Phenylglyoxal is an arginine-specific reagent that inactivates creatine kinase (CK). Previous results suggest that modification of the dimeric enzyme at a single arginine residue per subunit causes complete inactivation accompanied by the loss of nucleotide binding; the actual site of modification was not identified. Here, high-resolution tandem mass spectrometry (MS͞MS) was used to identify three phenylglyoxal-modified Arg residues in monomeric rabbit muscle CK. Electrospray ionizaton Fourier-transform MS of the phenylglyoxal-modified CK that had lost Ϸ80% activity identified three species: unmodified, once-modified (؉116 Da), and twice-modified (؉232 Da) enzyme in a ratio of approximately 1:4:1. MS͞MS restricts the derivatized sites to P122-P212 and P283-V332, whereas MS of Lys-C digestions revealed two modified peptides, A266-K297 and G116-K137. The only Arg in A266-K297 is Arg-291 (invariant), whereas MS͞MS of modified G116-K137 shows that two of the three sites Arg-129, Arg-131, or Arg-134 (all invariant) can contain the modification. The recently reported x-ray crystal structure for the octameric chicken mitochondrial CK indicates that its nucleotide triphosphate-binding site indeed contains the equivalent of R291, R129, and R131 reported here to be at the active site of rabbit muscle CK.Creatine kinase (CK, EC 2.7.3.2) plays a key role in energy metabolism in cells by catalyzing the reversible transfer of a phosphoryl group from phosphocreatine to MgADP to form creatine and MgATP. Mechanistic studies of CK have been made more difficult by the microheterogeneity found in enzyme preparations (1); mass spectrometry (MS) recently has shown (2) that deamidation is a major cause of this. Microheterogeneity also has been an obstacle to obtaining x-ray crystal structures for dimeric cytosolic (muscle, brain, or muscle-brain heterodimer) isoforms (1, 2), although recently have succeeded in obtaining a 3.0 Å x-ray crystal structure for the octameric chicken mitochondrial CK. Several studies have been done to identify the roles of amino acid residues involved in substrate binding and catalysis in CK.