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Archives of Disease in Childhood - Fetal and Neonatal Edition 2000;82:F224-F227; doi:10.1136/fn.82.3.F224
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 2000;82:F224-F227 ( May )

Anoxic ATP depletion in neonatal mice brainstem is prevented by creatine supplementation

B Wilkena, J M Ramirezd, I Probstc, D W Richterb, F Hanefelda

a Klinik für Pädiatrie und Neuropädiatrie, Universität Göttingen, 37075 Göttingen, Germany, b Institut für Neurophysiologie und Sinnesphysiologie, Universität Göttingen, c Institut für Biochemie I, Universität Göttingen, d Department of Organismal Biology and Anatomy, University of Chicago, Chicago, Illinois 60637, USA

Correspondence to: Professor F Hanefeld, University of Göttingen, Pediatric and Pediatric Neurology, Robert-Koch-Str. 40, 37075 Göttingen, Germany

Accepted 22 October 1999

BACKGROUND---Sufficient ATP concentrations maintain physiological processes and protect tissue from hypoxic damage. With decreasing oxygen concentration, ATP synthesis relies increasingly on the presence of phosphocreatine.
AIM---The effect of exogenously applied creatine on phosphocreatine and ATP concentrations was studied under control and anoxic conditions.
METHODS---Pregnant mice were fed orally with creatine monohydrate (2 g/kg body weight/day). Brainstem slices from these mice pups were compared with those from pups of non-creatine supplemented pregnant mice. Measurements were performed under normoxic and anoxic conditions. In addition, brainstem slices from non-creatine treated mice pups were incubated for 3 hours in control artificial cerebrospinal fluid (CSF) (n = 10) or in artificial CSF containing 200 µM creatine (n = 10). ATP and phosphocreatine contents were determined enzymatically in single brainstem slices.
RESULTS---ATP concentrations were in the same range in all preparations. However, there was a significant increase of phosphocreatine in the brainstems from pups of creatine fed mice when compared with the brainstems of pups from non-creatine treated mice or in non-incubated brainstems of control animals. After 30 minutes anoxia, ATP as well as phosphocreatine concentrations remained significantly higher in creatine pretreated slices compared with controls.
CONCLUSION---The data indicate that exogenous application of creatine is effective in neuroprotection.


Keywords: ATP; creatine; phosphocreatine; neuroprotection


© 2000 by Archives of Disease in Childhood

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