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Acetyl-l-carnitine provides effective in vivo neuroprotection from MDMA

Biphasic

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Feb 9, 2008
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Neuroscience. 2008 Oct 30.
Acetyl-l-carnitine provides effective in vivo neuroprotection over 3,4-methylenedioximethamphetamine-induced mitochondrial neurotoxicity in the adolescent rat brain.
Alves E, Binienda Z, Carvalho F, Alves CJ, Fernandes E, de Lourdes Bastos M, Tavares MA, Summavielle T.
IBMC-Instituto de Biologia Molecular e Celular, Molecular Neurobiology, Neuroprotection Laboratory, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; REQUIMTE, Toxicology Department, Faculty of Pharmacy, Universidade do Porto (UP), Porto, Portugal.

3,4-Methylenedioximethamphetamine (MDMA, ecstasy) is a worldwide abused stimulant drug, with persistent neurotoxic effects and high prevalence among adolescents. The massive release of 5-HT from pre-synaptic storage vesicles induced by MDMA followed by monoamine oxidase B (MAO-B) metabolism, significantly increases oxidative stress at the mitochondrial level. l-Carnitine and its ester, acetyl-l-carnitine (ALC), facilitate the transport of long chain free fatty acids across the mitochondrial membrane enhancing neuronal anti-oxidative defense. Here, we show the potential of ALC against the neurotoxic effects of MDMA exposure. Adolescent male Wistar rats were assigned to four groups: control saline solution, isovolumetric to the MDMA solution, administered i.p.; MDMA (4x10 mg/kg MDMA, i.p.); ALC/MDMA (100 mg/kg 30 min of ALC prior to MDMA, i.p.) and ALC (100 mg/kg, i.p.). Rats were killed 2 weeks after exposure and brains were analyzed for lipid peroxidation, carbonyl formation, mitochondrial DNA (mtDNA) deletion and altered expression of the DNA-encoded subunits of the mitochondrial complexes I (NADH dehydrogenase, NDII) and IV (cytochrome c oxidase, COXI) from the respiratory chain. Levels of 5-HT and 5-hydroxyindoleacetic acid (5-HIAA) were also assessed. The present work is the first to successfully demonstrate that pretreatment with ALC exerts effective neuroprotection against the MDMA-induced neurotoxicity at the mitochondrial level, reducing carbonyl formation, decreasing mtDNA deletion, improving the expression of the respiratory chain components and preventing the decrease of 5-HT levels in several regions of the rat brain. These results indicate potential benefits of ALC application in the prevention and treatment of neurodegenerative disorders.
http://www.ncbi.nlm.nih.gov/pubmed/19015003

The study demonstrated complete protection from the serotonergic neurotoxicity of MDMA at a 1:10 MDMA:ALC dose ratio -- the post-administration levels of 5HIAA and 5HT were virtually the same in both the control and experimental groups with ALC, while substantially decreased in the group without ALC.

It would be exciting if these results were to extrapolate to humans. Complete neurotoxicity prevention for a dose of perhaps 2g oral, which is less than a US dollar!
 
Part of my regular supplement thingy consists of one week on, one week off with Acetyl-l-carnitine (2 g/d) and alpha lipoic acid (100mg/d stabilised R isomer). It's not all that surprising ALC has been found to have neuroprotective effects with MDMA, as it's known to have general neuroprotecting properties. I know an older guy who takes ALC everyday and does large amounts of MDMA regularly (a 25 year veteran). He rarely ever gets any down period, but he also takes lots of other supplements, so it's hard to say whether anything is solely responsible.

Rather off topic, but I'm wondering if anyone else has noticed this. When initially taken on an empty stomach, both my girl and I find ALC produces a noticeable stimulant effect and is quite anoretic. I won't feel like food until some 12 hours later, although I can eat if I force myself. The effects are potentiated by ALA. The two also seem to potentiate caffeine, so my usual 4-5 cups in the morning is too much and leaves me rather jittery.

Day 1 of using ALC and ALA, I find the effect is still noticeable in the evening but by the 3rd consecutive day, the stimulating actions and the appetite suppression are virtually gone. Eating makes you tired and lacking in energy. At this point, taking ALC at night doesn't even seem to affect sleep, unlike the first couple of days, when, if taken in the evening will make sleep difficult if not impossible.

Still, I've found that with just a few days abstinence the stimulating effects seem to return.

I've looked basically into role of carnitine, and I expect the acetylated form would be more efficient in transporting fatty acteyl-CoA esters across the inner mitochondrial membrane. What I'm interested in hearing - and I apologise for hijacking the topic - is what possible mechanisms are thought to be responsible for the quickly diminishing, yet readily restored effects of ALC.
 
ALC seems to do all sorts of weird things to monoamines. In this study they showed that it enhanced serotonin levels in the brains above controls. Chronic administration in the study yielded chronically elevated levels of serotonin.

It's also been shown to cause releases in dopamine/monoamines/amino acids and reduction in ethanol consumption in rats.

http://www.ncbi.nlm.nih.gov/pubmed/1397026
http://www.ncbi.nlm.nih.gov/pubmed/8474576
http://www.ncbi.nlm.nih.gov/pubmed/12655313
http://www.ncbi.nlm.nih.gov/pubmed/10761531

Contradictingly, this study indicated it did not increase dopamine release:
http://www.ncbi.nlm.nih.gov/pubmed/3398700
 
facilitate the transport of long chain free fatty acids across the mitochondrial membrane enhancing neuronal anti-oxidative defense.

This kind of finding makes me wonder if different mitochondrial haplogroups can effect drugs like this. The haplogroup I'm in has nucleotide changes that papers have published relations to the uncoupling of oxidative phosphorylation resulting in increased body temperature. Well, maybe that's just a convoluted way of me wanting to believe my rare HG has something to do with me not liking MDMA. :-P
 
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