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May 1, 1976Clinical Chemistry449 citations

Creatine kinase in serum: 1. Determination of optimum reaction conditions.

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GSG SzászRoche (United States)WGWolfgang GruberUniversity of Duisburg-EssenEBErich BerntRoche (United States)

Key Points

  • To establish and standardize optimal kinetic reaction conditions for measuring serum creatine kinase activity at 25 °C and 30 °C.
  • Evaluated pH optimum, buffer types, buffer concentrations, and anion effects alongside apparent Michaelis constants for creatine phosphate and ADP.
  • Assessed the effects of substrate concentrations (glucose, NADP+) and auxiliary/indicator enzymes (hexokinase, glucose-6-phosphate dehydrogenase) on the reaction lag phase.
  • Investigated adenylate kinase and creatine kinase inhibition by AMP, tested N-acetyl cysteine for enzyme reactivation, and analyzed temperature dependency.
  • Demonstrated optimal buffer, pH, and substrate concentration profiles for creatine phosphate and ADP in serum creatine kinase measurement.
  • Identified NADP+ concentration as the limiting factor for maintaining a constant reaction rate and established suitable AMP concentrations to inhibit adenylate kinase.
  • Showed effective creatine kinase reactivation using N-acetyl cysteine as a sulfhydryl compound across test temperatures.

Abstract

Abstract To establish optimum conditions for creatine kinase (EC 2.7.3.2) activity measurement with the creatine phosphate in equilibrium creatine reaction, we re-examined all kinetics factors relevant to an optimal and standardized enzyme assay at 30 and 25 degrees C. We determined the pH optimum in vaious buffers, considering the effect of the type and concentration of the buffer, as well as the influence of various buffer anions on the activity. The relation between activity and substrate concentration was shown and the apparent Michaelis constants of creatine kinase for creatine phosphate and ADP were evaluated. We tested the effect on creatine kinase measurement of the concentration of substrates (glucose and NADP+) in the auxillary and indicator reactions, especially the influence of the added auxiliary (hexokinase) and indicator (glucose-6-phosphate dehydrogenase) enzymes on the lag phase, at different temperatures. The NADP+ concentration proved to be the factor limiting the duration of constant reaction rate. We studied the inhibition of creatine kinase and adenylate kinase by AMP and established a convenient AMP concentration. For reactivation of creatine kinase, N-acetyl cysteine as sulfhydryl compound was introduced. Finally, we examined the relationship between activity and temperature.

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Cite This Study

Szász et al. (1976) studied this question.

synapsesocial.com/papers/6a13e9de7753e742da598c5ehttps://doi.org/10.1093/clinchem/22.5.650
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