Creatine Transporter Deficiency
Creatine Transporter Deficiency is a rare x-linked inborn error of creatine metabolism, broadly classified as an Autism Spectrum Disorder and form of x-linked mental retardation (XLMR). CTD is caused by a defect in the SLC6A8 gene that encodes the creatine transporter protein necessary for the transport of creatine across the blood-brain barrier and across cell membranes. Creatine is taken into cells via the creatine transporter, where it plays an essential role in energy homeostasis, particularly for tissues with high and fluctuating energy demands, such as neurons. Simply put, patients with CTD lack creatine in the brain, which is an essential component of the energy system, and as a result the brain does not have the energy to function properly. This lack of energy results in the symptoms associated with CTD.
