Is determination of creatine kinase-2 after electrophoretic separation accurate?

Abstract:

:Since 1991, the Ontario Laboratory Proficiency Testing Program has assessed the analytical performance of creatine kinase (CK; EC 2.7.3.2) isoenzyme-2, using fresh human serum supplemented with purified human CK isoenzymes. In Ontario, the 142 laboratories licensed to analyze CK-2 use a variety of methods: electrophoresis-based, immunoinhibition, and mass assays. During a 1992 survey, duplicate CK-2 samples with different total CK activities showed poorer precision when analyzed after electrophoretic separation than by any other method. A 1993 survey designed to validate these observations conclusively showed that electrophoresis-based assays are subject to a bias proportional to the total CK activity. These survey results were confirmed by studies with selected patients' specimens. We therefore conclude that electrophoresis-based assays may not warrant their reputation as the gold standard for CK isoenzyme measurement.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Henderson AR,Stark JA,McQueen MJ,Patten RL,Krishnan S,Wood DE,Webb S

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

177-83

issue

2

eissn

0009-9147

issn

1530-8561

journal_volume

40

pub_type

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