Effects of Acetyl-L-Carnitine on Oxidative Stress in Amyotrophic Lateral Sclerosis Patients : Evaluation on Plasma Markers and Members of the Neurovascular Unit

Oxidative stress, the alteration of mitochondrial function, and the neurovascular unit (NVU), play a role in Amyotrophic Lateral Sclerosis (ALS) pathogenesis. We aimed to demonstrate the changes in the plasma redox system and nitric oxide (NO) in 32 new ALS-diagnosed patients in treatment with Acetyl-L-Carnitine (ALCAR) compared to healthy controls. We also evaluated the effects of plasma on human umbilical cord-derived endothelial vascular cells (HUVEC) and astrocytes. The analyses were performed at the baseline (T0), after three months (T1), and after six months (T2). In ALS patients at T0/T1, the plasma markers of lipid peroxidation, thiobarbituric acid reactive substances (TBARS) and 4-hydroxy nonenal (4-HNE) were higher, whereas the antioxidants, glutathione (GSH) and the glutathione peroxidase (GPx) activity were lower than in healthy controls. At T2, plasma TBARS and 4-HNE decreased, whereas plasma GSH and the GPx activity increased in ALS patients. As regards NO, the plasma levels were firmly lower at T0-T2 than those of healthy controls. Cell viability, and mitochondrial membrane potential in HUVEC/astrocytes treated with the plasma of ALS patients at T0-T2 were reduced, while the oxidant release increased. Those results, which confirmed the fundamental role of oxidative stress, mitochondrial function, and of the NVU in ALS pathogenesis, can have a double meaning, acting as disease markers at baseline and potential markers of drug effects in clinical practice and during clinical trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Antioxidants (Basel, Switzerland) - 12(2023), 10 vom: 20. Okt.

Sprache:

Englisch

Beteiligte Personen:

Grossini, Elena [VerfasserIn]
De Marchi, Fabiola [VerfasserIn]
Venkatesan, Sakthipriyan [VerfasserIn]
Mele, Angelica [VerfasserIn]
Ferrante, Daniela [VerfasserIn]
Mazzini, Letizia [VerfasserIn]

Links:

Volltext

Themen:

Astrocytes
Disease progression
Glutathione
Journal Article
Mitochondria
Nitric oxide
Oxidants
Vascular endothelial cells

Anmerkungen:

Date Revised 30.10.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/antiox12101887

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363839836