Effect of (R)-α-lipoic acid supplementation on serum lipids and antioxidative ability in patients with age-related macular degeneration

Ann Nutr Metab. 2012;60(4):293-7. doi: 10.1159/000338444. Epub 2012 Jun 1.

Abstract

Background/aims: Supplementation with antioxidants is of special interest in preventing or delaying the development and progression of age-related macular degeneration (AMD). This investigation aimed to assess the effect of α- lipoic acid (LA) on serum lipids, serum malondialdehyde (MDA) and superoxide dismutase (SOD) in patients with AMD.

Methods: A total of 62 patients (50-75 years old) with early and intermediate dry form of AMD were randomly assigned to two groups, i.e. LA administration (n = 32) and placebo (n = 30). The levels of serum lipids and MDA and SOD activity were measured before and after LA and placebo intervention.

Results: Compared with the parameters at baseline, serum total cholesterol (CHO), triglyceride and high- and low-density lipoprotein CHO (HDL and LDL) levels were not significantly different after LA and placebo intervention. There was a slight but statistically nonsignificant decrease in serum MDA levels and a statistically significant increase in serum SOD activity after LA intervention. There were no statistically significant differences in serum MDA levels or SOD activity after placebo intervention.

Conclusion: The apparent increase in SOD activity caused by LA supplementation indicates that LA may have a possible preventive effect in the development of AMD through an antioxidant mechanism.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Aged
  • Antioxidants / metabolism*
  • Cholesterol, HDL / blood
  • Cholesterol, LDL / blood
  • Dietary Supplements*
  • Female
  • Humans
  • Lipid Peroxidation / drug effects
  • Lipoproteins, LDL / blood*
  • Macular Degeneration / blood
  • Macular Degeneration / physiopathology*
  • Male
  • Malondialdehyde / blood
  • Middle Aged
  • Oxidative Stress / drug effects
  • Risk Factors
  • Superoxide Dismutase / blood
  • Thioctic Acid / administration & dosage*
  • Triglycerides / blood

Substances

  • Antioxidants
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Lipoproteins, LDL
  • Triglycerides
  • Malondialdehyde
  • Thioctic Acid
  • Superoxide Dismutase