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J Appl Physiol 102: 698-703, 2007. First published October 19, 2006; doi:10.1152/japplphysiol.01188.2005
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Creatine supplementation attenuates corticosteroid-induced muscle wasting and impairment of exercise performance in rats

Luciana Gomes Menezes,1 Cláudia Sobreira,2 Luciano Neder,3 Antonio Luis Rodrigues-Júnior,4 and José A. Baddini Martinez1

Departments of 1Internal Medicine, 2Neurology, Psychiatry, and Medical Psychology, 3Pathology, and 4Social Medicine, Medical School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

Submitted 17 September 2005 ; accepted in final form 17 October 2006

The objective of the present study was to investigate whether creatine (Cr) could attenuate the deleterious effects of high doses of dexamethasone (Dexa) on body mass, exercise performance, and respiratory variables of rodents. Forty-four Wistar rats performed incremental maximal exercise tests. They were then assigned to four groups: G1: subcutaneous (SC) and intraperitoneal (IP) saline; G2: SC saline and IP Cr (250 mg·kg–1·day–1); G3: SC Dexa (7.5 mg·kg–1·day–1) and IP saline; G4: SC Dexa and IP Cr. New exercise tests and analysis of the respiratory pattern under resting conditions and after stimulation with doxapram (2 mg/kg IP) were performed after 18 days. Post- minus pretreatment differences were compared between groups. G3 and G4 showed a significant impairment in body mass gain compared with G1 and G2 (P < 0.05) (G1: 65.3 ± 26.1, G2: 93.1 ± 27.4, G3: –18.4 ± 20.1, G4: 9.8 ± 23.1 kg x 10–3). Similar results were observed for maximal oxygen consumption (G1: 9.5 ± 8.5, G2: 25.8 ± 14.5, G3: –25.5 ± 6.0, G4: –4.8 ± 9.5 ml·kg–1·min–1) and test duration (G1: 43.0 ± 45.0, G2: 72.0 ± 59.5, G3: –165.0 ± 60.6, G4: –48.0 ± 48.5 s). Simultaneous use of Cr significantly attenuated the Dexa-induced impairment of the last two variables. Cr attenuated Dexa-induced gastrocnemius and diaphragm muscle weight losses and the atrophy of gastrocnemius type IIb fibers. Cr supplementation had only small effects on Dexa-induced respiratory changes. These results suggest that Cr may play a role in the prophylaxis or treatment of steroid-induced myopathy.

steroids; toxicity; exercise tolerance; muscular atrophy; respiration; drug effects



Address for reprint requests and other correspondence: José A. Baddini Martinez, Dept. of Internal Medicine, Hospital das Clínicas de Ribeirão Preto, Avenida Bandeirantes 3900, CEP: 14098-900, São Paulo, Brazil (e-mail: jabmarti{at}fmrp.usp.br)




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J EndocrinolHome page
O Schakman, H Gilson, and J P Thissen
Mechanisms of glucocorticoid-induced myopathy
J. Endocrinol., April 1, 2008; 197(1): 1 - 10.
[Abstract] [Full Text] [PDF]




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