Freezing of serum samples at -30 degrees C without protective agents i
s the simplest and least expensive method of storage in serum banks. W
e investigated the stability of creatine kinase (CK) in human sera aft
er freezer storage under such conditions for 24 h (n = 30) or for 2 or
4 weeks (n = 99). CK activity was measured in fresh sera and compared
to matched thawed sera after freezer storage at the designated time i
ntervals. The enzyme's median activity decreased significantly after 2
4 h, 2 weeks, and 4 weeks of freezer storage by 2.6, 5.9, and 8.3 %, r
espectively (p < 0.0001, r = 0.99). Sex or high CK initial values had
no significant effect on these results. We conclude that freezer stora
ge of serum at -30 degrees C, even for short periods, causes a steady
and significant decline in CK activity. These results should be taken
into consideration when analyzing CK activity in frozen sera for resea
rch or clinical purposes.