Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome

Post-viral fatigue syndrome (PVFS) is a widespread chronic neurological disease with no definite etiological factor(s), no actual diagnostic test, and no approved pharmacological treatment, therapy, or cure. Among other features, PVFS could be accompanied by various irregularities in creatine metabo...

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Main Author: Sergej M. Ostojic
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/2/503
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author Sergej M. Ostojic
author_facet Sergej M. Ostojic
author_sort Sergej M. Ostojic
collection DOAJ
description Post-viral fatigue syndrome (PVFS) is a widespread chronic neurological disease with no definite etiological factor(s), no actual diagnostic test, and no approved pharmacological treatment, therapy, or cure. Among other features, PVFS could be accompanied by various irregularities in creatine metabolism, perturbing either tissue levels of creatine in the brain, the rates of phosphocreatine resynthesis in the skeletal muscle, or the concentrations of the enzyme creatine kinase in the blood. Furthermore, supplemental creatine and related guanidino compounds appear to impact both patient- and clinician-reported outcomes in syndromes and maladies with chronic fatigue. This paper critically overviews the most common disturbances in creatine metabolism in various PVFS populations, summarizes human trials on dietary creatine and creatine analogs in the syndrome, and discusses new frontiers and open questions for using creatine in a post-COVID-19 world.
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spelling doaj.art-69e28af822c2459aaa10fc00559303a12023-12-03T12:19:15ZengMDPI AGNutrients2072-66432021-02-0113250310.3390/nu13020503Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue SyndromeSergej M. Ostojic0FSPE Applied Bioenergetics Lab, University of Novi Sad, 21000 Novi Sad, SerbiaPost-viral fatigue syndrome (PVFS) is a widespread chronic neurological disease with no definite etiological factor(s), no actual diagnostic test, and no approved pharmacological treatment, therapy, or cure. Among other features, PVFS could be accompanied by various irregularities in creatine metabolism, perturbing either tissue levels of creatine in the brain, the rates of phosphocreatine resynthesis in the skeletal muscle, or the concentrations of the enzyme creatine kinase in the blood. Furthermore, supplemental creatine and related guanidino compounds appear to impact both patient- and clinician-reported outcomes in syndromes and maladies with chronic fatigue. This paper critically overviews the most common disturbances in creatine metabolism in various PVFS populations, summarizes human trials on dietary creatine and creatine analogs in the syndrome, and discusses new frontiers and open questions for using creatine in a post-COVID-19 world.https://www.mdpi.com/2072-6643/13/2/503post-viral fatigue syndromechronic fatigue syndromecreatineGAAcreatine kinase
spellingShingle Sergej M. Ostojic
Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
Nutrients
post-viral fatigue syndrome
chronic fatigue syndrome
creatine
GAA
creatine kinase
title Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
title_full Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
title_fullStr Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
title_full_unstemmed Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
title_short Diagnostic and Pharmacological Potency of Creatine in Post-Viral Fatigue Syndrome
title_sort diagnostic and pharmacological potency of creatine in post viral fatigue syndrome
topic post-viral fatigue syndrome
chronic fatigue syndrome
creatine
GAA
creatine kinase
url https://www.mdpi.com/2072-6643/13/2/503
work_keys_str_mv AT sergejmostojic diagnosticandpharmacologicalpotencyofcreatineinpostviralfatiguesyndrome