1 Creatine (CR) supplementation augments muscle strength in skeletal muscle cells by increasing intracellular energy pools. However, the effect of CR supplementation on endothelial cells remains to be clarified. 2 In this study, we investigated whether CR supplementation had any anti-inflammatory activity against human pulmonary endothelial cells in culture.3 We confirmed that supplementation with 0.5 mm CR significantly increased both intracellular CR and phosphocreatine (PC) through a CR transporter while keeping intracellular ATP levels constant independent of CR supplementation and a CR transporter antagonist. 4 In the assay system of endothelial permeability, supplementation with 5 mm CR significantly suppressed the endothelial permeability induced by serotonin and H 2 O 2 . 5 In cell adhesion experiments, supplementation with 5 mm CR significantly suppressed neutrophil adhesion to endothelial cells. 6 In the measurement of adhesion molecules, CR supplementation with more than 0.5 mm CR significantly inhibited the expressions of ICAM-1 and E-selectin on endothelial cells, and the inhibition was significantly suppressed by an adenosine A 2A receptor antagonist. 7 The present study suggests that CR supplementation has anti-inflammatory activities against endothelial cells. British Journal of Pharmacology (2003) 139, 715 -720. doi:10.1038/sj.bjp.0705316 Keywords: Creatine;endothelial cell; H 2 O 2 ; permeability; phosphocreatine; ATP; serotonin; adhesion; ICAM-1; E-selectin Abbreviations: CR, creatine; Dil-Ac-LDL, LDL labeled with 1,1 0 -dioctadecyl-3,3,3 0 ,3 0 -tetramethylindo-carbocyanine perchlorate; EBM, endothelial cell basal medium; FITC-dex, fluorescein isothiocyanate-dextran; FMLP, n-formyl-MetLeu-Phe; GPA, b-guanidinopropionic acid; HBSS, Hank's balanced saline solution; LDL, low-density lipoprotein; b-NAD þ , b-nicotinamide adenine dinucleotide; PC, phosphocreatine
IntroductionCreatine (CR) is tightly linked to the intracellular energy under the form of ATP (Wyss & Kaddurah-Daouk, 2000). Cells take in CR from the blood stream through a CR transporter and store it as CR and its phosphorylated form, phosphocreatine (PC) (Snow & Murphy, 2001). CR receives a phosphoryl group from ATP to generate PC by using the CR kinase inside cells. Intracellular ATP has such a short half-life that cells are equipped with two major channels of ATP supply. One is glycolysis and oxidative phosphorylation; the other is the PC energy system. While the former constantly provides ATP, the latter works on acute demand as an energy buffer to maintain an intracellular ATP level. Because PC transfers the phosphoryl group to ADP to synthesize ATP quickly, the total amount of ATP and PC represents an intracellular energy pool. The PC energy system is well characterized in the case of skeletal muscle cells because about 94% of CR is distributed therein (Wyss & Kaddurah-Daouk, 2000). It is known that supplementation with high-dose CR further increases intracellular energy pools of muscle tissue as well as serum CR levels in vivo. ...