Acetyl-L-carnitine reduces the latencies of electroretinogram oscillat
ory potentials in healthy humans. The effect of acetyl-L-carnitine (50
mg . kg-1 . day-1) on the increased electroretinogram latencies found
in rats with STZ-induced hyperglycemia of 3-wk duration was evaluated
. The aldose reductase inhibitor sorbinil, which has been shown to nor
malize abnormal electroretinogram tracings associated with STZ-induced
diabetes, was used as a positive control. Aldose reductase inhibitors
are thought to lower tissue sorbitol while increasing myo-inositol. T
he electroretinograms of the STZ-induced diabetic rats in this study w
ere abnormal; treatment with acetyl-L-carnitine as well as sorbinil si
gnificantly improved electroretinogram b-wave amplitude and decreased
the latencies of oscillatory potentials 2 and 3. Acetyl-L-carnitine tr
eatment of STZ-induced diabetic rats did not affect hyperglycemia or e
rythrocyte polyol pathway activity as reflected by erythrocyte sorbito
l levels. In contrast, sorbinil did reduce elevated erythrocyte sorbit
ol levels. This suggests that the impaired electroretinograms associat
ed with STZ-induced diabetes may not be caused solely by increased pol
yol pathway activity.