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1 Analytical Unit, Cardiological Sciences,
2
Obstetrics & Gynaecology and Physiology,
3
Medical Genetics Unit, and
5
Department of Chemical Pathology, St. Georges Hospital Medical School, London SW17 0RE, United Kingdom.
4 Department of Renal Medicine, Queen Mary and Westfield College (QMWC) School of Medicine, St. Bartholomews Hospital Medical College, London EC1M 6BQ, United Kingdom.
aAddress correspondence to this author at: Analytical Unit, Cardiological Sciences, St. Georges Hospital Medical School, London SW17 0RE, United Kingdom. Fax: 44-0-20-8767-9687; e-mail frederic{at}sghms.ac.uk.
Background: The assertion that creatine kinase MB (CK-MB) and the developmental isoforms of cardiac troponin T (cTnT) are expressed by skeletal muscle in some clinical settings is an extrapolation from nonuremic rodent studies. We studied the content of CK-MB and cTnT in skeletal muscle of the renal-insufficient rat.
Methods: Skeletal muscles (gastrocnemius) were collected from both five-sixths nephrectomized rats (n = 11) and sham-operated controls (n = 11). cTnT content was analyzed by Elecsys (Roche), immunoblotting, and immunohistochemistry with antibodies M7 and M11-7 (Roche). CK isoenzymes were analyzed electrophoretically.
Results: Trace concentrations of cTnT were detected in some of the skeletal muscle samples [controls (3 of 11) and uremic rats (1 of 11)] at concentrations <0.01% of that detected in heart. By contrast, positive staining appeared in both groups with M11-7 by immunoblotting and immunohistochemistry. No immunoreactivity was detected in skeletal muscle using M7 in the immunoblot format, although immunoreactivity was detected by immunohistochemistry in all samples. The median percentages of CK-MB were 6.0% and 4.1% for the skeletal muscle from control and uremic rats, respectively.
Conclusion: The detection of cTnT and CK-MB in skeletal muscle does not differ for uremic rats compared with sham-operated controls. cTnT isoforms detected by qualitative methods are not detected with the cTnT immunoassay. Observations with rodents should not necessarily be extrapolated to humans.
The following articles in journals at HighWire Press have cited this article:
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D. B. Walker Serum Chemical Biomarkers of Cardiac Injury for Nonclinical Safety Testing Toxicol Pathol, January 1, 2006; 34(1): 94 - 104. [Abstract] [Full Text] [PDF] |
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