Treatment efficacy of high-dose creatine supplementation in a child with creatine transporter (SLC6A8) deficiency.
Mol Genet Genomic Med
; 9(4): e1640, 2021 04.
Article
en En
| MEDLINE
| ID: mdl-33656256
ABSTRACT
BACKGROUND:
Creatine transporter deficiency is an inborn error of metabolism caused by a deficiency in the creatine transporter protein encoded by the SLC6A8 gene. Previous treatment with creatine supplementation, either alone or in combination with creatine precursors (arginine or glycine), has been attempted; the efficacy of therapy, however, remains controversial. METHODS ANDRESULTS:
To analyze the treatment efficacy of high-dose creatine supplementation on creatine transporter deficiency, we reported a child diagnosed with creatine transporter deficiency, who was treated with a conventional dose of creatine (400 mg/kg/d) for 1 month, then twice the dose (800 mg/kg/d) for 2 months, and finally 3 times the dose (1200 mg/kg/d) for 3 months. The patient tolerated the treatment well and showed improvements in muscle mass and strength when the creatine dose was gradually increased to 1200 mg/kg/d. However, when assessed by proton magnetic resonance spectroscopy (H-MRS), the brain creatine concentration did not increase, and there was no improvement in speech and neurodevelopmental symptoms.CONCLUSION:
We conclude that high-dose creatine supplementation (1200 mg/kg/d) alone improved muscular symptoms, but did not improve cognitive symptoms and brain creatine concentration assessed using H-MRS. Therefore, new treatment strategies are required for the management of creatine transporter deficiency.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Discapacidades del Desarrollo
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Creatina
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Proteínas de Transporte de Neurotransmisores en la Membrana Plasmática
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Errores Innatos del Metabolismo
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Proteínas del Tejido Nervioso
Idioma:
En
Revista:
Mol Genet Genomic Med
Año:
2021
Tipo del documento:
Article