Bioluminescent Assay of Total and Brain-Specific Creatine Kinase Activity in Cerebrospinal Fluid

Abstract
A bioluminescent assay based on the firefly luciferase reaction was used for determination of creatine kinase (CK) activity in [human] CSF. Activities as low as 0.1 U/l can be measured. The coefficient of variation at an activity level of 0.3-0.4 U/l was between 5-6%. The assay conditions optimized for serum specimens can be used for CSF. The adenylate kinase activity is almost completely inhibited, which simplifies the procedure. The CK isoenzyme distribution was obtained using the bioluminescent assay in combination with immunoinhibition or ion exchange chromatography. All specimens contained both MM [muscle type] and BB [brain type] activity, but no MB [heart type] was found. The bioluminescent assay apparently is useful in the determination of CK isoenzymes in CSF.

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