Summary
This study is an attempt to determine the creatine kinase B (CK-B) subunit levels in neurogenic atrophies. A group of 69 patients was studied and the results were compared with those in a group of 32 patients with muscle disease. The results showed that the CK-B levels are considerably higher in patients with amyotrophic lateral sclerosis (P<0.001) and peroneal muscular atrophy (P<0.001). Further studies in the various subgroups of neurogenic atrophies showed that, regardless of the nosological entity, the CK-B activity is considerably higher: (1) in the “widespread” as opposed to “limited” forms (P<0.001); (2) in the “chronic” than in the “acute” neurogenic atrophies (P<0.001); and (3) in the “active” as opposed to “residual” forms (P<0.02). It is suggested that the increase of CK-B in neurogenic atrophies is a strong indication of an active regeneration process in the denervated muscle.
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Adornato BT, Engel WK (1977) MB-Creatine phosphokinase isoenzyme elevation not diagnostic of myocardial infarction. Arch Intern Med 137:1089–1090
Bell RD, Rosenberg RN, Ting R, Mukherjee A, Stone MJ, Willerson JT (1978) Creatine kinase BB isoenzyme levels by radioimmunoassay in patients with neurological disease. Ann Neurol 3:54–59
Cao A, de Virgilis S, Lippi C, Coppa G (1971) Serum and muscle creatine kinase isoenzymes and serum aspartate aminotransferase isoenzymes in progressive muscular dystrophy. Enzyme 12:49–62
Edmonds PJ, Ziegler DK (1975) Diagnostic value of serum creatine phosphokinase in motor neuron disease. South Med J 68:1388–1390
Eppenberg HM, Eppenberg ME, Ritchterich R, Aebi H (1964) The ontogency of creatine kinase isoenzymes. Dev Biol 10:1–16
Franklin GJ, Cavanagh NPC, Hughes BP, Yasin R, Thompson EJ (1981) Creatine kinase isoenzymes in cultured human muscle cells. Clin Chim Acta 115:179–189
Jockers-Wretou E (1981) Ontogeny of creatine kinase isoenzymes. In: Lang H (ed) Creatine kinase isoenzymes. Springer, Berlin Heidelberg New York
Jockers-Wretou E, Pfleiderer G (1975) Quantitation immunological determination in human tissues and sera by an immunological method. Clin Chim Acta 58:223–232
Jockers-Wretou E, Grabert K, Müller E, Pfleiderer G (1976) Serum creatine kinase isoenzyme pattern in nervous system atrophies and neuromuscular disorders. Clin Chim Acta 73:183–186
Jockers-Wretou E, Gericke K, Pauly GE, Pfleiderer G (1980) A solid phase direct immunoassay for serum prostatic acid phosphatase and creatine kinase B levels in prostatic disease. Fresenius Z Anal Chem 301:154–155
Mascreen M, Biswakumar B, Valmikinathan K (1975) Serum factors influencing creatine phosphokinase. In vitro studies using diffusates. J Neurol Sci 25:389–396
Panitch HS, Franklin GM (1972) Elevation of serum creatine phosphokinase in amyotrophic lateral sclerosis. Neurology (Minneap) 22:964–966
Pennington RGT (1981) Biochemical aspects of muscle disease. In: Walton J (ed) Disorders of voluntary muscle, 4th edn. Churchill-Livingstone, Edinburgh
Perriad JC (1979) Developmental regulation of creatine kinase isoenzymes in myogenic cell cultures from chicken. Levels of mRNA for creatine kinase subunits M and B. J Biol Chem 254:7036–7049
Prellwitz W (1981) Creatine kinase isoenzymes in various muscular dystrophies. In: Lang H (ed) Creatine kinase isoenzymes. Springer, Berlin Heidelberg New York
Schapira F, Dreyfus SC, Allard D (1968) Les isozymes de la creatine kinase et de l'aldolase du muscle foetal et pathologique. Clin Chim Acta 20:439–447
Tzvetanova E (1978) Serum creatine kinase isoenzymes in progressive muscular dystrophy. Enzyme 23:238–245
Williams ER, Bruford A (1970) Creatine phosphokinase in motor neurone disease. Clin Chim Acta 27:53–56
Zweig MH, Adornato B, Steirteghem Van AC, Engel-King W (1980) Serum creatine kinase BB and MM concentrations determined by radioimmunoassay in neuromuscular disorders. Ann Neurol 7:324–328
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Jockers-Wretou, E., Vassilopoulos, D. Serum creatine kinase B subunit levels in neurogenic atrophies. J Neurol 232, 236–239 (1985). https://doi.org/10.1007/BF00313786
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DOI: https://doi.org/10.1007/BF00313786