CC2 LAB: CREATININE KINASE, ALT, AST Flashcards

ppt based

1
Q

associated with atp regeneration in contractile or transport system

A

creatinine kinase

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2
Q

ck is predominant in

A

muscle cells

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3
Q

how many kDa in ck

A

82

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4
Q

separation of atypical bands
detection of ak

A

electrophoresis (reference method)

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5
Q

good with technique, may be more sensitive and precise

A

ion-exchange chromatography

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6
Q

measure concentration rather than activity
may detect inactive ck-mb

A

radioimmunoassay

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7
Q
  • anti-M inhibits M activity
  • CK activity is measure before and after inhibition
  • residual activity is multiplied by 2 to account for MB
    (50% inhibited)
  • disadvantage: detects BB activity; though small amount,
    may cause false MB activity; also, atypical forms are not
    inhibited
A

immunoinhibition

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8
Q

A in Coupled-enzyme method

A

340 nm

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9
Q

forward reaction in ck

A

Tanzer-Gilvarg

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10
Q
  • reverse reaction in ck
  • most common
  • 2 – 6x faster than forward
  • less interference
A

Oliver Rosalki

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11
Q

Tanzer-Gilvarg Method pH

A

pH 9.0

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12
Q

Oliver-Rosalki Method pH

A

pH 6.8

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13
Q

inactivated because of oxidation of sulfhydryl groups

A

CK activity unstable

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14
Q

T/F: Hemolyzed samples falsely elevate CK activity

A

T

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15
Q

ratio of ck

A

1:4

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16
Q

working reagent (microliter) ck & ck-mb

A

1000uL

17
Q

sample (microliter) ck & ck-mb

A

40uL

18
Q

Transfer of an amino group
between aspartate and alpha-
keto acids to form oxaloacetate and glutamate

A

Aspartate Aminotransferase

19
Q

coenzyme of ast

A

Pyridoxal phosphate

20
Q

former name of ast

A

serum glutamic-oxaloacetic
transaminase

21
Q

Consists of a coupled enzymatic reaction using Lactate Dehydrogenase as the
indicator enzyme

A

alt

21
Q

Transfer of an amino group
between alanine and alpha-
keto acids to form glutamate
and pyruvate

A

Alanine Aminotransferase

22
Q

coenzyme of alt

A

Pyridoxal phosphate

22
Q

former name of alt

A

serum glutamic-pyruvic
transaminase

23
Q

Catalyzes the reduction of pyruvate to lactate with simultaneously oxidation of NADH

A

alt

24
Q

optimal pH of alt

A

7.3 – 7.8

25
Q

Relatively unaffected by hemolysis

A

alt

26
Q

sample of ast in microliter

A

100

27
Q

coupled enzymatic reaction
▪ AST and malate dehydrogenase (MD) as the
indicator reaction
▪ change in absorbance at 340 nm as NADH is
oxidized to NAD+

A

Karmen Method

27
Q

Optimal pH of ast

A

7.3 – 7.8

28
Q

reaction with … couples color reagent with keto acid product

A

dinitrophenylhydrazine

28
Q

Hemolysis should be avoided

A

ast

28
Q

reaction with … couples the
salt with the keto acid product and forms a color

A

diazonium salts