Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies

Epilepsy is one of the most common neurological disorders affecting people of all ages representing a significant social and public health burden. Current therapeutic options for epilepsy are not effective in a significant proportion of patients suggesting a need for identifying novel targets for th...

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Main Authors: Eman A. Alraddadi, Abdulrahman M. Khojah, Faisal F. Alamri, Husun K. Kecheck, Wid F. Altaf, Yousef Khouqeer
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1201971/full
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author Eman A. Alraddadi
Eman A. Alraddadi
Abdulrahman M. Khojah
Abdulrahman M. Khojah
Faisal F. Alamri
Faisal F. Alamri
Husun K. Kecheck
Husun K. Kecheck
Wid F. Altaf
Wid F. Altaf
Yousef Khouqeer
Yousef Khouqeer
author_facet Eman A. Alraddadi
Eman A. Alraddadi
Abdulrahman M. Khojah
Abdulrahman M. Khojah
Faisal F. Alamri
Faisal F. Alamri
Husun K. Kecheck
Husun K. Kecheck
Wid F. Altaf
Wid F. Altaf
Yousef Khouqeer
Yousef Khouqeer
author_sort Eman A. Alraddadi
collection DOAJ
description Epilepsy is one of the most common neurological disorders affecting people of all ages representing a significant social and public health burden. Current therapeutic options for epilepsy are not effective in a significant proportion of patients suggesting a need for identifying novel targets for the development of more effective therapeutics. There is growing evidence from animal and human studies suggesting a role of impaired brain energy metabolism and mitochondrial dysfunction in the development of epilepsy. Candidate compounds with the potential to target brain energetics have promising future in the management of epilepsy and other related neurological disorders. Creatine is a naturally occurring organic compound that serves as an energy buffer and energy shuttle in tissues, such as brain and skeletal muscle, that exhibit dynamic energy requirements. In this review, applications of creatine supplements in neurological conditions in which mitochondrial dysfunction is a central component in its pathology will be discussed. Currently, limited evidence mainly from preclinical animal studies suggest anticonvulsant properties of creatine; however, the exact mechanism remain to be elucidated. Future work should involve larger clinical trials of creatine used as an add-on therapy, followed by large clinical trials of creatine as monotherapy.
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spelling doaj.art-48d2cb0a8a5d420b8a6da54b02c4dfd02023-06-29T09:37:36ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-06-011710.3389/fnins.2023.12019711201971Potential role of creatine as an anticonvulsant agent: evidence from preclinical studiesEman A. Alraddadi0Eman A. Alraddadi1Abdulrahman M. Khojah2Abdulrahman M. Khojah3Faisal F. Alamri4Faisal F. Alamri5Husun K. Kecheck6Husun K. Kecheck7Wid F. Altaf8Wid F. Altaf9Yousef Khouqeer10Yousef Khouqeer11Department of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaKing Abdullah International Medical Research Center, Jeddah, Saudi ArabiaDepartment of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaDepartment of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaKing Abdullah International Medical Research Center, Jeddah, Saudi ArabiaDepartment of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaDepartment of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaDepartment of Basic Sciences, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaEpilepsy is one of the most common neurological disorders affecting people of all ages representing a significant social and public health burden. Current therapeutic options for epilepsy are not effective in a significant proportion of patients suggesting a need for identifying novel targets for the development of more effective therapeutics. There is growing evidence from animal and human studies suggesting a role of impaired brain energy metabolism and mitochondrial dysfunction in the development of epilepsy. Candidate compounds with the potential to target brain energetics have promising future in the management of epilepsy and other related neurological disorders. Creatine is a naturally occurring organic compound that serves as an energy buffer and energy shuttle in tissues, such as brain and skeletal muscle, that exhibit dynamic energy requirements. In this review, applications of creatine supplements in neurological conditions in which mitochondrial dysfunction is a central component in its pathology will be discussed. Currently, limited evidence mainly from preclinical animal studies suggest anticonvulsant properties of creatine; however, the exact mechanism remain to be elucidated. Future work should involve larger clinical trials of creatine used as an add-on therapy, followed by large clinical trials of creatine as monotherapy.https://www.frontiersin.org/articles/10.3389/fnins.2023.1201971/fullcreatineepilepsyseizureantioxidantmitochondrial dysfunctionanticonvulsant
spellingShingle Eman A. Alraddadi
Eman A. Alraddadi
Abdulrahman M. Khojah
Abdulrahman M. Khojah
Faisal F. Alamri
Faisal F. Alamri
Husun K. Kecheck
Husun K. Kecheck
Wid F. Altaf
Wid F. Altaf
Yousef Khouqeer
Yousef Khouqeer
Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
Frontiers in Neuroscience
creatine
epilepsy
seizure
antioxidant
mitochondrial dysfunction
anticonvulsant
title Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
title_full Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
title_fullStr Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
title_full_unstemmed Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
title_short Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
title_sort potential role of creatine as an anticonvulsant agent evidence from preclinical studies
topic creatine
epilepsy
seizure
antioxidant
mitochondrial dysfunction
anticonvulsant
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1201971/full
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