Creatine Kinase

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Creatine Kinase Lab Dept: Chemistry Test Name: CREATINE KINASE General Information Lab Order Codes: CPK Synonyms: CK; Creatine Phosphokinase; CPK CPT Codes: 82550 – Creatine kinase (CK), (CPK), total Test Includes: Creatine Kinase concentration reported in U/L. Logistics Test Indications: Creatine kinase activity is useful in evaluating diseases of the heart, skeletal muscle, and brain. Lab Testing Sections: Chemistry Phone Numbers: MIN Lab: 612-813-6280 STP Lab: 651-220-6550 Test Availability: Daily, 24 hours Turnaround Time: 2 hours Special Instructions: N/A Specimen Specimen Type: Blood Container: Green top (Li Heparin) tube preferred Alternate tube: SST (Red, marble or gold top tube) Draw Volume: 0.6 mL blood Processed Volume: 0.2 mL serum/plasma Collection: Routine venipuncture. Mix tubes containing anticoagulant by gentle inversion. Special Processing: Lab Staff: Centrifuge specimen, remove serum/plasma aliquot into plastic sample cup. Analyze sample immediately or store at refrigerated temperatures. Patient Preparation: None Sample Rejection: Mislabeled or unlabeled specimen Interpretive Reference Range: Age Female Range (U/L) Male Range (U/L) 0 – 12 years: 68 - 293 68 - 293 13 – 18 years: 48 - 200 80 - 354 Adult: 29 - 168 30 - 200 Critical Values: >4000 U/L Limitations: Moderate or severely hemolyzed specimens can liberate adenylate kinase, ATP, and G-6-P which may affect the lag phase and side reactions of the CK assay system. Methodology: NAC (N-acetyl-L-cysteine) References: Jacobs and DeMott Laboratory Test Handbook (2001) Lexi-Comp, Inc., Hudson, OH, 5th ed Abbott Alinity c Creatine Kinase Reagent Kit Instructions for Use, Abbott Laboratories Diagnostics Division, Abbott Park, IL, 60064, USA. February 2018 Bio-Rad Liquichek Multiqual 1,2,3 Unassayed Chemistry Control Package Insert, Bio-Rad Laboratories, Irvine, CA, 92618, USA CALIPER Reference Range Study, accessed October 27, 2020 Updates: 7/10/2007: Critical value added. 12/22/2011: Turnaround time updated, previously listed as 4 hours. 2/8/2016: Update alt tube types. 7/8/2016: Updated limitations. 12/8/2020: Updated for method Abbott Alinity, removed method Siemens Vista .
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  • In the Field of Clinical Examination, the Measurement of Creatine
    J. Clin. Biochem. Nutr., 3, 17-25, 1987 Bacterial Glucokinase as an Enzymic Reagent of Good Stability for Measurement of Creatine Kinase Activity Hitoshi KONDO, * Takanari SHIRAISHI, Masao KAGEYAMA, Kazuhiko NAGATA, and Kosuke TOMITA Research and Development Center, UNITIKA Ltd., Uji 611, Japan (Received January 10, 1987) Summary An enzymic reagent, that has long-term stability even in the liquid state, was successfully employed for the measurement of serum creatine kinase (CK, EC 2.7.3.2) activity. The enzyme used was the thermostable glucokinase (GlcK, EC 2.7.1.2) obtained from the thermo- phile Bacillus stearothermophilus. The reagent was found to be stable in solution for about one month at 6•Ž and for about one week at 30•Ž. This substitution of glucokinase for the hexokinase of the most commonly used hexokinase-glucose-6-phosphate dehydrogenase (HK-G6PDH) method results in a remarkable improvement of the method. The CK activity measured by the GlcK-G6PDH method was linear up to about 2,000 U/ liter at 37•Ž. The GlcK-G6PDH method was found to give a satisfactory precision and reproducibility (coefficient of variation less than 2.17%). Over a wide range of CK activity, an excellent agreement was obtained between the GlcK-G6PDH and the HK-G6PDH methods. Furthermore several coexistents and anticoagulants were found to have little effect on the measured value of CK activity by the GlcK-G6PDH method. Key Words: creatine kinase activity, glucokinase, improved stability of reagent, creatine kinase determination, thermostable enzyme In the field of clinical examination, the measurement of creatine kinase (CK, ATP : creatine phosphotransferase, EC 2.7.3.2) activity in serum is one of the important examinations usually employed for diagnosis of cardiac diseases such as myocardial infarction or muscular diseases such as progressive muscular dystrophy.
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  • Regulation of Adenylate Kinase and Creatine Kinase Activities In
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