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Level two – Semester 4 - PharmD      Biochemistry-II PB-403 (Practical course)     2024/2025


                       1.  Myoglobin

                          Myoglobin  is  a  low-molecular-weight  protein  present  in  all

                          skeletal and cardiac muscle.

                          Due  to  its  small  size,  it  appears  in  serum  rapidly  after  release

                          from injured muscle and is cleared into the urine.

                          It  is  the  least  specific  of  any  of  the  cardiac  markers  due  to  its

                          presence in all muscles.



                       2.  Creatine kinase (CK):


                       Creatine kinase (CK) is an enzyme responsible for the conversion of

                       creatine  into  phosphocreatine,  the  energy  source  for  muscle

                       contraction.

                                 Total CK is composed of 3 iso-enzymes in blood:


                          CK-MM (CK-1)               CK- MB (CK-2)               CK-BB (CK-3)

                                                     Myocardial and
                          Skeletal Muscle                                              Brain
                                                      skeletal muscle




                       3.  Troponin:

                          ❖  Troponin is a regulatory protein complex of three proteins on

                              the thin filaments of skeletal and cardiac muscle fibers.

                          ❖  During muscle contraction, the troponin complex regulates the

                              interaction between the thick and thin filaments.

                                                 This complex consists of:

                              Troponin T                  Troponin I               Troponin C

                         The amino acid sequences of TnT and TnI
                                                                              Identical in skeletal
                         found in cardiac muscle are different from
                                                                               and cardiac muscle
                          those of the troponins in skeletal muscle.






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