The potential role of creatine supplementation in neurodegenerative diseases.

Physical activity and nutrition Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI:10.20463/pan.2023.0037
Hyukki Chang, Yea-Hyun Leem
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Abstract

Purpose: The maintenance of energy balance in the body, especially in energy-demanding tissues like the muscles and the central nervous system, depends on creatine (Cr). In addition to improving muscle function, Cr is necessary for the bioenergetics of the central nervous system because it replenishes adenosine triphosphate without needing oxygen. Furthermore, Cr possesses anti-oxidant, anti-apoptotic, and anti-excitotoxic properties. Clinical research on neurodegenerative illnesses has shown that Cr supplementation results in less effective outcomes. With a brief update on the possible role of Cr in human, animal, and in vitro experiments, this review seeks to offer insights into the ideal dosage regimen.

Methods: Using specified search phrases, such as "creatine and neurological disorder," "creatine supplementation and neurodegenerative disorders," and "creatine and brain," we searched articles in the PubMed database and Google Scholar. We investigated the association between creatine supplementation and neurodegenerative illnesses by examining references.

Results: The neuroprotective effects of Cr were observed in in vitro and animal models of certain neurodegenerative diseases, while clinical trials failed to reproduce favorable outcomes.

Conclusion: Determining the optimal creatinine regime for increasing brain creatinine levels is essential for maintaining brain health and treating neurodegeneration.

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肌酸补充剂在神经退行性疾病中的潜在作用。
目的:体内能量平衡的维持,尤其是肌肉和中枢神经系统等需要能量的组织,有赖于肌酸(Cr)。除了改善肌肉功能外,肌酸对中枢神经系统的生物能来说也是必需的,因为它能在不需要氧气的情况下补充三磷酸腺苷。此外,Cr 还具有抗氧化、抗凋亡和抗兴奋性毒性的特性。对神经退行性疾病的临床研究表明,补充 Cr 的效果较差。本综述简要介绍了铬在人体、动物和体外实验中可能发挥的作用,旨在为理想的剂量方案提供见解:使用特定的搜索词组,如 "肌酸与神经系统疾病"、"肌酸补充与神经退行性疾病 "和 "肌酸与大脑",我们在 PubMed 数据库和谷歌学术中搜索了相关文章。通过研究参考文献,我们调查了肌酸补充剂与神经退行性疾病之间的关联:结果:在某些神经退行性疾病的体外和动物模型中观察到了肌酸对神经的保护作用,而临床试验未能再现良好的结果:结论:确定提高脑肌酐水平的最佳肌酐机制对于保持大脑健康和治疗神经退行性疾病至关重要。
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