Creatine uptake enhances antitumor immunity

(cell.com)

88 points | by lormayna 1 hour ago

12 comments

  • rgbrgb 53 minutes ago
    worth noting that there’s evidence both ways… tumor cells may like it too:

    - Loo et al. 2015 found color cancer cells can use it as fuel and blocking the creatine cut metastasis in mice [0]

    - zhang et al 20921 found it promoting mouse colon and breast cancer models [1]

    not an expert in any way, but i’m guessing it depends on cancer type and there doesn’t seem to be human data either way. as a cautious person w a lot of familial cancer, i cycled off after i looked into it.

    [0]: https://pubmed.ncbi.nlm.nih.gov/25601461/

    [1]: https://doi.org/10.1016/j.cmet.2021.03.009

  • MarkusWandel 18 minutes ago
    I started taking a scoop of the Creatine Hydrate from Costco every afternoon because why not. Wife had bought it and the bag was sitting right there.

    I honestly don't know whether it made a difference. Sleep didn't get worse, no noticeable metabolic effects. Possibly the "perma tired muscles" I've been suffering from increasingly since about age 57 (I'm an active cyclist) have gotten a bit better, with <50% of days affected rather than >90% last year, but even that is subjective.

    If "taking the stuff" means "more uptake" (does it?) and there are other beneficial effects, bring it on.

    • BlackRabbit1 16 minutes ago
      If you start lifting weight at the gym you quickly will feel the difference: your muscles recover much better during the set breaks.
      • calmbonsai 10 minutes ago
        I can concur on the short-term benefits for longer sets as well as the shorter recovery. Creatine is just one of those no-brainer supplements.

        It's safe, cheap, and long-term-study proven to be extremely effective.

        You will want to increase your daily hydration (at least for otherwise healthy men, a good sign is that you're "peeing clear") as Creatine does increase water retention.

    • j45 7 minutes ago
      Creatine is one of the most studied supplements.

      It sounds you have the hardest part of it underway - consistency.

      There's lots of studies - if you can get over 20g per day it is noticeable to the brain and energy. Adding a few grams a week until you're up there I found it noticeable. 20-30g seems to be a noticeable range.

      Supplements aren't always like a coffee spike, they build up and sustain quite well.

      • Yajirobe 3 minutes ago
        I thought around 5g is the recommended daily dose?
  • nsbk 35 minutes ago
    This is such a crazy substance. I'm 43 and I feel like I have more energy than I have ever had before. I started taking it during recovery from a bad ankle fracture since it helps building muscle mass. Once the ankle was better I took up CrossFit, and kept on taking creatine because why not, it helps replenish ATP so I will be able to give the extra-push when working out, I thought.

    What is blowing my mind though is that at $dayjob my team is going through a crazy crunch to deliver a very strategic project and some of us are pushing 10-12h days often. I'm in hour 12 today for the second day in a row, and my head is not tired at all. Turns out the brain also uses a lot of ATP too, specially during demanding cognitive tasks so I guess it is creatine that is keeping the engine running smoothly even after so many hours.

    I will like once every week or two have a poor night sleep. These days I take twice the dose and I don't feel like I'm sleep deprived at all. Feels like cheating! And apparently no side effects at all so far. Well, maybe I'm working too much.

    • torben-friis 28 minutes ago
      Mind that, while the "creatine high dose to fight drowsiness" hack works and has no side effects (other than upset stomachs), the lost sleep still does it thing. You don't notice day to day but it will catch up to you eventually in many bad ways.
      • nsbk 18 minutes ago
        Definitely! I would not recommend it to make up for lack of sleep for extended periods of time.

        One of the things I'm trying to do better lately is to have a good sleep hygiene. Sun in the eyes early in the morning, no caffeine for the first 60 waking minutes of the day (adenosine absorption period), no screens 2 hours before bed and whatnot. Still, some nights I will just wake up in the middle of the night and won't be able to get back to sleep, then it's when I feel creatine helps

        Edit: Typo

    • suriyaG 31 minutes ago
      is it possible that this is the bump due to your workouts and not plainly creatine ?

      I take creatine daily but when I'm working out more than a couple of weeks, i feel much better than on weeks when I skip working out.

      • nsbk 24 minutes ago
        The overall fitness is going to definitely have a positive effect on the perceived energy levels (my Vo2 max is at its highest ever). On the other hand, I have been very fit at other times in my life but have never experienced this "my head can just go on" feeling before. I used to take conscious breaks, do NSDR between meetings and other energy-replenishing tricks because I __needed__ them. It feels like now I don't
        • n4r9 18 minutes ago
          You mentioned that you took up CrossFit after starting creatine. Did your previous fit phases include lifting heavy weights?
          • nsbk 15 minutes ago
            No, mostly cycling (~200km+/week with one 100km+ ride) and 30 minutes of daily yoga
      • usern20260720 30 minutes ago
        great question. Can I take creatine and skip the workout hassle?
        • striking 12 minutes ago
          Going from minimal exercise to light-moderate exercise will do as much for you as creatine would. To me it's almost a no-brainer to try doing both.
        • michelb 24 minutes ago
          For me, just creatine doesn’t seem to do a whole lot. But heavy workouts (with or without creatine), energize me enormously.
    • striking 9 minutes ago
      Any tips on GI impact? I pair mine with food and lots of water and it's improved but wondering if there's any more I should be doing
    • lr4444lr 19 minutes ago
      Do you take the standard 5g or something else? What's your weight?
      • nsbk 17 minutes ago
        ~5g most days, ~10g if I didn't sleep well. I'm currently 68kg
    • j45 6 minutes ago
      It's beyond crazy, lol. How many grams are you doing a day?

      It has replaced in some ways caffeine for me.

      The part of where creatine wipes out sleep deficit sounded like a stretch, but it definitely helps.

  • robotsquidward 1 hour ago
    - Enhances ANTI-tumor... sounds good - ANTI-tumor immunity... sounds bad? - Read first few paragraphs as a typical medical rube, got nowhere

    So, creatine = good?

    • dessimus 42 minutes ago
      "But you get your choice of toppings." "That's good!" "The toppings contain potassium benzoate... ...that's bad."
    • el_benhameen 59 minutes ago
      Don’t worry, if you aren’t confused enough there’s also this to send you through another cycle! https://pubmed.ncbi.nlm.nih.gov/33811821/
    • readthenotes1 54 minutes ago
      Original title may be clearer?

      Creatine uptake promotes dendritic cell activation and enhances antitumor immunity

      • lormayna 46 minutes ago
        Original title is too long, I had to shorten it
    • HedonicEscal8r 52 minutes ago
      "Immunity" = "immune system activity." "Anti-tumor immunity" = "immune system activity against tumors."
      • pinkmuffinere 18 minutes ago
        Thankyou!! I'm sure if you have experience in the medical space this sort of thing seems obvious, but to me (non-medical), the original phrasing was so confusing. Your explanation makes sense.
    • gbil 1 hour ago
      I mean the summary ends with pretty clear message

      > …and support the use of creatine supplementation as a strategy to augment DC-based cancer immunotherapy.

      So it seems that from this research the outcome is indeed creatine = good

    • adammarples 48 minutes ago
      Anti-missile shielding
  • fy20 58 minutes ago
    Note that they gave the mice 10mg per day, which is around 3g per day for a 70kg human - i.e. a normal dose.
  • ThouYS 49 minutes ago
    The whole creatine craze reminds me of Vitamin D a couple of years ago. Which also sounded harmless, but can go very wrong if not careful
    • patternMachine 4 minutes ago
      Craze? People have been taking creatine for decades. It's really well studied and is quite safe.
    • BugsJustFindMe 47 minutes ago
      > but can go very wrong if not careful

      This is vague and doesn't explain anything. Can you share any references that communicate what you're thinking about?

      • nkozyra 44 minutes ago
        They're talking about vitamin D, which accumulates due to being fat soluble and is indeed toxic at a certain level[1]

        It became something of a panacea nutrient, recently around COVID.

        1. https://en.wikipedia.org/wiki/Vitamin_D_toxicity

        • mhurron 15 minutes ago
          Your own link shows that what is considered toxic levels are far higher than most people would expect. Vitamin D toxicity is not that easy to accidentally hit.

          Overdose has been observed at 1,925 μg/d (77,000 IU per day). Acute overdose requires between 15,000 μg/d (600,000 IU per day) and 42,000 μg/d (1,680,000 IU per day) over several days to months.

        • nomel 37 minutes ago
          And, if you drink a glass of carrot juice a day, you'll receive toxic levels of vitamin A!

          ~40% of people don't get enough vitamin D [1]. It's not useful to categorize it as some trend, based on people just not following general recommended dosing (with more precise dosing depending entirely on personal sun exposure and skin color).

          edit: As an office worker, I take 10k IU per day when I'm entirely indoors (most of the time), but vary it based on sun exposure. I based this on recent studies, and have my doctors approval with an exactly center-of-the-nominal-range vitamin D serum level.

          [1] https://pmc.ncbi.nlm.nih.gov/articles/PMC9573946/

          • xnickb 6 minutes ago
            > severe VDD was defined as serum 25(OH)D levels of <25 nmol/L, moderate deficiency as 25–50 nmol/L, insufficiency as 50–75 nmol/L, and sufficiency as >75 nmol/L.

            These numbers seem high to me. The 75 nmol/L (30ng/L) is not really a reliable value. It was published in a research that raises many questions due to conflict of interests.

            Hence the

            > ~40% of people don't get enough vitamin D

            becomes:

            > ~40% of people in the USA don't get enough vitamin D according to Dr. Holick

            Where I live the norm is 20 ng/L and if we apply that, then the shocking 40% becomes more reasonable 10-15%

          • _puk 8 minutes ago
        • kenhwang 34 minutes ago
          My doctor added vitamin D test to his patients recurring blood work since the start of COVID, and found out just about all his patients was deficient or near it.

          If you don't have a primarily fish based diet or spend hours under direct overhead sunlight every day without a shirt on, you're probably deficient as well.

          • hungryhobbit 3 minutes ago
            That's a bit of an exaggeration, Vitamin D does not require hours in the sun:

            > Recommendations to Obtain Adequate Amount of Vitamin D.

            > Sun exposure to the face, arms, hands, and legs without sunscreen for 5 to 30 minutes at least twice a week or more between the hours of 10 am and 4 pm

            Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC8299926/

            Now that's for most people: if you live in Alaska then during the winter maybe you need a litle more or something ... but the point is most people just need a little sun, < 30 minutes twice a week.

        • drop_star 39 minutes ago
          I've also heard about it 'hardening' in the bloodstream and that you should really be taking it with K2 as well. This is anecdotal so someone please do more research than basing anything from this comment
    • nkozyra 46 minutes ago
      Unless you have specific issues, creatine is pretty easily excreted in excess, unlike fat-soluble vitamin D.

      This doesn't mean you can just pound it, but for the most part it just becomes waste product.

    • tedggh 25 minutes ago
      You definitely want to take breaks from Creatine. It’s not something people should take year around.
      • hbn 10 minutes ago
        I understood the idea that you need to cycle creatine to be a myth.
      • happyopossum 12 minutes ago
        Citation please? Creatine is one of the most studied modern supplements, and I have yet to see anything that says to you'd need to 'take breaks' from it...
  • ortusdux 58 minutes ago
    Are there risks to creatine?
    • mkotlikov 17 minutes ago
      As it was mentioned elsewhere it might make existing cancers worse, and decrease survivability. Cancer seems to love it.

      https://pubmed.ncbi.nlm.nih.gov/25601461/ https://doi.org/10.1016/j.cmet.2021.03.009

      More accessible video: https://www.youtube.com/watch?v=tcMgHncZVIw

    • BunsanSpace 51 minutes ago
      Generally no, it's expensively studied and has had daily consumption to be safe for upto 5 years at least (studies haven't generally gone longer).

      That being said some people do have adverse effects to supplementation, e.g. excessive water retention, bloating, stomach discomfort, &c.

      So try it, if you have a bad reaction stop.

    • ZYbCRq22HbJ2y7 51 minutes ago
    • luke5441 53 minutes ago
      I get severe cramping from it (reproducible). All I can find are papers about this being a myth and some reddit threads about other people having this.
      • kenhwang 42 minutes ago
        I get it too if I don't drink a lot more water. So did many people on my sports team.

        Creatine binds to water (making less water available to your muscles) and allows your muscles to work harder (which makes them need more water). So if you're not drinking a lot more water when you're taking creatine, you will get cramps from either dehydration and/or muscle overuse.

        But once you're past the loading phase for creatine and getting sufficient hydration, it's supposed to lessen cramps because the water bound to creatine also becomes available for use again as the creatine is used by the body.

        • luke5441 10 minutes ago
          Yeah, of course I tried to drink more water. I also tried to ramp up the dose slower.

          But the cramps are really debilitating, as in random back muscle locks up debilitating, so I thought it best to just give up on this.

        • kelseyfrog 29 minutes ago
          How much water can 3g of creatine bind to? Is it like orbeez?
          • kenhwang 7 minutes ago
            My understanding is it's a bit of a bind and release process that moves the water from outside of the muscle cell to inside of it until the cell is saturated or the creatine is consumed.

            So the amount of creatine changes the rate as which water is loaded into the cell, but the total amount of water needed is calculated based on your muscle mass. The figures I've seen is 2L extra water (spread evenly, not all at once) for a normally recommended 5g daily creatine intake during loading (which typically takes a month at 5g/day dosage).

      • er4hn 44 minutes ago
        I get this unless I drink a lot of water. About 48 fl oz seems to be the right amount for 10g creatine. Sometimes this needs to be combined with a light snack, like a handful of nuts.
      • andy_ppp 47 minutes ago
        Did you try different sources I do not trust some of the stuff out there and often wonder if these supplements aren’t just generic white powder…
        • luke5441 8 minutes ago
          That would be an argument against trying a different source
    • HedonicEscal8r 53 minutes ago
      Essentially none. Creatine supplementation is a good idea for most people, especially vegans/vegetarians.
      • flossly 51 minutes ago
        Why especially those?
        • dgacmu 42 minutes ago
          Your body can synthesize creatine, so it's not essential, but meat is a source of exogenous creatine and eating it results in higher stored creatine levels, which is slightly good for muscle power endurance in the ~5-15 second effort range. Supplementing produces slightly higher relative improvements in creatine levels in vegetarians and vegans than it does in people who eat meat.
        • eknkc 48 minutes ago
          Nobody gets fired for supplementing vegans.
        • hobo123 47 minutes ago
          Because they lack all kinds of substances that meateaters get plenty of.
          • SmasherEpilepti 17 minutes ago
            I'm a vegan, and I'm surprised this is downvoted, because it's true. There are plenty of things that you need to be careful to not become deficient in on a vegan diet: protein (in appropriate amino acid balances), creatine, b12, the good Omega 3s (from algae preferably; flax is missing DHA entirely), calcium, iron, to name a few.

            You're fine if you take daily algae oil, multivitamin, iron supplement, calcium, and creatine (without going overboard on any of it) and making sure to get lots of protein from balanced sources (eating a ton of soy is actually not a bad idea, because it's a balanced protein), but I wouldn't recommend somebody who doesn't want to have to worry about their nutrition to go vegan. Enough omnivores are already deficient in vitamins and minerals, and veganism only makes it harder.

        • iamdev 45 minutes ago
          Because meat is the best source of creatine from diet.
        • hagbard_c 45 minutes ago
          Well, if vegetarians and those of the Vegan religion don't get enough creatine it is most likely related to them not partaking of an important source of the substance: meat.
        • unethical_ban 47 minutes ago
          Not vouching for creatine, but in general, humans get some vital nutrients from animal consumption. Vegans have to take some B-vitamins for best health due to what they don't get from meat. I assume creatine is the same.
    • asdff 54 minutes ago
      It can make you hold more water weight so you should drink more water in response.
      • shawnwall 10 minutes ago
        i personally have problems with tinnitus and hearing loss, and creatine use tends to trigger it due to water retention so i stay off the stuff.
        • asdff 3 minutes ago
          Interesting, I wonder how that is related? Do you believe you are getting hearing loss because you are retaining more water, or because you are dehydrated from retaining more water elsewhere in the body with the same intake rate? Does this go away if you were taking creatine and drinking more water? Or does it come up if you simply drink more water?
    • ddoolin 42 minutes ago
      Potentially lots poopies.
    • dilyevsky 51 minutes ago
      Worse beach looks
      • nkozyra 43 minutes ago
        Creatine causes intramuscular water increases, not subcutaneous. Doesn't actually have a negative impact here.
    • colechristensen 52 minutes ago
      Excessively large doses make your stomach and perhaps your kidneys unhappy and supplements being lightly regulated there may be purity issues where the risk is what else is in it.

      But it's pretty safe at recommended doses.

    • pow_ext 54 minutes ago
      None
  • EA-3167 1 hour ago
    Please remember that this is a study not the ads and pop-sci articles usually posted here. That means it’s meant to elucidate at most some biological pathways and not to present an overall recommendation. Maybe creatine has strong anti-tumor activity through one pathway and strongly tumor-promoting impacts elsewhere.

    Please… just read it as the isolated and interesting insight into biology that it is. It’s a fascinating in vitro result that shows a potentially important role for creatinine in a certain immune response.

  • MrJagil 52 minutes ago
    Creatine related: https://news.ycombinator.com/item?id=48346947

    (I regret posting that blog post, but the study is interesting)

  • deadbabe 1 hour ago
    There’s just so much evidence that creatine is something people should take daily, and now this?
  • dyauspitr 50 minutes ago
    So what’s the latest? That everyone should take creatine and GLP-1s?
    • creaturemachine 42 minutes ago
      With a peptide chaser.
      • dyauspitr 37 minutes ago
        I wasn’t being facetious. I seriously am asking if everyone should actually take creatinine and GLP-1.
        • graboy 3 minutes ago
          That and everyone should be taking a statin.
        • steinvakt2 26 minutes ago
          Any reason someone at a healthy BMI should take GLP-1?
    • solumos 48 minutes ago
      Adverse side effects of creatine are generally less severe than GLP-1s
  • gkhartman 1 hour ago
    ...in mice.
    • asdff 47 minutes ago
      As it turns out, no one lets you generate mutant human embryos with deficient creatine receptors, grow them up into adult humans, inject them with melanoma, euthanize them and harvest the tumor cell mass and bone marrow for analysis.
    • gbil 1 hour ago
      Did you read it at all?

      > Notably, creatine uptake similarly boosted the activation and immunostimulatory function of human monocyte-derived DCs.

      • gkhartman 28 minutes ago
        Fair. Missed that bit tbh.
    • embedding-shape 1 hour ago
      Imagine how healthy mice in general could live, if they were able to read all these research papers about themselves.
      • zafka 50 minutes ago
        Now I am imagining a 501-C where school children are encouraged to read studies to mice. Children get better at reading technical papers, mice learn more about their options! Win Win!
      • hagbard_c 41 minutes ago
        They already do in their own dimension, all that dying and running down the wrong track in those mazes is just to befuddle us silly hominids.

        Source: https://hitchhikers.fandom.com/wiki/Mice

      • rzzzt 46 minutes ago
        I, for one, welcome our future inmice overlords.