SUMMARY
The creatine in packed red cells was estimated by the diacetyl‐i‐naphthol technique. The error due to the presence of other guanidino compounds in the cells was found to be small.
The mean value for creatine in the packed red cells of normal females was found to be 5.6 (S.D. ± 1.3) mg. per 100 ml., and in normal males 4.4 (S.D. ± 1.5) mg. per 100 ml. The sex difference is statistically significant.
When red cells were segregated according to age by centrifugation the young red cells contained more creatine than the old cells. The creatine in the mixed population of red cells of patients under treatment for anaemia in whom there was increased erythropoiesis was greatly elevated; values as high as 50 mg. per 100 ml. were observed. With a decline in marrow activity and reticulocytosis there was a persistence of the high red‐cell creatine for a long time, suggesting that the loss of creatine from the cells with age is a gradual process.
It is concluded that the level of creatine in the circulating red cells is a sensitive parameter of the mean age of the population.