Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T07:45:53.179Z Has data issue: false hasContentIssue false

Genetic Variation and Plasma Creatine Kinase Activity

Published online by Cambridge University Press:  01 August 2014

J.B. Whitfield*
Affiliation:
Department of Clinical Biochemistry, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
N.G. Martin
Affiliation:
Department of Human Genetics, Medical College of Virginia, Richmond
*
Dept. of Clinical Biochemistry, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The distribution of plasma creatine kinase (CK; E.C.2.7.3.2) is known to be skewed, and this has made it difficult to analyse the sources of variation. We have studied plasma CK in 206 pairs of twins and have analysed the results after separating them into what appear to be two Gaussian frequency distributions. The results in the main distribution (CK < 300 iu/1) are apparently affected by genetic factors common to both men and women, and by environmental factors which are of much greater effect in men. The tendency for some men to have very high CK values may also have a genetic basis.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1986

References

REFERENCES

1. Clarke, P, Jardine, R, Martin, NG, Stark, AE, Walsh, RJ (1980). Sex differences in the inheritance of some anthropometric characters in twins. Acta Genet Med Gemellol 29:171192.Google Scholar
2. Conover, WJ (1971). Practical Non-parametric Statistics. Wiley, New York, p. 295.Google Scholar
3. Eaves, LJ, Last, KA, Young, PA, Martin, NG (1978). Model-fitting approaches to the analysis of human behaviour. Heredity 41:249320.Google Scholar
4. Emery, AEH, Holloway, S (1977). Use of normal daughter's and sister's creatine kinase levels in estimating heterozygosity in Duchenne muscular dystrophy. Hum Hered 27:118126.CrossRefGoogle ScholarPubMed
5. Griffiths, PD (1966). Serum levels of ATP creatine phosphotransferase (creatine kinase), the normal range and effect of muscular activity. Clin Chim Acta 13:413420.Google Scholar
6. Gruemer, H-D, Miller, WG, Chinchilli, VM, et al (1984). Are reference limits for serum creatine kinase valid in detection of the carrier state for Duchenne muscular dystrophy? Clin Chem 30:724730.Google Scholar
7. Hoffman, RG (1963). Statistics in the practice of medicine. JAMA 185:864873.Google Scholar
8. Martin, NG, Perl, J, Oakeshott, JG, Gibson, JB, Starmer, GA, Wilks, AV (1985). A twin study of ethanol metabolism. Behav Genet 15:93109.Google Scholar
9. Meltzer, HY (1971). Factors affecting serum creatine phosphokinase levels in the general population: the role of race, activity and age. Clin Chim Acta 33:165172.Google Scholar
10. Meltzer, HY, Dorus, E, Grunhaus, L, Davis, JM, Belmaker, R (1978). Genetic control of human plasma creatine phosphokinase activity. Clin Genet 13:321326.CrossRefGoogle ScholarPubMed
11. Miller, WG, Chinchilli, VM, Gruemer, H-D, Nance, W (1984). Sampling from a skewed population distribution as exemplified by estimation of the creatine kinase upper reference limit. Clin Chem 30:1823.Google Scholar
12. Sylen, JCH, Jansson, E, Brandt, S, Kallner, A (1983). Specificity of cardiac enzymes in diagnosis of chest pain in marathon runners. Lancet ii: 1505.Google Scholar
13. Van Steirteghem, AC, Robertson, EA, Young, DS (1978). Variance components of serum constituents in healthy individuals. Clin Chem 24:212222.Google Scholar
14. Whitfield, JB, Martin, NG (1983). Determinants of variation in plasma alkaline phosphatase activity: a twin study. Amer J Hum Genet 35:978986.Google Scholar
15. Williams, GZ, Widdowson, GM, Penton, J (1978). Individual character of variation in time-series studies of healthy people. II. Differences in values for clinical chemical analyses in serum among demographic groups, by age and sex. Clin Chem 24:313320.Google Scholar