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ALSUntangled #79: alpha-lipoic acid

  • Alaina Giacobbe
  • , James Hiana
  • , Olivia Wang
  • , Michael Benatar
  • , Paul Wicks
  • , Javier Mascias Cadavid
  • , Sartaj Jhooty
  • , Christopher McDermott
  • , Gary Pattee
  • , Tulio Bertorini
  • , Terry Heiman-Patterson
  • , Dylan Ratner
  • , Paul Barkhaus
  • , Gregory Carter
  • , Carlayne Jackson
  • , Keelie Denson
  • , Andrew Brown
  • , Carmel Armon
  • , Yuyao Sun
  • , Andre Nguyen
  • Richard Bedlack, Xiaoyan Li*
*Corresponding author for this work
  • Duke University
  • University of Pennsylvania
  • University of Miami
  • Wicks Digital Health Ltd.
  • Hospital Universitario La Paz
  • University of North Carolina at Chapel Hill
  • University of Sheffield
  • University of Nebraska Medical Center
  • University of Tennessee Health Science Center
  • Temple University
  • Tulane University
  • Medical College of Wisconsin
  • Providence St. Luke’s Rehabilitation Medical Center
  • University of Texas Health Science Center at San Antonio
  • Houston Methodist
  • Assaf Harofeh Medical Center
  • University of Kentucky

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Alpha-lipoic acid (ALA) is a naturally occurring fatty acid. It serves as an essential cofactor for enzymatic reactions in mitochondrial energy production, is a potent antioxidant and has anti-inflammatory effects, which are plausible mechanisms in slowing ALS progression. In ALS preclinical studies, ALA slowed motor function decline and improved survival. There were self-reported cases of improved muscle strength in ALS patients when ALA was taken with numerous additional supplements, making it difficult to discern its efficacy. One small, 6-month open-label study showed improved quality of life, fatigue, and mood after participants took it with B vitamins and amino acids for the first 3 months. So far, no clinical trials have been published in people living with amyotrophic lateral sclerosis (PALS). Given the insufficient clinical data, we cannot endorse ALA and will support more research on its efficacy in slowing ALS progression.

Original languageEnglish
Pages (from-to)233-237
Number of pages5
JournalAmyotrophic Lateral Sclerosis and Frontotemporal Degeneration
Volume27
Issue number1-2
DOIs
StatePublished - 2026
Externally publishedYes

Funding

FundersFunder number
ALS Association23-SI-622

    Keywords

    • ALS
    • alpha lipoic acid
    • antiinflammation
    • antioxidant
    • oxidative stress

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