The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Carnitine revisited: potential use as adjunctive treatment in diabetes
Open accessAbstract
Aims/hypothesis This study examined the efficacy of supplemental L: -carnitine as an adjunctive diabetes therapy in mouse models of metabolic disease. We hypothesised that carnitine would facilitate fatty acid export from tissues in the form of acyl-carnitines, thereby alleviating lipid-induced insulin resistance.Materials and methods Obese mice with genetic or diet-induced forms of insulin resistance were fed rodent chow +/- 0.5% L: -carnitine for a period of 1-8 weeks. Metabolic outcomes included insulin tolerance tests, indirect calorimetry and mass spectrometry-based profiling of acyl-carnitine esters in tissues and plasma.Results Carnitine supplementation improved insulin-stimulated glucose disposal in genetically diabetic mice and wild-type mice fed a high-fat diet, without altering body weight or food intake. In severely diabetic mice, carnitine supplementation increased average daily respiratory exchange ratio from 0.886 +/- 0.01 to 0.914 +/- 0.01 (p < 0.01), reflecting a marked increase in systemic carbohydrate oxidation. Similarly, under insulin-stimulated conditions, carbohydrate oxidation was higher and total energy expenditure increased from 172 +/- 10 to 210 +/- 9 kJ kg fat-free mass(-1) h(-1) in the carnitine-supplemented compared with control animals. These metabolic improvements corresponded with a 2.3-fold rise in circulating levels of acetyl-carnitine, which accounts for 86 and 88% of the total acyl-carnitine pool in plasma and skeletal muscle, respectively. Carnitine supplementation also increased several medium- and long-chain acyl-carnitine species in both plasma and tissues.Conclusions/interpretation These findings suggest that carnitine supplementation relieves lipid overload and glucose intolerance in obese rodents by enhancing mitochondrial efflux of excess acyl groups from insulin-responsive tissues. Carefully controlled clinical trials should be considered.
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“Moreover, recent evidence suggests that lowering of mitochondrial acyl CoAs, resulting in increased PDH activity and improved metabolic flexibility, can be achieved via dietary supplementation with L-carnitine (Noland et al., 2009; Power et al., 2007).”
From Lipid-Induced Mitochondrial Stress and Insulin Action in Muscle (2012) · cites this paper as Power et al., 2007
In the citing paper
“In another recent investigation we found that oral carnitine supplementation improved insulin sensitivity in diabetic mice, in parallel with a marked rise in plasma acylcarnitines (8).”
From Carnitine insufficiency caused by aging and overnutrition compromises mitochondrial performance and metabolic control (2009) · cites this paper as [8]
In the citing paper
“The antidiabetic actions of carnitine were accompanied by an increase in whole body glucose oxidation, a surprising result given that carnitine is best known for its essential role in permitting mitochondrial translocation and oxidation of long chain acyl-CoAs.”
From Carnitine insufficiency caused by aging and overnutrition compromises mitochondrial performance and metabolic control (2009) · cites this paper as [8]
In the citing paper
“Previous work suggested that tissue export of acetylcarnitine lowers local concentrations of acetyl-CoA, which in turn favors increased pyruvate dehydrogenase activity and higher rates of glucose oxidation (8,20).”
From Carnitine insufficiency caused by aging and overnutrition compromises mitochondrial performance and metabolic control (2009) · cites this paper as [8]
In the citing paper
“We previously reported that carnitine supplementation effectively restored insulin responsiveness in multiple mouse models of glucose intolerance (8).”
From Carnitine insufficiency caused by aging and overnutrition compromises mitochondrial performance and metabolic control (2009) · cites this paper as [8]
In the citing paper
“carnitine therapy improved glucose tolerance and insulin responsiveness in rodent models of aging, genetic diabetes and high fat feeding [65,71], while also reversing obesity-related derangements in mitochondrial fuel selection [65].”
From Intramuscular triacylglycerol and insulin resistance: guilty as charged or wrongly accused? (2010) · cites this paper as [71]
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Role of carnitine transporter in skeletal muscle energy metabolism
Furuichi, Y., & Masuda, K. (2012) · 体力科學 · doi:10.7600/jspfsm.61.289
Metabolsk fleksibilitet i humane skjelettmuskelceller
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Role of carnitine in modulation of muscle energy metabolism and insulin resistance
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The influence of age and nutrients on insulin sensitivity
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Диабетическая кардиальная автономная нейропатия: каковы перспективы в лечении?
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Bruls, Y. M. H. (2018) · Research Publications (Maastricht University) · doi:10.26481/dis.20180614yb
“Free carnitine availability is identified as being crucial in acetylcarnitine formation and maintaining metabolic flexibility (4, 5, 8).”
BackgroundNovel role of carnitine in skeletal muscle revealed using dynamics analysis
Furuichi, Y., Goto‐Inoue, N., & Masuda, K. (2018) · 体力科學 · doi:10.7600/jspfsm.67.261
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Cai, H., Li, D., Han, X., Han, Y., Zhang, R., Meng, K., & Yang, P. (2026) · PeerJ · doi:10.7717/peerj.21627
“L-carnitine L-carnitine supplementation in obese mice improves glucose tolerance and increases total energy expenditure ( Power et al., 2007 ; Cave et al., 2008 ).”
Mitochondrial adaptations in insulin resistant muscle
Broek, N. N. (2010) · TU/e Research Portal · doi:10.6100/ir684831
Metadata
- Authors
- Power, R. A., Hulver, M. W., Zhang, J. Y., Dubois, J., Marchand, R. M., Ilkayeva, O., Muoio, D. M., & Mynatt, R. L.
- Affiliations
- Pennington Biomedical Research Center (US)
- Virginia Tech (US)
- Duke University (US)
- Corresponding author
- Mynatt, R. L.
- Venue
- Diabetologia
- Published
- 2007-02-20
- Volume
- 50
- Issue
- 4
- Pages
- 824-832
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- PMC
- PMC5682624
- OpenAlex
- W2069095858
- Cited by
- 113
- References
- 40
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 9 · 2015: 5 · 2014: 15 · 2013: 7 · 2012: 11
- FWCI
- 3.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK072476, P30DK072476)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Keywords
- carnitine supplementation, insulin resistance, type 2 diabetes, acylcarnitines, acetyl-L-carnitine, fatty acid export, lipid overload, impaired glucose tolerance, carbohydrate oxidation, energy expenditure, respiratory exchange ratio, skeletal muscle, high-fat diet, obesity, adjunctive therapy
- MeSH terms
- Animals, Calorimetry, Carnitine, Diabetes Mellitus, Experimental, Fatty Acids, Glucose Tolerance Test, Glycerol, Insulin Resistance, Male, Mice, Obese, Mass Spectrometry, Vitamin B Complex, Pyruvate Dehydrogenase (Lipoamide), Mice
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