title: Creatine uptake in brain and skeletal muscle of mice lacking guanidinoacetate methyltransferase assessed by magnetic resonance spectroscopy.
abstract: Creatine (Cr) levels in skeletal muscle and brain of a mouse model of Cr deficiency caused by guanidinoacetate methyltransferase absence (GAMT-/-) were studied after Cr supplementation with 2 g.kg body wt-1.day-1 Cr for 35 days. Localized 1H magnetic resonance spectroscopy (MRS) was performed in brain (cerebellum and thalamus/hippocampus) and in hind leg muscle of GAMT-/- mice before and after Cr supplementation and in control (Con) mice. As expected, a signal for Cr was hardly detectable in MR spectra of GAMT-/- mice before Cr supplementation. In the thalamus/hippocampus region of these mice, an increase in N-acetylasparate (NAA) was observed. During Cr administration, Cr levels increased faster in skeletal muscle compared with brain, but this occurred only during the first day of supplementation. Thereafter, Cr levels increased by 0.8 mM/day in all studied locations. After 35 days of Cr supplementation, Cr levels in all locations were higher compared with Con mice on a Cr-free diet and NAA levels normalized. Only because of the repeated MRS measurements performed in this longitudinal Cr supplementation study on GAMT-/- mice were we able to discover the initial faster uptake of Cr in skeletal muscle compared with brain, which may represent muscular Cr uptake independent of Cr transporter expression. Our results can provide the basis for additional experiments to optimize Cr supplementation in GAMT deficiency, as increases in brain Cr are slow in patients after Cr supplementation.
authors.affiliation: Department of Radiology, Radboud University Nijmegen Medical Center, Geert Grooteplein 10, PO Box 9101, 6500 HB Nijmegen, The Netherlands. h.kan@rad.umcn.nl
authors.forename: Hermien E
authors.initials: HE
authors.lastname: Kan
authors.forename: Esther
authors.initials: E
authors.lastname: Meeuwissen
authors.forename: Jack J
authors.initials: JJ
authors.lastname: van Asten
authors.forename: Andor
authors.initials: A
authors.lastname: Veltien
authors.forename: Dirk
authors.initials: D
authors.lastname: Isbrandt
authors.forename: Arend
authors.initials: A
authors.lastname: Heerschap
mesh_terms: D000818:Animals; D001921:Brain / Q000378:metabolism*; D003401:Creatine / Q000378:metabolism*; D005260:Female; D050937:Guanidinoacetate N-Methyltransferase / Q000172:deficiency* / Q000235:genetics; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008659:Metabolic Diseases / Q000378:metabolism; D051379:Mice; D018345:Mice, Knockout; D018482:Muscle, Skeletal / Q000378:metabolism*; D009928:Organ Specificity; D014018:Tissue Distribution
chemical_list: C494507:Gamt protein, mouse; D050937:Guanidinoacetate N-Methyltransferase; D003401:Creatine