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Physiol. Rev. 80: 1107-1213, 2000;
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Physiological Reviews, Vol. 80, No. 3, July 2000, pp. 1107-1213
Copyright ©2000 by the American Physiological Society

Creatine and Creatinine Metabolism

Markus Wyss and Rima Kaddurah-Daouk

F. Hoffmann-La Roche, Vitamins and Fine Chemicals Division, Basel, Switzerland; Avicena Group, Cambridge; and Dana Farber Cancer Institute, Division of Cancer Pharmacology, Boston, Massachusetts

Wyss, Markus and Rima Kaddurah-Daouk. Creatine and Creatinine Metabolism. Physiol. Rev. 80: 1107-1213, 2000.The goal of this review is to present a comprehensive survey of the many intriguing facets of creatine (Cr) and creatinine metabolism, encompassing the pathways and regulation of Cr biosynthesis and degradation, species and tissue distribution of the enzymes and metabolites involved, and of the inherent implications for physiology and human pathology. Very recently, a series of new discoveries have been made that are bound to have distinguished implications for bioenergetics, physiology, human pathology, and clinical diagnosis and that suggest that deregulation of the creatine kinase (CK) system is associated with a variety of diseases. Disturbances of the CK system have been observed in muscle, brain, cardiac, and renal diseases as well as in cancer. On the other hand, Cr and Cr analogs such as cyclocreatine were found to have antitumor, antiviral, and antidiabetic effects and to protect tissues from hypoxic, ischemic, neurodegenerative, or muscle damage. Oral Cr ingestion is used in sports as an ergogenic aid, and some data suggest that Cr and creatinine may be precursors of food mutagens and uremic toxins. These findings are discussed in depth, the interrelationships are outlined, and all is put into a broader context to provide a more detailed understanding of the biological functions of Cr and of the CK system.




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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., October 1, 2002; 48(10): 1772 - 1778.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
B. Walzel, O. Speer, E. Zanolla, O. Eriksson, P. Bernardi, and T. Wallimann
Novel Mitochondrial Creatine Transport Activity. IMPLICATIONS FOR INTRACELLULAR CREATINE COMPARTMENTS AND BIOENERGETICS
J. Biol. Chem., September 27, 2002; 277(40): 37503 - 37511.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
F. Canonaco, U. Schlattner, P. S. Pruett, T. Wallimann, and U. Sauer
Functional Expression of Phosphagen Kinase Systems Confers Resistance to Transient Stresses in Saccharomyces cerevisiae by Buffering the ATP Pool
J. Biol. Chem., August 23, 2002; 277(35): 31303 - 31309.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
B. Li, F. Cong, C. P. Tan, S. X. Wang, and S. P. Goff
Aph2, a Protein with a zf-DHHC Motif, Interacts with c-Abl and Has Pro-apoptotic Activity
J. Biol. Chem., August 2, 2002; 277(32): 28870 - 28876.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
B. Walzel, O. Speer, E. Boehm, S. Kristiansen, S. Chan, K. Clarke, J. P. Magyar, E. A. Richter, and T. Wallimann
New creatine transporter assay and identification of distinct creatine transporter isoforms in muscle
Am J Physiol Endocrinol Metab, August 1, 2002; 283(2): E390 - E401.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
A. J. C. de Groof, J. A. M. Fransen, R. J. Errington, P. H. G. M. Willems, B. Wieringa, and W. J. H. Koopman
The Creatine Kinase System Is Essential for Optimal Refill of the Sarcoplasmic Reticulum Ca2+ Store in Skeletal Muscle
J. Biol. Chem., February 8, 2002; 277(7): 5275 - 5284.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
L. M. Stead, K. P. Au, R. L. Jacobs, M. E. Brosnan, and J. T. Brosnan
Methylation demand and homocysteine metabolism: effects of dietary provision of creatine and guanidinoacetate
Am J Physiol Endocrinol Metab, November 1, 2001; 281(5): E1095 - E1100.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
H. Yamamichi, S. Kasakura, S. Yamamori, R. Iwasaki, T. Jikimoto, S. Kanagawa, J. Ohkawa, S. Kumagai, and M. Koshiba
Creatine Kinase Gene Mutation in a Patient with Muscle Creatine Kinase Deficiency
Clin. Chem., November 1, 2001; 47(11): 1967 - 1973.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
W. J. de Jonge, B. Marescau, R. D'Hooge, P. P. De Deyn, M. M. Hallemeesch, N. E. P. Deutz, J. M. Ruijter, and W. H Lamers
Overexpression of Arginase Alters Circulating and Tissue Amino Acids and Guanidino Compounds and Affects Neuromotor Behavior in Mice
J. Nutr., October 1, 2001; 131(10): 2732 - 2740.
[Abstract] [Full Text] [PDF]


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Pharmacol. Rev.Home page
A. M. Persky and G. A. Brazeau
Clinical Pharmacology of the Dietary Supplement Creatine Monohydrate
Pharmacol. Rev., May 11, 2001; (2001) 1.
[Abstract] [Full Text]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
Mark. E. Trump, C. C. Hanstock, P. S. Allen, D. Gheorghiu, and P. W. Hochachka
An 1H-MRS evaluation of the phosphocreatine/creatine pool (tCr) in human muscle
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2001; 280(3): R889 - R896.
[Abstract] [Full Text] [PDF]


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J. Exp. Biol.Home page
E. R. Donovan and T. T. Gleeson
Evidence for facilitated lactate uptake in lizard skeletal muscle
J. Exp. Biol., January 12, 2001; 204(23): 4099 - 4106.
[Abstract] [Full Text] [PDF]


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Pharmacol. Rev.Home page
A. M. Persky and G. A. Brazeau
Clinical Pharmacology of the Dietary Supplement Creatine Monohydrate
Pharmacol. Rev., June 1, 2001; 53(2): 161 - 176.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
W. Wang, M. A. Jobst, B. Bell, C.-R. Zhao, L.-H. Shang, and D. O. Jacobs
Cr supplementation decreases tyrosine phosphorylation of the CreaT in skeletal muscle during sepsis
Am J Physiol Endocrinol Metab, May 1, 2002; 282(5): E1046 - E1054.
[Abstract] [Full Text] [PDF]




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