Review Article

Insights on Localized and Systemic Delivery of Redox-Based Therapeutics

Table 3

Preclinical and clinical studies using alpha-lipoic acid.

Alpha-lipoic acid
RouteResultsReference

Preclinical studies
OralALA slowed the rate of plaque progression in a diet-induced rabbit atherosclerosis model[56]
I.P.ALA reduced lesion size in a diet-induced atherosclerotic mouse model. ALA also reduced vascular smooth muscle cell proliferation and migration in vitro[59]
I.V.Spleen weight/body weight ratio, levels of H2O2, lipid peroxidation, and levels of reduced glutathione returned to physiological levels in LPS-treated rats following ALA injection[52]
OralALA restored GSH, SOD, and catalase plasma concentrations to physiological levels in a pesticide-induced oxidative stress rat model[54]
S.C.ALA restored SOD and catalase concentrations to physiological levels in brain tissue of a phenylketonuria rat model[55]
I.P.Kidney mitochondrial function restored in LPS-treated rats following ALA exposure[53]

Clinical studies
600–1800 mg
Oral
Five weeks of daily ALA supplementation alleviated the pain experienced by diabetics suffering from distal symmetric polyneuropathy.[61]
600 mg
Oral
Four years of daily ALA supplementation improved neuropathic conditions of diabetics suffering from polyneuropathy and the 600 mg dose was well tolerated for an extended period of time[63]
600 mg
Oral
20 weeks of daily ALA supplementation alleviated the pain experienced by diabetics suffering from polyneuropathy[62]

I.P.: intraperitoneal; I.V.: intravenous; S.C.: subcutaneous.