The assumption of oxidative stress as a mechanism in lead toxicity suggests
that antioxidants might play a role in the treatment of lead poisoning. Th
e present study was designed to investigate the efficacy of lipoic acid (LA
) in rebalancing the increased prooxidant/antioxidant ratio in lead-exposed
Chinese hamster ovary (CHO) cells and Fischer 344 rats. Furthermore, LA's
ability to decrease lead levels in the blood and tissues of lead-treated ra
ts was examined. LA administration resulted in a significant improvement in
the thiol capacity of cells via increasing glutathione levels and reducing
malondialdehyde levels in the lead-exposed cells and animals, indicating a
strong antioxidant shift on lead-induced oxidative stress. Furthermore, ad
ministration of LA after lead treatment significantly decreased catalase an
d red blood cell glucose-6-phosphate dehydrogenase activity. In vitro admin
istration of LA to cultures of CHO cells significantly increased cell survi
val, that was inhibited by lead treatment in a concentration-dependent mann
er. Administration of LA was not effective in decreasing blood or tissue le
ad levels compared to a well-known chelator, succimer, that was able to red
uce them to control levels. Hence, LA seems to be a good candidate for ther
apeutic intervention of lead poisoning, in combination with a chelator, rat
her than as a sole agent. (C) 1999 Elsevier Science Inc.