CKMT2 (Creatine Kinase, Mitochondrial 2) is also known as sarcomeric mitochondrial creatine kinase (S-MtCK). It belongs to the creatine kinase isoenzyme family and reversibly catalyzes the transfer of phosphate between ATP and various phosphogens, primarily creatine phosphate. CKMT2 plays a central role in energy transduction in tissues with large, fluctuating energy demands, such as skeletal muscle, heart, brain and spermatozoa .
At the molecular level, CKMT2 activity is associated with oxidative capacity as it increases the availability of ADP to the respiratory chain complex V, which regulates mitochondrial membrane potential (Δψm) and reactive oxygen species (ROS) formation. This establishes mitochondria as a hub of innate immune signaling by connecting with pathways involving Toll-like receptors (TLRs) .
CKMT2 shows tissue-specific expression patterns that are important to consider when designing experiments:
Based on immunohistochemistry data from the Human Protein Atlas:
Strong expression: Heart and skeletal muscle tissues
Moderate expression: Normal colon and kidney tissues
Low/no expression: Normal liver tissue
Variable expression in cancer tissues: Overexpressed in colon cancer (COAD) and cholangiocarcinoma (CHOL), but not expressed in prostate cancer (PRAD) and breast cancer (BRCA)
This expression pattern correlates with tissues having high energy demands, consistent with CKMT2's role in cellular energetics .
For optimal IHC-P results with CKMT2 antibodies, consider the following protocol parameters:
Antigen retrieval: Heat-mediated in EDTA buffer (pH 9.0) is recommended as the primary method; citrate buffer (pH 6.0) can be used as an alternative
Antibody dilution: 1:500-1:2000 (optimize for each specific antibody)
Detection system: HRP-coupled secondary antibody specific to the host species of primary antibody
Counterstaining: Standard nuclear counterstain (e.g., hematoxylin)
Positive control recommendations: Mouse heart tissue, human heart tissue
A complete IHC protocol includes dewaxing paraffin sections with methanol, performing antigen retrieval, blocking for 30 minutes, and incubating with CKMT2 antibody (e.g., Proteintech 13207-1-AP at 1:500 dilution) overnight at 4°C, followed by appropriate secondary antibody incubation at room temperature .
Validating antibody specificity is crucial for reliable results. Consider these approaches:
Positive controls: Use tissues known to express CKMT2 (heart and skeletal muscle)
Negative controls: Use tissues with minimal expression (e.g., liver) or omit primary antibody
Molecular weight validation: Confirm band size on Western blot (expected size: 41-48 kDa)
siRNA knockdown: Compare antibody signal in control vs. CKMT2-silenced samples
Overexpression systems: Use CKMT2-overexpressing samples as positive controls
Peptide competition: Pre-incubate antibody with immunizing peptide to block specific binding
For Western blot analysis, CKMT2 is typically detected at 41-48 kDa in heart and skeletal muscle lysates. Expected bands should be validated against predicted molecular weight (48 kDa) .
Sample preparation significantly impacts CKMT2 detection quality:
For tissues:
Fresh-frozen or properly fixed tissues are required
Formalin fixation and paraffin embedding with proper antigen retrieval is effective for IHC
For quantification in IHC, software like ImageJ with IHC Profiler plugins can calculate positive area and staining intensity
For cells:
For ICC/IF: Methanol fixation has been validated for HeLa cells
For protein extraction: Standard cell lysis buffers with protease inhibitors are suitable
For mitochondrial protein analysis: Consider mitochondrial isolation protocols to enrich CKMT2 content
For Western blot:
HEK-293T, HeLa cell lysates, and heart/skeletal muscle tissue lysates serve as good positive controls
CKMT2 expression varies significantly across cancer types, with important implications for research focus:
Overexpressed in 4 cancer types:
Low expression in 14 cancer types:
Bladder carcinoma (BLCA)
Breast cancer (BRCA)
Cervical squamous cell carcinoma (CESC)
Esophageal carcinoma (ESCA)
Glioblastoma multiforme (GBM)
Head and neck squamous cell carcinoma (HNSC)
Kidney renal clear cell carcinoma (KIRC)
Kidney renal papillary cell carcinoma (KIRP)
Lung adenocarcinoma (LUAD)
Lung squamous cell carcinoma (LUSC)
Pheochromocytoma and paraganglioma (PCPG)
Prostate adenocarcinoma (PRAD)
Stomach adenocarcinoma (STAD)
The protein expression data from immunohistochemistry confirms that CKMT2 is strongly expressed in COAD and CHOL but not expressed in PRAD and BRCA, which is consistent with mRNA expression patterns .
CKMT2 expression has demonstrated prognostic significance:
Positive prognosis correlation with overexpression:
Negative prognosis correlation with overexpression:
Stage-specific expression patterns:
These findings suggest CKMT2 may serve as a prognostic biomarker with cancer type-specific significance, warranting tailored approaches to its use in different cancer research contexts .
CKMT2 has emerging significance in cancer immunology:
Immune pathway enrichment: CKMT2 overexpression is enriched in adaptive immune system and immunoglobulin regulatory pathways
Tumor microenvironment correlation: Seven cancer types showed positive correlation between low CKMT2 expression and tumor microenvironment characteristics
Immunotherapy response: In five cancer types, low CKMT2 expression correlated with better immunotherapy treatment outcomes
Immune cell infiltration: CKMT2 expression levels correlate with the extent of immune cell infiltration in various cancer types. Pearson correlation analysis can be used to quantify this relationship
Immune-related gene correlation: Strong correlations exist between CKMT2 and most immune-related genes in specific cancer types
These findings suggest CKMT2 plays an important role in cancer immunity and could serve as a potential target for cancer immunotherapy .
CKMT2 appears to be a key mediator of mitochondrial dysfunction in type 2 diabetes:
Expression changes: CKMT2 protein is significantly reduced in the mitochondrial proteome of patients with type 2 diabetes
Metabolite alterations: Men with type 2 diabetes show:
Functional consequences: Reduced CKMT2 contributes to:
Mechanistic independence: CKMT2's effects on mitochondrial function appear to be independent of:
This suggests that the CKMT2 reduction in skeletal muscle from people with type 2 diabetes represents a potential molecular link between lipid overload-mediated impairments of mitochondrial function and metabolism .
Experimental manipulation of CKMT2 produces specific metabolic effects:
CKMT2 silencing effects:
Reduced basal and maximal mitochondrial respiration
Decreased mitochondrial membrane potential
Increased presence of smaller, fragmented mitochondria
Reduced basal glucose oxidation
CKMT2 overexpression effects:
Increased mitochondrial respiration (independent of creatine availability)
Mitigated lipid-induced activation of p38 MAPK (a stress- and ROS-responsive kinase)
Upregulated mRNA levels of antioxidant genes (SOD2, CAT) in palmitate-exposed myotubes
Improved oxidative phosphorylation in muscle tissue
Protected against metabolic stress associated with lipid overload
These findings demonstrate that CKMT2 has functions beyond its canonical role in creatine phosphorylation, playing a critical role in maintaining mitochondrial function and integrity .
Exercise appears to be a positive regulator of CKMT2:
Expression regulation: Analysis of public data reveals that CKMT2 content is up-regulated by exercise training in both humans and mice
Functional implications: Since CKMT2 overexpression improves mitochondrial function, exercise-induced increases in CKMT2 may contribute to:
Therapeutic potential: The exercise-CKMT2-mitochondrial function relationship suggests that therapeutic strategies targeting CKMT2 expression may be beneficial for metabolic diseases
These findings provide a mechanistic link between exercise, CKMT2 upregulation, and improved mitochondrial function, which may partially explain the beneficial effects of exercise on metabolic health .
For multiplex immunofluorescence incorporating CKMT2:
Antibody selection: Choose an antibody validated for immunofluorescence applications (e.g., ab151450 has been validated in methanol-fixed HeLa cells)
Fixation optimization:
Antibody pairing considerations:
Select antibodies raised in different host species to prevent cross-reactivity
For co-localization with mitochondrial markers, consider antibodies against:
Detection system:
Control samples:
Several experimental models have been validated for CKMT2 research:
Cell models:
C2C12 myotubes: Validated for siRNA knockdown and overexpression studies of CKMT2
HEK-293T and HeLa cells: Used for antibody validation and expression studies
Animal models:
C57BL/6 mice fed high-fat diet: Model for studying CKMT2 in insulin resistance
Exercise-trained mice: Model for studying exercise effects on CKMT2 expression
Human samples:
Experimental approaches:
Electroporation-mediated overexpression for gain-of-function studies
Creatine or β-GPA (creatine analog) supplementation for metabolic studies
These models allow researchers to investigate CKMT2's role in various disease contexts, including cancer, diabetes, and other metabolic disorders .
When faced with discrepancies between CKMT2 mRNA and protein expression:
Consider post-transcriptional regulation:
Evaluate protein stability factors:
Assess tissue-specific translation efficiency:
Technical considerations:
Functional validation:
Understanding these factors can help researchers properly interpret discrepancies and design appropriate follow-up experiments to clarify CKMT2's role in their specific research context.
For detecting CKMT2 in tissues with naturally low expression:
Signal amplification techniques:
Use tyramide signal amplification (TSA) systems for IHC/IF
Consider polymer-based detection systems for enhanced sensitivity
Biotin-streptavidin amplification may improve signal-to-noise ratio
Sample preparation optimization:
Detection system selection:
HRP-coupled detection systems offer good sensitivity for IHC
Fluorescent detection with signal enhancement may improve sensitivity for IF
Enrichment strategies:
For biochemical assays, consider mitochondrial isolation to concentrate CKMT2
For tissues with heterogeneous expression, laser capture microdissection may be beneficial
Antibody selection:
Common pitfalls and their solutions in CKMT2 functional studies: