RT Journal Article SR Electronic T1 Ammonium-Induced Impairment of Axonal Growth Is Prevented through Glial Creatine JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 9810 OP 9820 DO 10.1523/JNEUROSCI.22-22-09810.2002 VO 22 IS 22 A1 Olivier Braissant A1 Hugues Henry A1 Anne-Marie Villard A1 Marie-Gabrielle Zurich A1 Marc Loup A1 Barbara Eilers A1 Gianni Parlascino A1 Edouard Matter A1 Olivier Boulat A1 Paul Honegger A1 Claude Bachmann YR 2002 UL http://www.jneurosci.org/content/22/22/9810.abstract AB Hyperammonemia in neonates and infants affects brain development and causes mental retardation. We report that ammonium impaired cholinergic axonal growth and altered localization and phosphorylation of intermediate neurofilament protein in rat reaggregated brain cell primary cultures. This effect was restricted to the phase of early maturation but did not occur after synaptogenesis. Exposure to NH4Cl decreased intracellular creatine, phosphocreatine, and ADP. We demonstrate that creatine cotreatment protected axons from ammonium toxic effects, although this did not restore high-energy phosphates. The protection by creatine was glial cell-dependent. Our findings suggest that the means to efficiently sustain CNS creatine concentration in hyperammonemic neonates and infants should be assessed to prevent impairment of axonogenesis and irreversible brain damage.