Creatine Supplementation for Patients with Inflammatory Bowel Diseases : A Scientific Rationale for a Clinical Trial

Based on theoretical considerations, experimental data with cells in vitro, animal studies in vivo, as well as a single case pilot study with one colitis patient, a consolidated hypothesis can be put forward, stating that "oral supplementation with creatine monohydrate (Cr), a pleiotropic cellular energy precursor, is likely to be effective in inducing a favorable response and/or remission in patients with inflammatory bowel diseases (IBD), like ulcerative colitis and/or Crohn's disease". A current pilot clinical trial that incorporates the use of oral Cr at a dose of 2 × 7 g per day, over an initial period of 2 months in conjunction with ongoing therapies (NCT02463305) will be informative for the proposed larger, more long-term Cr supplementation study of 2 × 3-5 g of Cr per day for a time of 3-6 months. This strategy should be insightful to the potential for Cr in reducing or alleviating the symptoms of IBD. Supplementation with chemically pure Cr, a natural nutritional supplement, is well tolerated not only by healthy subjects, but also by patients with diverse neuromuscular diseases. If the outcome of such a clinical pilot study with Cr as monotherapy or in conjunction with metformin were positive, oral Cr supplementation could then be used in the future as potentially useful adjuvant therapeutic intervention for patients with IBD, preferably together with standard medication used for treating patients with chronic ulcerative colitis and/or Crohn's disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Nutrients - 13(2021), 5 vom: 23. Apr.

Sprache:

Englisch

Beteiligte Personen:

Wallimann, Theo [VerfasserIn]
Hall, Caroline H T [VerfasserIn]
Colgan, Sean P [VerfasserIn]
Glover, Louise E [VerfasserIn]

Links:

Volltext

Themen:

Activated protein kinase (AMPK)
Adenosine mono-phosphate (AMP)
Creatine
Creatine kinase (CK)
Creatine perfusion
Creatine transporter (CrT)
Crohn’s disease
Glucose transporter (GLUT)
Inflammatory bowel diseases (IBD)
Intestinal epithelial cell protection
Intestinal tissue protection
Journal Article
Liver kinase B1 (LKB1)
MU72812GK0
Mitochondrial permeability transition pore (mPTP)
Organ transplantation
Phosphocreatine (PCr)
Pleiotropic effects of creatine (Cr) supplementation
Reactive oxygen species (ROS)
Review
Ulcerative colitis

Anmerkungen:

Date Completed 26.05.2021

Date Revised 09.04.2022

published: Electronic

Citation Status MEDLINE

doi:

10.3390/nu13051429

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324759029