Creatine and its metabolites

Eduard A. Struys, Nanda Verhoeven-Duif, Cornelis Jakobs

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Guanidinoacetate (GA), Creatine (Cr), and creatinine are small polar molecules. It is well recognized that Cr plays an important role in energy transmission and storage in cells and tissues with high energy demand. Recent developments have revealed alteration in the levels of the above-mentioned metabolites in different disease states, i.e. guanidinoacetate methyltransferase (GAMT) deficiency, L-arginine:glycine amidino transferase (AGAT) deficiency and Cr transporter (SLC6A8) deficiency. This group of diseases is referred to as creatine deficiency syndromes (CDS) and can be detected in vivo by 1H magnetic resonance spectroscopy (MRS) of the brain. Quantification of GA and Cr in body fluids forms the biochemical basis for the (differential) diagnosis of the CDS. This current chapter describes a detailed procedure for the simultaneous measurement of GA and Cr in urine, plasma, and cerebrospinal fluid employing Stable-Isotope Dilution Gas Chromatography-Mass Spectrometry. In addition, recent analytical developments using tandem mass spectrometry for the measurement of GA and Cr are briefly discussed.

Original languageEnglish
Title of host publicationLaboratory Guide to the Methods in Biochemical Genetics
PublisherSpringer Berlin Heidelberg
Pages739-749
Number of pages11
ISBN (Print)9783540766971
DOIs
Publication statusPublished - 1 Dec 2008

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