Disturbed energy metabolism and muscular dystrophy caused by pure creatine deficiency are reversible by creatine intake.
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Disturbed energy metabolism and muscular dystrophy caused by pure creatine deficiency are reversible by creatine intake. / Nabuurs, C I; Choe, Chi-Un; Veltien, A; Kan, H E; van Loon, L J C; Rodenburg, R J T; Matschke, Jakob; Wieringa, B; Kemp, G J; Isbrandt, Dirk; Heerschap, A.
In: J PHYSIOL-LONDON, Vol. 591, No. Pt 2, Pt 2, 2013, p. 571-592.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Disturbed energy metabolism and muscular dystrophy caused by pure creatine deficiency are reversible by creatine intake.
AU - Nabuurs, C I
AU - Choe, Chi-Un
AU - Veltien, A
AU - Kan, H E
AU - van Loon, L J C
AU - Rodenburg, R J T
AU - Matschke, Jakob
AU - Wieringa, B
AU - Kemp, G J
AU - Isbrandt, Dirk
AU - Heerschap, A
PY - 2013
Y1 - 2013
N2 - Creatine (Cr) plays an important role in muscle energy homeostasis by its participation in the ATP-phosphocreatine phosphoryl exchange reaction mediated by creatine kinase. Given that the consequences of Cr depletion are incompletely understood, we assessed the morphological, metabolic and functional consequences of systemic depletion on skeletal muscle in a mouse model with deficiency of l-arginine:glycine amidinotransferase (AGAT(-/-)), which catalyses the first step of Cr biosynthesis. In vivo magnetic resonance spectroscopy showed a near-complete absence of Cr and phosphocreatine in resting hindlimb muscle of AGAT(-/-) mice. Compared with wild-type, the inorganic phosphate/?-ATP ratio was increased fourfold, while ATP levels were reduced by nearly half. Activities of proton-pumping respiratory chain enzymes were reduced, whereas F(1)F(0)-ATPase activity and overall mitochondrial content were increased. The Cr-deficient AGAT(-/-) mice had a reduced grip strength and suffered from severe muscle atrophy. Electron microscopy revealed increased amounts of intramyocellular lipid droplets and crystal formation within mitochondria of AGAT(-/-) muscle fibres. Ischaemia resulted in exacerbation of the decrease of pH and increased glycolytic ATP synthesis. Oral Cr administration led to rapid accumulation in skeletal muscle (faster than in brain) and reversed all the muscle abnormalities, revealing that the condition of the AGAT(-/-) mice can be switched between Cr deficient and normal simply by dietary manipulation. Systemic creatine depletion results in mitochondrial dysfunction and intracellular energy deficiency, as well as structural and physiological abnormalities. The consequences of AGAT deficiency are more pronounced than those of muscle-specific creatine kinase deficiency, which suggests a multifaceted involvement of creatine in muscle energy homeostasis in addition to its role in the phosphocreatine-creatine kinase system.
AB - Creatine (Cr) plays an important role in muscle energy homeostasis by its participation in the ATP-phosphocreatine phosphoryl exchange reaction mediated by creatine kinase. Given that the consequences of Cr depletion are incompletely understood, we assessed the morphological, metabolic and functional consequences of systemic depletion on skeletal muscle in a mouse model with deficiency of l-arginine:glycine amidinotransferase (AGAT(-/-)), which catalyses the first step of Cr biosynthesis. In vivo magnetic resonance spectroscopy showed a near-complete absence of Cr and phosphocreatine in resting hindlimb muscle of AGAT(-/-) mice. Compared with wild-type, the inorganic phosphate/?-ATP ratio was increased fourfold, while ATP levels were reduced by nearly half. Activities of proton-pumping respiratory chain enzymes were reduced, whereas F(1)F(0)-ATPase activity and overall mitochondrial content were increased. The Cr-deficient AGAT(-/-) mice had a reduced grip strength and suffered from severe muscle atrophy. Electron microscopy revealed increased amounts of intramyocellular lipid droplets and crystal formation within mitochondria of AGAT(-/-) muscle fibres. Ischaemia resulted in exacerbation of the decrease of pH and increased glycolytic ATP synthesis. Oral Cr administration led to rapid accumulation in skeletal muscle (faster than in brain) and reversed all the muscle abnormalities, revealing that the condition of the AGAT(-/-) mice can be switched between Cr deficient and normal simply by dietary manipulation. Systemic creatine depletion results in mitochondrial dysfunction and intracellular energy deficiency, as well as structural and physiological abnormalities. The consequences of AGAT deficiency are more pronounced than those of muscle-specific creatine kinase deficiency, which suggests a multifaceted involvement of creatine in muscle energy homeostasis in addition to its role in the phosphocreatine-creatine kinase system.
KW - Animals
KW - Mice
KW - Mice, Knockout
KW - Lipid Metabolism
KW - Magnetic Resonance Spectroscopy
KW - Hydrogen-Ion Concentration
KW - Adenosine Triphosphate/metabolism
KW - Energy Metabolism
KW - Amidinotransferases/deficiency/genetics/metabolism
KW - Amino Acid Metabolism, Inborn Errors/diet therapy/metabolism/pathology/physiopathology
KW - Creatine/deficiency/therapeutic use
KW - Creatine Kinase/metabolism
KW - Developmental Disabilities/diet therapy/metabolism/pathology/physiopathology
KW - Hand Strength
KW - Hindlimb/pathology
KW - Intellectual Disability/diet therapy/metabolism/pathology/physiopathology
KW - Ischemia/metabolism
KW - Mitochondria/metabolism/ultrastructure
KW - Muscle Fibers, Skeletal/metabolism/pathology
KW - Muscle, Skeletal/metabolism/pathology/physiopathology
KW - Muscular Atrophy/genetics
KW - Phosphates/metabolism
KW - Proton-Translocating ATPases/metabolism
KW - Speech Disorders/diet therapy/metabolism/pathology/physiopathology
KW - Animals
KW - Mice
KW - Mice, Knockout
KW - Lipid Metabolism
KW - Magnetic Resonance Spectroscopy
KW - Hydrogen-Ion Concentration
KW - Adenosine Triphosphate/metabolism
KW - Energy Metabolism
KW - Amidinotransferases/deficiency/genetics/metabolism
KW - Amino Acid Metabolism, Inborn Errors/diet therapy/metabolism/pathology/physiopathology
KW - Creatine/deficiency/therapeutic use
KW - Creatine Kinase/metabolism
KW - Developmental Disabilities/diet therapy/metabolism/pathology/physiopathology
KW - Hand Strength
KW - Hindlimb/pathology
KW - Intellectual Disability/diet therapy/metabolism/pathology/physiopathology
KW - Ischemia/metabolism
KW - Mitochondria/metabolism/ultrastructure
KW - Muscle Fibers, Skeletal/metabolism/pathology
KW - Muscle, Skeletal/metabolism/pathology/physiopathology
KW - Muscular Atrophy/genetics
KW - Phosphates/metabolism
KW - Proton-Translocating ATPases/metabolism
KW - Speech Disorders/diet therapy/metabolism/pathology/physiopathology
M3 - SCORING: Journal article
VL - 591
SP - 571
EP - 592
JO - J PHYSIOL-LONDON
JF - J PHYSIOL-LONDON
SN - 0022-3751
IS - Pt 2
M1 - Pt 2
ER -