The protein sequence encoded by a creatine transporter cDNA cloned from a h
uman heart library was identical to that cloned from a human kidney library
(Nash et al., Receptors Channels 2, 165-174, 1994), except that at positio
n 285 the former contained an Ala residue and the latter contained a Pro re
sidue. Expression of this human heart cDNA clone in Xenopus laevis oocytes
induced a Na+- and Cl--dependent creatine uptake activity that saturated wi
th a K-n of similar to 20 mu M for creatine. The induced uptake was inhibit
ed by beta-guanidinopropionic acid (IC50 similar to 44.4 mu M), 2-amino-1-i
midazolidineacetic acid (cyclocreatine; IC50 similar to 369.8 mu M), gamma-
guanidinobutyric acid (IC50 similar to 697.9 mu M), gamma-aminobutyric acid
(IC50 similar to 6.47 mM), and amiloride (IC50 similar to 2.46 mM). The in
hibitors beta-guanidinopropionic acid, cyclocreatine, and gamma-guanidinobu
tyric acid also inhibited the uptake activity of the Ala285 to Pro285 (A285
P) mutant as effectively as that of the wild type. In contrast, guanidinoet
hane sulfonic acid, a potent inhibitor of taurine transport, inhibited the
uptake activity of the A285P mutant approx. two times more effectively than
that of the wild type. The protein kinase C activator phorbol 1-myristate
13-acetate (PMA), but not its inactive analog, 4 alpha-phorbol 12,13-dideca
noate, inhibited the creatine uptake, and the inhibitory effect of PMA was
both time and concentration dependent. The protein kinase A activator 8-bro
mo-cyclic AMP however, had no effect on the creatine uptake. The rate of up
take increased hyperbolically with the increasing concentration of the exte
rnal Cl- (equilibrium constant KCl- similar to 5 mM) and sigmoidally with t
he increasing concentration of the external Na+ (equilibrium constant KNasimilar to 56 mM). Further analyses of the Na+ and Cl- concentration depend
ence data suggested that at least two Na+ and one Cl- were required to tran
sport one creatine molecule via the creatine transporter. (C) 1999 Academic
Press.