To study the effects; of creatine (Cr) on brain energy metabolism and on hy
poxia-induced seizures, 5-to 30-day-old rabbit pups were given subcutaneous
Cr (3 g/kg) for 3 days before exposure to 4% O-2 for 8 min. In saline-trea
ted controls, hypoxic seizures were most frequent at 15 days (80% of pups)
and 20 days (60%) of age. Seizures were prevented at 15 days and reduced 60
% at 20 days in Cr-treated pups. In surface coil-localized brain P-31 nucle
ar magnetic resonance spectra, with signal from both cerebral gray (GM) and
white (WM) matter, the phosphocreatine (PCr)/nucleoside triphosphate (NTP)
ratio doubled between 5 and 30 days of age in controls. In all Cr-injected
pups;, brain PCr/NTP increased to values seen in 30-day-old controls. When
spectra were acquired in predominantly GM and WM slices in vivo, the PCr/N
TP ratio was very low in GM at 5 days but reached adult levels by 15 days i
n controls. In WM, the ratio increased steadily from 5 to 30 days of age. I
n Cr-injected pups, PCr/NTP increased to mature levels in WM and in GM at a
ll ages. In conclusion, hypoxic seizures occur midway in the time course of
brain PCr/NTP increase in rabbit pups as previously described in rat pups.
In both altricial pups, systemic Cr increases brain PCr/NTP ratio and prev
ents hypoxic seizures. These results suggest that mature levels of PCr and/
or Cr in brain limit EEG activation either directly or indirectly by preven
ting hypoxic metabolic changes.