Creatine, guanidinoacetate and homoarginine in statin-induced myopathy
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Creatine, guanidinoacetate and homoarginine in statin-induced myopathy. / Neu, Axel; Hornig, Sönke; Sasani, Ali; Isbrandt, Dirk; Gerloff, Christian; Tsikas, Dimitris; Schwedhelm, Edzard; Choe, Chi-Un.
In: AMINO ACIDS, Vol. 52, No. 6-7, 07.2020, p. 1067-1069.Research output: SCORING: Contribution to journal › Other (editorial matter etc.) › Research
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TY - JOUR
T1 - Creatine, guanidinoacetate and homoarginine in statin-induced myopathy
AU - Neu, Axel
AU - Hornig, Sönke
AU - Sasani, Ali
AU - Isbrandt, Dirk
AU - Gerloff, Christian
AU - Tsikas, Dimitris
AU - Schwedhelm, Edzard
AU - Choe, Chi-Un
N1 - Letter
PY - 2020/7
Y1 - 2020/7
N2 - Our study evaluated the effect of creatine and homoarginine in AGAT- and GAMT-deficient mice after simvastatin exposure. Balestrino and Adriano suggest that guanidinoacetate might explain the difference between AGAT- and GAMT-deficient mice in simvastatin-induced myopathy. We agree with Balestrino and Adriano that our data shows that (1) creatine possesses a protective potential to ameliorate statin-induced myopathy in humans and mice and (2) homoarginine did not reveal a beneficial effect in statin-induced myopathy. Third, we agree that guanidinoacetate can be phosphorylated and partially compensate for phosphocreatine. In our study, simvastatin-induced damage showed a trend to be less pronounced in GAMT-deficient mice compared with wildtype mice. Therefore, (phospo) guanidinoacetate cannot completely explain the milder phenotype of GAMT-deficient mice, but we agree that it might contribute to ameliorate statin-induced myopathy in GAMT-deficient mice compared with AGAT-deficient mice. Finally, we agree with Balestino and Adriano that AGAT metabolites should further be evaluated as potential treatments in statin-induced myopathy.
AB - Our study evaluated the effect of creatine and homoarginine in AGAT- and GAMT-deficient mice after simvastatin exposure. Balestrino and Adriano suggest that guanidinoacetate might explain the difference between AGAT- and GAMT-deficient mice in simvastatin-induced myopathy. We agree with Balestrino and Adriano that our data shows that (1) creatine possesses a protective potential to ameliorate statin-induced myopathy in humans and mice and (2) homoarginine did not reveal a beneficial effect in statin-induced myopathy. Third, we agree that guanidinoacetate can be phosphorylated and partially compensate for phosphocreatine. In our study, simvastatin-induced damage showed a trend to be less pronounced in GAMT-deficient mice compared with wildtype mice. Therefore, (phospo) guanidinoacetate cannot completely explain the milder phenotype of GAMT-deficient mice, but we agree that it might contribute to ameliorate statin-induced myopathy in GAMT-deficient mice compared with AGAT-deficient mice. Finally, we agree with Balestino and Adriano that AGAT metabolites should further be evaluated as potential treatments in statin-induced myopathy.
U2 - 10.1007/s00726-020-02865-w
DO - 10.1007/s00726-020-02865-w
M3 - Other (editorial matter etc.)
C2 - 32594255
VL - 52
SP - 1067
EP - 1069
JO - AMINO ACIDS
JF - AMINO ACIDS
SN - 0939-4451
IS - 6-7
ER -