Thymidine Kinase

Thymidine kinase (TK) is a cellular enzyme involved in the incorporation of the nucleoside (basic building block of nucleic acid) thymidine into DNA (deoxyribonucleic acid). Its concentration is thus a measure of the division activity of cells.Since malignant diseases of the blood-forming and lymphatic systems in particular are characterized by high rates of cell division, the determination of thymidine kinase can be used as a tumor marker in these diseases.Tumor markers are substances produced naturally in the body by tumors and detectable in the blood. They can provide an indication of a malignant (malignant) neoplasm and are used as a follow-up test in cancer aftercare.

The procedure

Material needed

  • Blood serum

Preparation of the patient

  • Not necessary

Disruptive factors

  • None known

Standard values

Standard values in U/l
Children < 10
Adults < 5

Indications

Interpretation

Interpretation of increased values

  • Leukemia (blood cancer)
  • Hodgkin’s disease (lymphogranulomatosis) – cancer affecting the lymph nodes and lymphatic system, showing typical cells (Sternberg-Reed cells) in histological preparations
  • Non-Hodgkin’s lymphomacancer affecting the lymph nodes and lymphatic system.
  • Plasmocytoma (multiple myeloma) – malignant tumor disease from the group of non-Hodgkin’s lymphomas. Its origin is in the lymphoid tissue, as in all lymphomas.

Interpretation of lowered values

  • No diagnostic significance

Further notes

  • Thymidine kinase activity allows conclusions about the course of the disease.
  • Nonmalignant diseases with a high proliferation rate (e.g., viral infections from the herpes group such as CMV or EBV infections) can also lead to an increase in TK activity.