Kinetics of creatine kinase in an experimental model of low phosphocreatine and ATP in the normoxic heart

To study the dependence of the forward flux of creatine kinase(CK) on its substrates and products we designed an acute normoxic modelof steady-state depletion of phosphocreatine (PCr) and adenylate in theisovolumic acetate-perfused rat heart. Various concentrations of PCrand ATP were induced by prior perfusion with 2 deoxy-D-glucose in the presenceof insulin. The apparent rate constant(k_f) and theforward CK flux were measured under metabolic and contractile steadystate by progressive saturation-transfer³¹P nuclear magnetic resonance(NMR). At high adenylate content CK flux was constant for a twofoldreduction in PCr concentration (PCr]); CK flux was 6.3 ± 0.6 mM/s (vs. 6.5 ± 0.2 mM/s in control) because of adoubling of k_f.Although, at the lowest ATP concentration and PCr], CKflux was reduced by 50%, it nevertheless always remained higher thanATP synthesis estimated by parallel oxygen consumption measurement.NMR-measured flux was compared with the flux computed under thehypothesis of CK equilibrium. CK flux could not be fully predicted bythe concentrations of CK metabolites. This is discussed in terms ofmetabolite and CK isozyme compartmentation.