The neuroprotective properties of acetyl-L-carnitine (ALCAR) were inve
stigated in primary cell cultures from rat hippocampal formation and c
erebral cortex of 17-day-old rat embryos. Chronic exposure to ALCAR (1
0-50 mu M for 10 days) reduced the cell mortality induced by 24 hr fet
al calf serum deprivation. Protection was partial when the neuronal ce
lls, chronically treated with ALCAR (50 mu M), were exposed to glutama
te (0.25-1 mM) and kainic acid (250-500 mu M) for 24 hr. The neurotoxi
city induced by N-methyl-D-aspartate (NMDA, 250 mu M) was attenuated b
y the acute co-exposure with ALCAR (1 mM), the chronic treatment with
ALCAR (50 mu M) significantly reduced the neuronal death induced by NM
DA (0.25-1 mM). Cell mortality was also investigated in ALCAR-treated
hippocampal cultures chronically treated with beta-amyloid fragment 25
-35. ALCAR appeared to have neuroprotective activity. This suggests an
explanation of the positive results obtained with ALCAR in the treatm
ent of Alzheimer's disease. (C) 1994 Wiley-Liss, Inc.