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Creatine kinase (catalytic enzyme for phosphocreatine-mediated ATP regeneration) (CK)

Target
CK
Molecular classification
Enzyme
01

Overview

ATP regeneration via the phosphocreatine system" describes the process whereby creatine kinase catalyzes the reversible transfer of a high-energy phosphate group from phosphocreatine to adenosine diphosphate (ADP), rapidly restoring adenosine triphosphate (ATP) levels to sustain muscle contraction and other energy-intensive cellular processes. This system serves as an immediate energy buffer, especially in tissues with fluctuating and high energy demands such as skeletal muscle, myocardium, and brain. The process is essential for maintaining ATP homeostasis during sudden increases in metabolic activity, and clinical measurement of creatine kinase (especially CK-MB isoform) serves as a biomarker for tissue damage, most notably in myocardial infarction.

Other names
Creatine phosphokinasePhosphocreatine kinaseCKCPK
02

Mechanism of action

Reversible transfer of phosphate from phosphocreatine to ADP, regenerating ATP. Energy buffer during periods of rapid ATP demand.

03

Biological functions

Energy homeostasisATP regenerationTemporal energy bufferingIntracellular energy transport
04

Disease associations

Cardiovascular disease (myocardial infarction marker)Muscular dystrophy and myopathyRhabdomyolysisAcute kidney injuryNeurodegenerative disease (by energy failure)
05

Safety considerations

High CK can indicate tissue damageSupplementation may alter renal function in susceptible individualsDisruption of CK system may cause energy failure in high-demand tissues (muscle, heart, brain)
06

Interacting drugs

Phosphocreatine

1 more in the full profile.

07

Biomarkers

Creatine kinase (CK/CPK) activity (for myocardial infarction, muscle damage)CK-MB isoform (cardiac marker)

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