Document Detail


Effects of L-carnitine on oxidative stress responses in patients with renal disease.
MedLine Citation:
PMID:  20216464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Hemodialyzed patients demonstrate elevated oxidative stress and reduced functional status. Exercise induces health benefits, but acute exertion up-regulates oxidative stress responses in patients undergoing hemodialysis. Therefore, the aim of the present study was to examine the effect of L-carnitine supplementation on i) exercise performance and ii) blood redox status both at rest and after exercise.
METHODS: Twelve hemodialysis patients received either L-carnitine (20 mg kg(-1) i.v.) or placebo in a double-blind, placebo-controlled, counterbalanced, and crossover design for 8 wk. Participants performed an exercise test to exhaustion before and after supplementation. During the test, V˙O2, respiratory quotient, heart rate, and time to exhaustion were monitored. Blood samples, collected before and after exercise, were analyzed for lactate, malondialdehyde, protein carbonyls, reduced and oxidized glutathione, antioxidant capacity, catalase, and glutathione peroxidase activity.
RESULTS: Blood carnitine increased by L-carnitine supplementation proportionately at rest and after exercise. L-carnitine supplementation increased time to fatigue (22%) and decreased postexercise lactate (37%), submaximal heart rate, and respiratory quotient but did not affect V˙O2peak. L-carnitine supplementation increased reduced/oxidized glutathione (2.7-fold at rest, 4-fold postexercise) and glutathione peroxidase activity (4.5% at rest, 10% postexercise) and decreased malondialdehyde (19% at rest and postexercise) and protein carbonyl (27% at rest, 40% postexercise) concentration.
CONCLUSIONS: Data suggest that a 2-month L-carnitine supplementation may be effective in attenuating oxidative stress responses, enhancing antioxidant status, and improving performance of patients with end-stage renal disease.
Authors:
Ioannis G Fatouros; Ioannis Douroudos; Stylianos Panagoutsos; Ploumis Pasadakis; Michalis G Nikolaidis; Athanasios Chatzinikolaou; Apostolos Sovatzidis; Yiannis Michailidis; Athanasios Z Jamurtas; Dimitrios Mandalidis; Kyriakos Taxildaris; Vassilios Vargemezis
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  42     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1809-18     Citation Subset:  IM; S    
Affiliation:
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece.
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MeSH Terms
Descriptor/Qualifier:
Antioxidants
Carnitine / administration & dosage*
Catalase / blood
Dietary Supplements*
Exercise / physiology
Fatigue / drug therapy,  physiopathology
Glutathione / blood
Glutathione Peroxidase / blood
Heart Rate / physiology
Humans
Kidney Failure, Chronic / physiopathology*
Lactic Acid / blood
Male
Malondialdehyde / blood
Middle Aged
Oxidative Stress / drug effects*
Oxygen Consumption / physiology
Protein Carbonylation / drug effects
Renal Dialysis*
Vitamin B Complex / blood,  pharmacology
Chemical
Reg. No./Substance:
0/Antioxidants; 12001-76-2/Vitamin B Complex; 50-21-5/Lactic Acid; 541-15-1/Carnitine; 542-78-9/Malondialdehyde; 70-18-8/Glutathione; EC 1.11.1.6/Catalase; EC 1.11.1.9/Glutathione Peroxidase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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