High levels of brain-type creatine kinase activity in human platelets and leukocytes: A genetic anomaly with autosomal dominant inheritance

The ectopic expression in peripheral blood cells of the brain-type creatine kinase (CKB) is an autosomal dominant inherited anomaly named CKBE (MIM ID 123270). Here, we characterized the CK activity in serum, platelets (PLT) and leukocytes (WBC) of 22 probands (from 8 unrelated families) and 10 cont...

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Veröffentlicht in:Blood cells, molecules, & diseases molecules, & diseases, 2012-01, Vol.48 (1), p.62-67
Hauptverfasser: Arnold, Heidwolf, Wienker, Thomas F., Hoffmann, Michael M., Scheuerbrandt, Günter, Kemp, Katharina, Bugert, Peter
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container_issue 1
container_start_page 62
container_title Blood cells, molecules, & diseases
container_volume 48
creator Arnold, Heidwolf
Wienker, Thomas F.
Hoffmann, Michael M.
Scheuerbrandt, Günter
Kemp, Katharina
Bugert, Peter
description The ectopic expression in peripheral blood cells of the brain-type creatine kinase (CKB) is an autosomal dominant inherited anomaly named CKBE (MIM ID 123270). Here, we characterized the CK activity in serum, platelets (PLT) and leukocytes (WBC) of 22 probands (from 8 unrelated families) and 10 controls. CK activity was measured by standard UV-photometry. Expression of the CKB gene was analyzed by real-time PCR and Western blotting. DNA sequencing including bisulfite treatment was used for molecular analysis of the CKB gene. Serum CK levels were comparable between probands and controls. CKBE probands revealed significantly higher CK activity in PLT (3.7 ± 2.7 versus 179.2 ± 83.0 U/10 12 PLT; p < 0.001) and WBC (0.4 ± 0.3 versus 2.6 ± 2.1 U/10 9 WBC; p = 0.004). Inhibitory anti-CKM antibodies did not affect CK activity indicating that the CK activity is generated exclusively by the CK-BB isoenzyme. CKB mRNA and protein levels were significantly higher in PLT and WBC from probands compared to controls. Re-sequencing of the entire CKB gene and methylation analysis of a CpG island revealed no alteration in CKBE probands. The genetic basis of CKBE remains unclear, however, we propose that a de-methylated CKB gene is inherited that leads to high CKB expression levels in myeloic precursor cells in the bone marrow.
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subjects Adolescent
Adult
Blood Platelets - cytology
Blood Platelets - enzymology
Blotting, Western
Bone Marrow - metabolism
Brain - enzymology
Case-Control Studies
Choristoma - genetics
Choristoma - metabolism
CKB gene expression
Creatine kinase
Creatine Kinase, BB Form - genetics
Creatine Kinase, BB Form - metabolism
Ectopic expression
Female
Gene Expression Regulation, Enzymologic
Genes, Dominant
Genetic Diseases, Inborn - enzymology
Germany
Humans
Isoenzymes - genetics
Isoenzymes - metabolism
Leukocytes - cytology
Leukocytes - enzymology
Male
Middle Aged
Pedigree
Platelets
Real-Time Polymerase Chain Reaction
RNA, Messenger
title High levels of brain-type creatine kinase activity in human platelets and leukocytes: A genetic anomaly with autosomal dominant inheritance
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