Creatine kinase Flashcards

1
Q

Why do cells die when there is a lack of oxygen?

A

Oxygen is needed to produce enough ATP to maintain ion pumps by supplying ATPases with ATP. As soon as the ion balance is lost cells die.

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2
Q

Which cells have the most creatine kinase?

A

Metabolically active tissues.

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3
Q

Creatine kinase structure?

A

Creatine kinase is a dimer. - Made up of two monomers.

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4
Q

How many isoforms of each monomer in creatine kinase are there? What are the isoforms called?

A

2 - B and M.

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5
Q

How many creatine kinase isoenzymes are there?

A

3

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6
Q

What creatine kinase form can be found in the brain?

A

BB.

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7
Q

What creatine kinase form can be found in the muscles?

A

MM.

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8
Q

What creatine kinase form can be found in the cardiac muscle fibres?

A

BM.

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9
Q

What serum markers can be used for a cardiac infarction?

A

Serum glutamate oxaloacetate transaminase (SGOT)
lactate dehydrogenase (LDH)
Cardiac troponin T
Creatine kinase.

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10
Q

How can creatine kinase activity in serum be detected?

A

A coupled assay. Absorption spectra of NADP+ and NADPH

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11
Q

What is the best diagnostic marker for cardiac infarction 5 days after infarction?

A

LDH

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12
Q

What is the best diagnostic marker for cardiac infarction 1-2 days after infarction?

A

Creatine kinase.

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13
Q

What are the most specific markers for cardiac infarction?

A

Cardiac troponin I and troponin T.

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