Background/Purpose: The central role of creatine (Cr) in brain is emphasized by neurometabolic disorders
caused by Cr deficiency. Cr synthesis takes place by L-arginine:glycine amidinotransferase
(AGAT) and guanidinoacetate methyltransferase (GAMT) mainly in kidney and liver. In
AGAT−/− mice, Cr deficiency protects from diet-induced obesity and metabolic syndrome.
Biochemical analyses revealed chronic, Cr-dependent AMPK activation in brain, skeletal
muscle, adipose tissue and liver of AGAT−/− mice. Partial leptin dependence of this
phenotype indicated a contribution of the central nervous system (CNS), where the
adipocyte-derived hormone leptin exerts its main effects. We therefore analyzed how
CNS-mediated regulation of whole-body metabolism is influenced by Cr.
Methods: Feeding behavior of AGAT−/− mice was analyzed following injection of ghrelin or leptin.
Activity of NPY- and POMC-positive neurons was determined by immunohistochemistry
and direct electrophysiological recordings.
Results: In Cr-deficient AGAT−/− mice, we found reduced effects of the orexigenic hormone
ghrelin on feeding behavior. In addition, we detected augmented electrical activity
of arcuate NPY neurons under baseline conditions in AGAT−/− mice. Markers of cellular
activation (c-Fos) were elevated in arcuate NPY- but not POMC-neurons in mediobasal
hypothalamus
Conclusion: Disease models of Cr deficiency syndromes can be used to disentangle the role of
Cr in neuronal subpopulations. Our findings suggest major contributions of Cr in CNS
regulation of whole-body metabolism via NPY-expressing hypothalamic neurons.