Evidence map›Paper›PMID 39816485›Full record

ArticleFood science & nutrition2025

Long-Term Creatine Supplementation Improves Cognitive and Hippocampal Structural Plasticity Impairments in a D-Gal-Induced Aging Model via Increasing CK-BB Activity in the Brain.

Zhu Zhu, Hantao Zhang, Qianlin Li, Xu Han, Tiantian Wang, Wenjing Zhang, Feiyan Chen, Ling Gu, Qi Yao, Lin Chen and 1 more

Abstract read
In one paragraph

Article in Food science & nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Creatine monohydrate supplementation for older adults and clinical populations.Journal of the International Society of Sports Nutrition · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zhu ZhuDepartment of Pathology and Pathophysiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.ORCID https://orcid.org/0000-0003-1022-7113
Hantao ZhangDepartment of Physiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Qianlin LiDepartment of Physiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Xu HanDepartment of Pathology and Pathophysiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Tiantian WangDepartment of Pathology and Pathophysiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Wenjing ZhangDepartment of Physiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Feiyan ChenResearch and Innovation Center, College of Traditional Chinese Medicine Nanjing University of Chinese Medicine Nanjing China.
Ling GuResearch and Innovation Center, College of Traditional Chinese Medicine Nanjing University of Chinese Medicine Nanjing China.
Qi YaoDepartment of Pathology and Pathophysiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Lin ChenDepartment of Physiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.
Yunan ZhaoDepartment of Pathology and Pathophysiology, School of Medicine Nanjing University of Chinese Medicine Nanjing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Creatine (Cr) is recognized for its role in enhancing cognitive functions through the phosphocreatine (pCr)-creatine kinase system involved in brain energy homeostasis. It is reversibly converted into pCr by creatine kinase (CK). A brain-specific isoform of CK, known as CK-BB, is implicated in the brain's energy metabolism. The objective of this research is to ascertain the impact of Cr supplementation on learning and memory skills as well as on structural synaptic plasticity, by modulating CK-BB. First, we utilized various concentrations of D-galactose (D-gal) to create an aging mouse model. Our findings indicated that D-gal injections at 100 and 1000 mg/kg could lead to cognitive decline, oxidative stress, and damage to structural synaptic plasticity. CK-BB expression and its activity were reduced at least by approximately 20% in mice injected with 100 and 1000 mg/kg D-gal compared with control group. Next, an adeno-associated virus directed against CKB was employed to reduce CK-BB levels by 34% in the brain. The reduction of CK-BB in the brain resulted in deficits in learning and memory, oxidative stress, and morphological harm to the hippocampal spines of mice. Finally, the diet of the D-gal-induced aging model was enriched with 3% Cr. Mice that received 3% Cr supplementation exhibited a 36% increase in CK-BB activity and a 14.3% increase in CK-BB expression following prolonged D-gal administration. In addition, Cr supplementation mitigated the cognitive impairment, oxidative stress, and hippocampal structural plasticity damage caused by chronic D-gal injections. Overall, our study revealed that CK-BB has a critical role in mediating structural plasticity in D-gal-induced cognitive impairment. Moreover, it showed that supplementary Cr could serve as a potent neuroprotective substance, preventing or delaying the course of age-related cognitive deficits.

Indexed as

cognitive impairmentcreatine kinase BBcreatine supplementationD‐galactosestructural plasticity

Identifiers

PMID39816485
PMCPMC11733680

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.