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Pre-Symptomatic Treatment of Creatine Biosynthesis Defects

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Creatine and Creatine Kinase in Health and Disease

Part of the book series: Subcellular Biochemistry ((SCBI,volume 46))

Abstract

Recent observations in two patients, one with AGAT deficiency (AGAT-D) and one with GAMT deficiency (GAMT-D), both diagnosed already at birth, provide first evidence for important therapeutic effects of pre-symptomatic treatment with creatine (Cr) supplementation in AGAT-D and Cr supplementation plus guanidinoacetate lowering strategies in GAMT-D. Although long-term data are lacking, the results suggest that complete prevention of neurological sequelae in early treated patients could be feasible (Battini et al., 2006; Schulze et al., 2006)

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References

  • Alessandri, M.G., Celati, L., Battini, R., Casarano, M., and Cioni, G., 2005, Gas chromatography/mass spectrometry assay for arginine:glycine-amidinotransferase deficiency. Anal. Biochem. 343: 356–358.

    Article  PubMed  CAS  Google Scholar 

  • Battini, R., Alessandri, M.G., Leuzzi, V., Moro, F., Tosetti, M., Bianchi, M.C., and Cioni, G., 2006, Arginine:glycine amidinotransferase (AGAT) deficiency in a newborn: early treatment can prevent phenotypic expression of the disease. J. Pediatr. 148: 828–830.

    Article  PubMed  CAS  Google Scholar 

  • Battini, R., Leuzzi, V., Carducci, C., Tosetti, M., Bianchi, M.C., Item, C.B., Stöckler-Ipsiroglu, S., and Cioni, G., 2002, Creatine depletion in a new case with AGAT deficiency: clinical and genetic study in a large pedigree. Mol. Genet. Metab. 77: 326–331.

    Article  PubMed  CAS  Google Scholar 

  • Bianchi, M.C., Tosetti, M., Battini, R., Leuzzi, V., Alessandri, M.G., Carducci, C., Antonozzi, I., and Cioni, G., 2007, Treatment monitoring of brain creatine deficiency syndromes: a 1H and 31P MR spectroscopy study. Am. J. Neuroradiol. 28: 548–554.

    PubMed  CAS  Google Scholar 

  • Bianchi, M.C., Tosetti, M., Fornai, F., Alessandri, M.G., Cipriani, P., De Vito, G., and Canapicchi, R., 2000, Reversible brain creatine deficiency in two sisters with normal blood creatine level. Ann. Neurol. 47: 511–513.

    Article  PubMed  CAS  Google Scholar 

  • Bodamer, O.A., Bloesch, S.M., Gregg, A.R., Stöckler-Ipsiroglu, S., and O’Brien, W.E., 2001, Analysis of guanidinoacetate and creatine by isotope dilution electrospray tandem mass spectrometry. Clin. Chim. Acta 308: 173–178.

    Article  PubMed  CAS  Google Scholar 

  • Braissant, O., Henry, H., Villard, A.M., Speer, O., Wallimann, T., and Bachmann, C., 2005, Creatine synthesis and transport during rat embryogenesis: spatiotemporal expression of AGAT, GAMT and CT1. BMC Dev. Biol. 5: 9.

    Article  PubMed  Google Scholar 

  • Caldeira Araujo, H., Smit, W., Verhoeven, N.M., Salomons, G.S., Silva, S., Vasconcelos, R., Tomas, H., Tavares de Almeida, I., Jakobs, C., and Duran, M., 2005, Guanidinoacetate methyltransferase deficiency identified in adults and a child with mental retardation. Am. J. Med. Genet. A 133: 122–127.

    Google Scholar 

  • Carducci, C., Birarelli, M., Leuzzi, V., Carducci, C., Battini, R., Cioni, G., and Antonozzi, I., 2002, Guanidinoacetate and creatine plus creatinine assessment in physiologic fluids: an effective diagnostic tool for the biochemical diagnosis of arginine:glycine amidinotransferase and guanidinoacetate methyltransferase deficiencies. Clin. Chem. 48: 1772–1778.

    PubMed  CAS  Google Scholar 

  • Carducci, C., Santagata, S., Leuzzi, V., Carducci, C., Artiola, C., Giovanniello, T., Battini, R., and Antonozzi, I., 2006, Quantitative determination of guanidinoacetate and creatine in dried blood spot by flow injection analysis-electrospray tandem mass spectrometry. Clin. Chim. Acta 364: 180–187.

    Article  PubMed  CAS  Google Scholar 

  • D’Hooge, R., Pei, Y.Q., Marescau, B., and De Deyn, P.P., 1992, Convulsive action and toxicity of uremic guanidino compounds: behavioral assessment and relation to brain concentration in adult mice. J. Neurol. Sci. 112: 96–105.

    Article  PubMed  CAS  Google Scholar 

  • da Silva, C.G., Parolo, E., Streck, E.L., Wajner, M., Wannmacher, C.M., and Wyse, A.T., 1999, In vitro inhibition of Na+,K+-ATPase activity from rat cerebral cortex by guanidino compounds accumulating in hyperargininemia. Brain Res. 838: 78–84.

    Article  PubMed  Google Scholar 

  • Item, C.B., Mercimek-Mahmutoglu, S., Battini, R., Edlinger-Horvat, C., Stromberger, C., Bodamer, O., Muhl, A., Vilaseca, M.A., Korall, H., and Stöckler-Ipsiroglu, S., 2004, Characterization of seven novel mutations in seven patients with GAMT deficiency. Hum. Mutat. 23: 524.

    Article  PubMed  CAS  Google Scholar 

  • Mancini, G.M., Catsman-Berrevoets, C.E., de Coo, I.F., Aarsen, F.K., Kamphoven, J.H., Huijmans, J.G., Duran, M., van der Knaap, M.S., Jakobs, C., and Salomons, G.S., 2005, Two novel mutations in SLC6A8 cause creatine transporter defect and distinctive X-linked mental retardation in two unrelated Dutch families. Am. J. Med. Genet. A 132: 288–295.

    PubMed  CAS  Google Scholar 

  • Mercimek-Mahmutoglu, S., Stoeckler-Ipsiroglu, S., Adami, A., Appleton, R., Araujo, H.C., Duran, M., Ensenauer, R., Fernandez-Alvarez, E., Garcia, P., Grolik, C., Item, C.B., Leuzzi, V., Marquardt, I., Muhl, A., Saelke-Kellermann, R.A., Salomons, G.S., Schulze, A., Surtees, R., van der Knaap, M.S., Vasconcelos, R., Verhoeven, N.M., Vilarinho, L., Wilichowski, E., and Jakobs, C., 2006, GAMT deficiency: features, treatment, and outcome in an inborn error of creatine synthesis. Neurology 67: 480–484.

    Article  PubMed  CAS  Google Scholar 

  • Neu, A., Neuhoff, H., Trube, G., Fehr, S., Ullrich, K., Roeper, J., and Isbrandt, D., 2002, Activation of GABA_A receptors by guanidinoacetate: a novel pathophysiological mechanism. Neurobiol. Dis. 11: 298–307.

    Article  PubMed  CAS  Google Scholar 

  • Ohtsuki, S., Tachikawa, M., Takanaga, H., Shimizu, H., Watanabe, M., Hosoya, K., and Terasaki, T., 2002, The blood-brain barrier creatine transporter is a major pathway for supplying creatine to the brain. J. Cereb. Blood Flow Metab. 22: 1327–1335.

    Article  PubMed  CAS  Google Scholar 

  • Salomons, G.S., van Dooren, S.J., Verhoeven, N.M., Cecil, K.M., Ball, W.S., Degrauw, T.J., and Jakobs, C., 2001, X-Linked creatine-transporter gene (SLC6A8) defect: a new creatine-deficiency syndrome. Am. J. Hum. Genet. 68: 1497–1500.

    Article  PubMed  CAS  Google Scholar 

  • Schulze, A., 2005, Strategies in the treatment of GAMT deficiency. In: Jakobs, C., and Stoeckler-Ipsiroglu, S., eds., Verhoeven, N.M., and Salomons, G.S., co-eds., Clinical and molecular aspects of defects in creatine & polyol metabolism, 1st ed., SPS Verlagsgesellschaft, Heilbronn, Germany, pp. 19–33.

    Google Scholar 

  • Schulze, A., 2003, Creatine deficiency syndromes. Mol. Cell. Biochem. 244: 143–150.

    Article  PubMed  CAS  Google Scholar 

  • Schulze, A., Anninos, A., Hoffmann, G.F., Schwahn, B., Mayatepek, E., Waltz, S., and Rheingans, K., 2005, AGAT enzyme inhibition by high-dose ornithine: a new approach in treatment of GAMT deficiency (abstract). J. Inherit. Metab. Dis. 28: 227.

    Google Scholar 

  • Schulze, A., Bachert, P., Schlemmer, H., Harting, I., Polster, T., Salomons, G.S., Verhoeven, N.M., Jakobs, C., Fowler, B., Hoffmann, G.F., and Mayatepek, E., 2003, Lack of creatine in muscle and brain in an adult with GAMT deficiency. Ann. Neurol. 53: 248–251.

    Article  PubMed  CAS  Google Scholar 

  • Schulze, A., Ebinger, F., Rating, D., and Mayatepek, E., 2001, Improving treatment of guanidinoacetate methyltransferase deficiency: reduction of guanidinoacetic acid in body fluids by arginine restriction and ornithine supplementation. Mol. Genet. Metab. 74: 413–419.

    Article  PubMed  CAS  Google Scholar 

  • Schulze, A., Hess, T., Wevers, R., Mayatepek, E., Bachert, P., Marescau, B., Knopp, M.V., De Deyn, P.P., Bremer, H.J., and Rating, D., 1997, Creatine deficiency syndrome caused by guanidinoacetate methyltransferase deficiency: diagnostic tools for a new inborn error of metabolism. J. Pediatr. 131: 626–631.

    Article  PubMed  CAS  Google Scholar 

  • Schulze, A., Hoffmann, G.F., Bachert, P., Kirsch, S., Salomons, G.S., Verhoeven, N.M., and Mayatepek, E., 2006, Presymptomatic treatment of neonatal guanidinoacetate methyltransferase deficiency. Neurology 67: 719–721.

    Article  PubMed  CAS  Google Scholar 

  • Stöckler, S., Holzbach, U., Hanefeld, F., Marquardt, I., Helms, G., Requart, M., Hanicke, W., and Frahm, J., 1994, Creatine deficiency in the brain: a new, treatable inborn error of metabolism. Pediatr. Res. 36: 409–413.

    Google Scholar 

  • Stöckler, S., Marescau, B., DeDeyn, P.P., Trijbels, J.M.F., and Hanefeld, F., 1997, Guanidino compounds in guanidinoacetate methyltransferase deficiency, a new inborn error of creatine synthesis. Metabolism 46: 1189–1193.

    Article  Google Scholar 

  • Stoeckler-Ipsiroglu, S., Battini, R., DeGrauw, T., and Schulze, A., 2006, Disorders of creatine metabolism. In: Blau, N., Hoffmann, G.F., Leonard, J., and Clarke, J.T.R., eds., Physician’s Guide to the Treatment and Follow-Up of Metabolic Diseases, 1st ed., Springer-Verlag, Berlin, Heidelberg, New York, pp. 255–265.

    Google Scholar 

  • Verhoeven, N.M., Roos, B., Struys, E.A., Salomons, G.S., van der Knaap, M.S., and Jakobs, C.,2004, Enzyme assay for diagnosis of guanidinoacetate methyltransferase deficiency. Clin. Chem. 50: 441–443.

    Article  PubMed  CAS  Google Scholar 

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Schulze, A., Battini, R. (2007). Pre-Symptomatic Treatment of Creatine Biosynthesis Defects. In: Salomons, G.S., Wyss, M. (eds) Creatine and Creatine Kinase in Health and Disease. Subcellular Biochemistry, vol 46. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-6486-9_9

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  • DOI: https://doi.org/10.1007/978-1-4020-6486-9_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-1-4020-6485-2

  • Online ISBN: 978-1-4020-6486-9

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