Acetyl-L-carnitine (ALC) shows a variety of different pharmacological properties in the aging brain. Recent findings suggest that the ultimate meaning of ALC actions may be related to its specific enhancement of energy metabolism at the mitochondrial level. ALC is an energy carrier through the mitochondrial membranes, controlling the availability of acetyl-coenzyme A. The facts that ALC acts on the electron transport chain complexes and also reduces lipid peroxidation give new insights into its mechanism of action.
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Calvani et al. (1991) studied this question.
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