Creatine Kinase
Saturday, September 27th, 2008Creatine is a natural nutrient found in our bodies. Most of its needs in the human body can be fulfilled through a balanced diet. The body manufactures stores and uses creatine for pursuits which require bursts of energy – like running at a high speed. An average person weigh 150 lbs has the ability to manufacture around 120 grams of creatine, and uses up around 2 grams in daily pursuits. It can be classified as a dietary health supplement, as one can consume, theoretically, enough creatine rich food – like red meat, to substitute supplementation.
Creatine Kinase is an enzyme found within the body. The enzyme is expressed by various tissues. Also known as phosphor-creatine kinase, the enzyme acts as a catalyst in the consumption of ATP (adenosine tri-phosphate) and the generation of ADP (adenosine di-phosphate). Phospho-creatine acts as an energy tank for all tissues which consume ATP, including the brain and the skeletal muscles. Under normal conditions a very small amount of creatine kinase (CK) can be found to be circulating in the human body. In fact the normal levels of creatine for females is between 10 – 79 units per liter, and that of males is 17 – 148 units per liter. Elevation of creatine kinase indicates an injury, like damaged muscles. Lowered enzyme levels might indicate liver disease or rheumatoid arthritis.
In the cell, CK consists of two sub-units. These can be either brain-type, or muscle-type. Thus the CK enzyme is there in the form of three iso-enzymes, CK-MM, CK-BB and CK-BM. The genes of these enzymes are present within different chromosomes. There also exists two mitochondrial Creatine Kinases. CK-BB is present in tissues in extremely minute quantities. Skeletal muscles produce CK-MM and very low levels of CK-BM. Mitochondrial Creatine Kinase (CKm) produces ATP from ADP, which is the source of energy. It is present in the mitochondrial form between two members of the mitochondrion.
Apart from this, in the citosol there exists three forms of CK. CKa produces ATP in the cytosol when it is critically required, ), CKc maintains a critical balance in the cell between Creatine Kinase and Creatine phosphate. CKg, on the other hand, couples phosphorylation of creatine to the glycolytic pathway.
According to experts, the CK blood level test is recommended to identify heart attack, and muscle damage. It is preferred by physicians for such diagnostic tests because unlike other enzymes in the skeletal muscles, CK is not elevated falsely by hemolytic reactions. Despite the advantages which CK has to be used as a diagnostic tool, certain uncertainties in diagnosis might be created if high levels of the enzyme id detected in an asymptomatic patient.
The importance of exercising among people above sixty years of age, has been repeatedly stressed. Currently, an assessment has been made of beneficial and detrimental effects of a workout regime followed by this age group. This has been done by measuring the physiological indicators like heart rate, body fat analysis, stiffness or perceived pain etc. The analysis made by experts includes among other investigations, the measurement of creatine kinase within the body of the sixty year olds.