X-linked creatine transporter deficiency: clinical aspects and pathophysiology.

Abstract:

:Creatine transporter deficiency was discovered in 2001 as an X-linked cause of intellectual disability characterized by cerebral creatine deficiency. This review describes the current knowledge regarding creatine metabolism, the creatine transporter and the clinical aspects of creatine transporter deficiency. The condition mainly affects the brain while other creatine requiring organs, such as the muscles, are relatively spared. Recent studies have provided strong evidence that creatine synthesis also occurs in the brain, leading to the intriguing question of why cerebral creatine is deficient in creatine transporter deficiency. The possible mechanisms explaining the cerebral creatine deficiency are discussed. The creatine transporter knockout mouse provides a good model to study the disease. Over the past years several treatment options have been explored but no treatment has been proven effective. Understanding the pathogenesis of creatine transporter deficiency is of paramount importance in the development of an effective treatment.

journal_name

J Inherit Metab Dis

authors

van de Kamp JM,Mancini GM,Salomons GS

doi

10.1007/s10545-014-9713-8

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

715-33

issue

5

eissn

0141-8955

issn

1573-2665

journal_volume

37

pub_type

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