Little is known about factors that regulate the survival of cranial mo
toneurons which project to peripheral targets. Various neurotrophic fa
ctors of central and peripheral origin have been isolated. In this stu
dy, we examined thirteen newborn Wistar rats to determine the effects
of acetyl-L-carnitine treatment on the survival of motoneurons within
the facial nucleus after transection of the facial nerve. Acetyl-L-car
nitine was administered for 7 days in seven rats after nerve transecti
on, while saline solution was injected in 6 rats used as controls. Bot
h the motoneuron number and the motoneuron diameter were significantly
higher in the facial nucleus of the rats treated with acetyl-L-cartin
ite than in the facial nucleus of the control rats. The results obtain
ed suggest that acetyl-L-carnitine can rescue a substantial number of
facial motoneurons from axotomy-induced cell death. Compared to neurot
rophic factors, because of its simple molecular structure, acetyl-L-ca
rnitine permits a safe oral and parenteral administration. It is sugge
sted that acetyl-L-carnitine could be considered for use as a therapeu
tic agent in neurodegenerative disorders.