying the site of tissue damage.

Ck isoenzymes
CK isoenzymes

In the cells, the "cytosolic" CK enzymes consists of two subunits, which can be either B (brain type) or M (muscle type). There are, therefore, three different isoenzymes:

  • CK1=CK-BB=brain type

  • CK2=CK-MB=cardiac type

  • CK3=CK-MM=muscle type

While CK-MB (1%). mitochondrial creatine kinase is directly involved in formation of phospho-creatine from mitochondrial ATP, cytosolic CK regenerate ATP form ADP.

Diagnostic Use CK-MB (1%).

Clinically, creatine kinase is assayed in blood tests as a marker of:

  • Myocardial infarction (heart attack),

  • Muscular dystrophy,(severe muscle breakdown),

  • Central nervous system lesions.

Enzyme spectrophotometeric assay
Enzyme CK-MB (1%). Spectrophotometeric Assay

ADP CK-MB (1%). = Adenosine 5'-Diphosphate

ATP = Adenosine 5'-Triphosphate

G-6-PDH = Glucose-6-Phosphate Dehydrogenase

ß-NADP = ß-Nicotinamide Adenine Dinucleotide Phosphate,

Oxidized Form

ß-NADPH =ß-Nicotinamide Adenine Dinucleotide Phosphate,

Reduced Form

6-PG = 6-Phospho-D-Gluconate

CONDITIONS:T = 30°C, A 340 nm.


Serum, heparinised plasma and Edta plasma.

Electrophoresis CK-MB (1%).

  • Electrophoresis is the migration of charged molecules in a media upon application of an electric field.

  • The rate of migration depends on the charge on the molecule, its molecular mass and the strength of the electric field.

  • Usually, used for the separation of proteins.

  • The most commonly used matrix is CK-MB (1%). agarose.

  • Agarose is used mostly for separation of larger macromolecules, including proteins and their complexes.

  • Proteins can be visualized after electrophoresis by treating the gelwith a stain such as Coomassie blue.

  • Note: Proteins in alkaline buffer carry negative charge and migrates to anode (positive electrode).

Sds page
SDS-PAGE electrophoresis.

  • Catalase, cytochrome C, a-lactalbumin

  • Hemoglobin, Cytochrome C, a-lactalbumin

  • BSA, cytochrome C, a-lactalbumin

  • Hemoglobin, myoglobin, a-lactalbumin

  • Ferritin, cytochrome C, a-lactalbumin

  • Ferritin, myoglobin, a-lactalbumin








Agarose Gel electrophoresis.

Stained with ethidium bromide (EtBR) to Visualize the DNA

slots where

DNA is loaded

1000 bp

700 bp

600 bp

500 bp

Screening PCR products to test for the presence of specific DNA sequences