| Home > Publications Database > Creatine, guanidinoacetate and homoarginine in statin-induced myopathy. |
| Journal Article (Letter) | DZNE-2020-01371 |
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2020
Springer
Wien [u.a.]
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Please use a persistent id in citations: doi:10.1007/s00726-020-02865-w
Abstract: Our study evaluated the effect of creatine and homoarginine in AGAT- and GAMT-deficient mice after simvastatin exposure. Balestrino and Adriano suggest that guanidinoacetate might explain the difference between AGAT- and GAMT-deficient mice in simvastatin-induced myopathy. We agree with Balestrino and Adriano that our data shows that (1) creatine possesses a protective potential to ameliorate statin-induced myopathy in humans and mice and (2) homoarginine did not reveal a beneficial effect in statin-induced myopathy. Third, we agree that guanidinoacetate can be phosphorylated and partially compensate for phosphocreatine. In our study, simvastatin-induced damage showed a trend to be less pronounced in GAMT-deficient mice compared with wildtype mice. Therefore, (phospo) guanidinoacetate cannot completely explain the milder phenotype of GAMT-deficient mice, but we agree that it might contribute to ameliorate statin-induced myopathy in GAMT-deficient mice compared with AGAT-deficient mice. Finally, we agree with Balestino and Adriano that AGAT metabolites should further be evaluated as potential treatments in statin-induced myopathy.
Keyword(s): Amidinotransferases: deficiency (MeSH) ; Amino Acid Metabolism, Inborn Errors (MeSH) ; Animals (MeSH) ; Creatine: metabolism (MeSH) ; Creatine: pharmacology (MeSH) ; Developmental Disabilities (MeSH) ; Glycine: analogs & derivatives (MeSH) ; Glycine: metabolism (MeSH) ; Guanidinoacetate N-Methyltransferase: deficiency (MeSH) ; Homoarginine: metabolism (MeSH) ; Hydroxymethylglutaryl-CoA Reductase Inhibitors (MeSH) ; Intellectual Disability (MeSH) ; Mice (MeSH) ; Muscular Diseases: chemically induced (MeSH) ; Muscular Diseases: metabolism (MeSH) ; Phosphocreatine: metabolism (MeSH) ; Speech Disorders (MeSH)
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