Reperfusion and the plasma isoforms of creatine kinase isoenzymes: a clinical perspective.
Reperfusion and the plasma isoforms of creatine kinase isoenzymes: a clinical perspective.
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再灌注和肌酸激酶同工酶的血浆亚型:临床视角。
DOI:
10.1016/s0735-1097(87)80406-0
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发表时间:
1987
影响因子:
24
通讯作者:
R. Roberts
中科院分区:
文献类型:
--
作者:
R. Roberts
The three CK isoenzymes. The introduction and application of creatine kinase (CK) isoenzymes significantly improved the sensitivity and specificity of detection of myocardial infarction (I). Elevated plasma creatine kinase, MB fraction (MB CK) is now regarded as the most sensitive, specific and cost-effective means of diagnosing acute myocardial infarction (2, 3). The recent purification, characterization and detection of plasma CK isoenzyme subforms offers promise for further improvement and new applications. Creatine kinase is composed of two subunits, each with a molecular weight of about 41,000. The subunit M, so designated because of its abundance in muscle, forms MM CK, the predominant isoenzyme in cardiac and skeletal muscle. The B subunit, most abundant in the brain, forms BB CK, which in minimal amounts is also present in organs such as the gastrointestinal tract. The hybrid form MB CK is, except for trace amounts, found primarily in the heart, where it comprises about 15% of total myocardial CK activity, the remainder being MM CK. Hence, the specificity of MB CK is relative for myocardial injury. The two subunits M and B combine to form three isoenzyrnes. During electrophoresis under conventional conditions, MM remains essentially neutral at the origin, whereas negatively charged MB and BB exhibit anodal migration. In the 1960s and 1970s occasional reports appeared of additional isoenzymes but these were usually discarded as artifact. In 1977, Wevers et al.(4) showed that MM CK, on release into the blood, exhibited three bands on electrophoresis. They presented convincing evidence that blood somehow induced the formation of two MM CK molecules with more anodal migration than the form released from the tissue.
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DOI:
10.1073/pnas.82.24.8394
发表时间:
1985
影响因子:
11.1
作者:
Roman,D;Billadello,J;Gordon,J;Grace,A;Sobel,B;Strauss,A
通讯作者:
Strauss,A
影响因子:
37.8
作者:
Allan S. Jaffe;Harvey Serota;Ann M. Grace;B. Sobel
通讯作者:
Allan S. Jaffe;Harvey Serota;Ann M. Grace;B. Sobel
DOI:
10.1073/pnas.81.22.7007
发表时间:
1984
影响因子:
11.1
作者:
West,BL;Babbitt,PC;Mendez,B;Baxter,JD
通讯作者:
Baxter,JD
影响因子:
37.8
作者:
HACKEL, DB;REIMER, KA;ROBERTS, R
通讯作者:
ROBERTS, R
DOI:
--
发表时间:
1984
期刊:
The Journal of biological chemistry
影响因子:
--
作者:
George,S;Ishikawa,Y;Perryman,MB;Roberts,R
通讯作者:
Roberts,R