@article {Soczynska:June 2008:1354-3784:827, author = "Soczynska, Joanna K", author = "Kennedy, Sidney H", author = "Chow, Cindy SM", author = "Woldeyohannes, Hanna O", author = "Konarski, Jakub Z", author = "McIntyre, Roger S", title = "Acetyl-L-carnitine and -lipoic acid: possible neurotherapeutic agents for mood disorders?", journal = "Expert Opinion on Investigational Drugs", volume = "17", year = "June 2008", abstract = "Background: Mood disorders are associated with decrements in cognitive function, which are insufficiently treated with contemporary pharmacotherapies. Objectives: To evaluate the putative neurotherapeutic effects of the mitochondrial cofactors, L-carnitine, acetyl-L-carnitine, and α-lipoic acid; and to provide a rationale for investigating their efficacy in the treatment of neurocognitive deficits associated with mood disorders. Methods: A PubMed search of English-language articles published between January 1966 and March 2007 was conducted using the search terms carnitine and lipoic acid. Results: L-carnitine and α-lipoic acid may offer neurotherapeutic effects (e.g., neurocognitive enhancement) via disparate mechanisms including antioxidant, anti-inflammatory, and metabolic regulation. Preliminary controlled trials in depressed geriatric populations also suggest an antidepressant effect with acetyl-L-carnitine. Conclusions: L-carnitine and α-lipoic acid are pleiotropic agents capable of offering neuroprotective and possibly cognitive-enhancing effects for neuropsychiatric disorders in which cognitive deficits are an integral feature.", pages = "827-843(17)", url = "http://www.ingentaconnect.com/content/apl/eid/2008/00000017/00000006/art00001" doi = "doi:10.1517/13543784.17.6.827" }