Liu · Proceedings of the National Academy of Sciences of the United States of America 2002 · Controlled animal feeding study with ex vivo and in vitro biochemical assays · n=?

Age-associated mitochondrial oxidative decay: improvement of carnitine acetyltransferase substrate-binding affinity and activity in brain by feeding old rats acetyl-L- carnitine and/or R-alpha -lipoic acid.

Cited 268 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Animal and in vitro mechanistic bench study.

PubMed 11854488 · doi:10.1073/pnas.261709098 · record verified 2026-08-26

What was done

The authors analyzed the kinetics of the mitochondrial enzyme carnitine acetyltransferase (CAT) in the brains of young rats, untreated old rats, and old rats fed for 7 weeks with acetyl-L-carnitine (ALCAR), R-alpha-lipoic acid (LA), or both. They measured brain lipid peroxidation and total iron and copper levels across groups. Additionally, they performed ex vivo oxidation of young rat brain tissue using Fe(II), and in vitro oxidation assays of purified CAT treated with Fe(II) or lipid peroxidation products (malondialdehyde and 4-hydroxy-nonenal), testing whether preincubation with ALCAR or CoA prevented enzyme impairment.

What was found

Old rats showed lower brain CAT activity and decreased substrate-binding affinity for ALCAR and CoA compared with young rats, alongside elevated lipid peroxidation, total iron, and copper. Supplementation with ALCAR or ALCAR plus LA restored CAT activity and substrate-binding affinity in old rats. Supplementation with LA or LA plus ALCAR reduced lipid peroxidation without lowering iron or copper levels. In vitro exposure of purified CAT to malondialdehyde or 4-hydroxy-nonenal replicated the age-related reduction in binding affinity and activity; preincubation with ALCAR or CoA prevented malondialdehyde-induced dysfunction. The abstract reported no exact numerical values, effect sizes, or p-values.

Why it matters

The study outlines a mechanism whereby lipid peroxidation products impair mitochondrial carnitine acetyltransferase substrate affinity with age, and demonstrates that oral supplementation with mitochondrial metabolites can restore enzyme function in an aged rodent model.

Limits

This is an animal and in vitro biochemical study with no human clinical data. The abstract does not report sample sizes, specific dosages, or quantitative numerical findings. Behavioral and cognitive outcomes were not measured.

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