Alpha-lipoic acid as a dietary supplement: Molecular mechanisms and therapeutic potential
Open accessAbstract
Alpha-lipoic acid (LA) has become a common ingredient in multivitamin formulas, anti-aging supplements, and even pet food. It is well-defined as a therapy for preventing diabetic polyneuropathies, and scavenges free radicals, chelates metals, and restores intracellular glutathione levels which otherwise decline with age. How do the biochemical properties of LA relate to its biological effects? Herein, we review the molecular mechanisms of LA discovered using cell and animal models, and the effects of LA on human subjects. Though LA has long been touted as an antioxidant, it has also been shown to improve glucose and ascorbate handling, increase eNOS activity, activate Phase II detoxification via the transcription factor Nrf2, and lower expression of MMP-9 and VCAM-1 through repression of NF-kappa B. LA and its reduced form, dihydrolipoic acid, may use their chemical properties as a redox couple to alter protein conformations by forming mixed disulfides. Beneficial effects are achieved with low micromolar levels of LA, suggesting that some of its therapeutic potential extends beyond the strict definition of an antioxidant. Current trials are investigating whether these beneficial properties of LA make it an appropriate treatment not just for diabetes, but also for the prevention of vascular disease, hypertension, and inflammation.
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Alpha lipoic acid acts as a multi-functional antioxidant through rapid regeneration of glutathione.
“Specifically, alpha lipoic acid acts as a multi-functional antioxidant through rapid regeneration of glutathione [64,65].”
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Role of ROS and Nutritional Antioxidants in Human Diseases
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“Specifically, alpha lipoic acid acts as a multi-functional antioxidant through rapid regeneration of glutathione [64,65].”
BackgroundNeuronal culture microenvironments determine preferences in bioenergetic pathway use
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Self-citation
- Authors
- Shay, K. P., Moreau, R. F., Smith, E. J., Smith, A. R., & Hagen, T. M.
- Affiliations
- Oregon State University (US)
- Corresponding author
- Hagen, Tory M.
- Venue
- Biochimica et Biophysica Acta (BBA) - General Subjects
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 1790
- Issue
- 10
- Pages
- 1149-1160
- ISSN
- 0304-4165 (ISSN-L)
- PMC
- PMC2756298
- OpenAlex
- W2156813826
- Cited by
- 976
- References
- 155
- Citations by year
- 2026: 37 · 2025: 58 · 2024: 54 · 2023: 60 · 2022: 59 · 2021: 74 · 2020: 79 · 2019: 81 · 2018: 69 · 2017: 59 · 2016: 56 · 2015: 53 · 2014: 64 · 2013: 63 · 2012: 48
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biochimica et Biophysica Acta (BBA) - General Subjects (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Complementary and Integrative Health (P01AT002034)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Biochemical Acid Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Aldose Reductase and Taurine
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
- Keywords
- alpha-lipoic acid, dietary supplements, antioxidant defense, diabetic polyneuropathy, dihydrolipoic acid, Nrf2, NF-κB, MMP-9, VCAM-1, endothelial nitric oxide synthase, glutathione, metal chelation, redox couples, mixed disulfides, vascular disease, hypertension, inflammation, glucose metabolism
- MeSH terms
- Animals, Diabetic Neuropathies, Humans, Hypertension, Inflammation, Thioctic Acid, Models, Biological, Vascular Diseases, Molecular Structure, Dietary Supplements
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