Combination of alpha lipoic acid and superoxide dismutase leads to physiological and symptomatic improvements in diabetic neuropathy - PubMed (original) (raw)
Clinical Trial
Combination of alpha lipoic acid and superoxide dismutase leads to physiological and symptomatic improvements in diabetic neuropathy
Fulvio Bertolotto et al. Drugs R D. 2012.
Abstract
Background and objective: The management of diabetic neuropathy is still a challenge for physicians. The aim of this study was to assess the efficacy of a new combination of alpha lipoic acid and superoxide dismutase for the treatment of diabetic neuropathy.
Methods: The setting of this study was ambulatory (outpatient) care. A prospective, non-randomized, open-label study was conducted in 50 patients with diabetes mellitus and with a deficit in both motor and sensory nerve conduction. Treatment was with a new combination of alpha lipoic acid and superoxide dismutase (ALA600SOD®) for 4 months. Electroneurographic parameters and perceived pain were assessed at baseline and after treatment.
Results: After 4 months of treatment, patients significantly (p < 0.001) improved their electroneurographic parameters and their perception of pain. Best improvements were observed in sensory nerve conduction.
Conclusion: The combination of two powerful antioxidant agents leads to improvement in both subjective and objective parameters in patients with diabetic neuropathy. New profitable directions for investigations are opened for a non-invasive treatment of diabetic neuropathy in the future.
Figures
Table I
Parameters pre- and post-treatment with variation in the whole samplea
Fig. 1
The percentages of patients that improved, remained stable or worsened in the measured parameters after treatment. MNCMNC= motor nerve conduction; SNC = sensory nerve conduction; VAS = visual analog scale.
Similar articles
- Efficacy and Safety of the Combination of Superoxide Dismutase, Alpha Lipoic Acid, Vitamin B12, and Carnitine for 12 Months in Patients with Diabetic Neuropathy.
Didangelos T, Karlafti E, Kotzakioulafi E, Kontoninas Z, Margaritidis C, Giannoulaki P, Kantartzis K. Didangelos T, et al. Nutrients. 2020 Oct 23;12(11):3254. doi: 10.3390/nu12113254. Nutrients. 2020. PMID: 33114210 Free PMC article. Clinical Trial. - Alpha lipoic acid and superoxide dismutase in the treatment of chronic low back pain.
Battisti E, Albanese A, Guerra L, Argnani L, Giordano N. Battisti E, et al. Eur J Phys Rehabil Med. 2013 Oct;49(5):659-64. Epub 2013 Jul 9. Eur J Phys Rehabil Med. 2013. PMID: 23860422 - Treatment of diabetic polyneuropathy with the antioxidant thioctic acid (alpha-lipoic acid): a two year multicenter randomized double-blind placebo-controlled trial (ALADIN II). Alpha Lipoic Acid in Diabetic Neuropathy.
Reljanovic M, Reichel G, Rett K, Lobisch M, Schuette K, Möller W, Tritschler HJ, Mehnert H. Reljanovic M, et al. Free Radic Res. 1999 Sep;31(3):171-9. doi: 10.1080/10715769900300721. Free Radic Res. 1999. PMID: 10499773 Clinical Trial. - Thioctic acid for patients with symptomatic diabetic polyneuropathy: a critical review.
Ziegler D. Ziegler D. Treat Endocrinol. 2004;3(3):173-89. doi: 10.2165/00024677-200403030-00005. Treat Endocrinol. 2004. PMID: 16026113 Review. - Fasudil combined with methylcobalamin or lipoic acid can improve the nerve conduction velocity in patients with diabetic peripheral neuropathy: A meta-analysis.
Jiang DQ, Xu LC, Jiang LL, Li MX, Wang Y. Jiang DQ, et al. Medicine (Baltimore). 2018 Jul;97(27):e11390. doi: 10.1097/MD.0000000000011390. Medicine (Baltimore). 2018. PMID: 29979431 Free PMC article. Review.
Cited by
- Cardiac autonomic neuropathy: Risk factors, diagnosis and treatment.
Serhiyenko VA, Serhiyenko AA. Serhiyenko VA, et al. World J Diabetes. 2018 Jan 15;9(1):1-24. doi: 10.4239/wjd.v9.i1.1. World J Diabetes. 2018. PMID: 29359025 Free PMC article. Review. - Neurons and Microglia; A Sickly-Sweet Duo in Diabetic Pain Neuropathy.
Rajchgot T, Thomas SC, Wang JC, Ahmadi M, Balood M, Crosson T, Dias JP, Couture R, Claing A, Talbot S. Rajchgot T, et al. Front Neurosci. 2019 Jan 31;13:25. doi: 10.3389/fnins.2019.00025. eCollection 2019. Front Neurosci. 2019. PMID: 30766472 Free PMC article. Review. - Efficacy and Safety of the Combination of Superoxide Dismutase, Alpha Lipoic Acid, Vitamin B12, and Carnitine for 12 Months in Patients with Diabetic Neuropathy.
Didangelos T, Karlafti E, Kotzakioulafi E, Kontoninas Z, Margaritidis C, Giannoulaki P, Kantartzis K. Didangelos T, et al. Nutrients. 2020 Oct 23;12(11):3254. doi: 10.3390/nu12113254. Nutrients. 2020. PMID: 33114210 Free PMC article. Clinical Trial. - Strategies and Research Progress of Chinese Medicine in Prevention and Treatment of Diabetic Peripheral Neuropathy.
Yang D, Liang XC. Yang D, et al. Chin J Integr Med. 2018 Oct;24(10):794-800. doi: 10.1007/s11655-018-3051-x. Epub 2018 Sep 29. Chin J Integr Med. 2018. PMID: 30267371 Review. - Lipoic Acid Exerts Antioxidant and Anti-inflammatory Effects in Response to Heat Shock in C2C12 Myotubes.
Lee CT, Chang LC, Wu PF. Lee CT, et al. Inflammation. 2016 Jun;39(3):1160-8. doi: 10.1007/s10753-016-0350-2. Inflammation. 2016. PMID: 27086282
References
- Mijnhout GS, Alkhalaf A, Kleefstra N, et al. Alpha lipoic acid: a new treatment for neuropathic pain in patients with diabetes. Neth J Med. 2010;68(4):158–62. - PubMed
- Van Acker K, Bouhassire D, De Bacquer D, et al. Prevalence and impact on quality of life of peripheral neuropathy with or without neuropatic pain in type 1 and type 2 diabetic patients attending hospital outpatients clinics. Diabetes Metab. 2009;35:206–13. doi: 10.1016/j.diabet.2008.11.004. - DOI - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical