Acetyl-L-carnitine

Acetyl-L-carnitine has been studied in 3 papers since 2000: 2 trials in people, 1 in cells. The newest paper, Jan 16, 2022: “Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence”.

Intervention

3 papers study it13 more mention it11 findingsUpdated

PubChemChEBI

“HOMA-IR also decreased in both groups (both p < 0.001).”
Acetyl-L-Carnitine Ameliorates Metabolic and Endocrine Alterations in Women with PCOS: A Double-Blind Randomized Clinical TrialAdvances in therapy2021doi:10.1007/s12325-021-01789-5

1 of its findings points the other way.

  • 3 independent labs in 3 countries
  • 1 finding against
  • Funders: National Natural Science Foundation of China and 1 more
  • Human trial2
  • Cells1

What did studies of Acetyl-L-carnitine find?

10

Studies of Acetyl-L-carnitine measured 10 outcomes; the most studied are cellular senescence (1 study), autophagy (1) and apoptosis (1).

Cellular senescence

upin cells1downin cells1

1 study
  1. Acetyl-L-carnitine increases cellular senescence in cells.

    “ALC with high concentration (10 mM) markedly aggravated cell apoptosis and senescence”

    Cellsin serum-starved cells10 mM

    Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence

    Cytotechnology

  2. Acetyl-L-carnitine decreases cellular senescence in cells.

    “Treating with 1 mM ALC improved proliferation and alleviated senescence of starved cells”

    Cellsin serum-starved cells1 mM

    Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence

    Cytotechnology

More on Cellular senescence

Autophagy

upin cells1

1 study
  1. Acetyl-L-carnitine increases autophagy in cells.

    “In addition, ALC inhibited apoptosis but increased starvation-induced autophagy”

    Cellsin serum-starved cells

    Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence

    Cytotechnology

More on Autophagy

Apoptosis

downin cells1

1 study
  1. Acetyl-L-carnitine decreases apoptosis in cells.

    “In addition, ALC inhibited apoptosis but increased starvation-induced autophagy”

    Cellsin serum-starved cells

    Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence

    Cytotechnology

More on Apoptosis

Cell proliferation

upin cells1

1 study
  1. Acetyl-L-carnitine increases cell proliferation in cells.

    “Treating with 1 mM ALC improved proliferation and alleviated senescence of starved cells”

    Cellsin serum-starved cells1 mM

    Acetyl l-carnitine protects adipose-derived stem cells against serum-starvation: regulation on the network composed of reactive oxygen species, autophagy, apoptosis and senescence

    Cytotechnology

Perceived stress

downin humans1

1 study
  1. Acetyl-L-carnitine decreases perceived stress in humans (p < 0.001).

    “The PSS scores of the patients improved significantly (p < 0.001) in the combo group.”

    Human trialin women with PCOS1500 mg ALC, 500 mg metformin, 15 mg pioglitazone twice daily12 weeksfemalesn = 72

    Acetyl-L-Carnitine Ameliorates Metabolic and Endocrine Alterations in Women with PCOS: A Double-Blind Randomized Clinical Trial

    Advances in therapy

Body circumference

downin humans1

1 study
  1. Acetyl-L-carnitine decreases body circumference in humans (p < 0.001).

    “Interestingly, there was a significant improvement in body circumference (p < 0.001) in the combo group.”

    Human trialin women with PCOS1500 mg ALC, 500 mg metformin, 15 mg pioglitazone twice daily12 weeksfemalesn = 72

    Acetyl-L-Carnitine Ameliorates Metabolic and Endocrine Alterations in Women with PCOS: A Double-Blind Randomized Clinical Trial

    Advances in therapy

Menstrual regularity

upin humans1

1 study
  1. Acetyl-L-carnitine improves menstrual regularity in humans (97.2% vs 12.9%).

    “Interestingly, regular menstrual cycles were found (97.2%) in the carnitine group, but in only 12.9% of the other group.”

    Human trialin women with PCOS1500 mg ALC, 500 mg metformin, 15 mg pioglitazone twice daily12 weeksfemalesn = 72

    Acetyl-L-Carnitine Ameliorates Metabolic and Endocrine Alterations in Women with PCOS: A Double-Blind Randomized Clinical Trial

    Advances in therapy

Insulin resistance

downin humans1

1 study
  1. Acetyl-L-carnitine decreases insulin resistance in humans (p < 0.001).

    “HOMA-IR also decreased in both groups (both p < 0.001).”

    Human trialin women with PCOS1500 mg ALC, 500 mg metformin, 15 mg pioglitazone twice daily12 weeksfemalesn = 72

    Acetyl-L-Carnitine Ameliorates Metabolic and Endocrine Alterations in Women with PCOS: A Double-Blind Randomized Clinical Trial

    Advances in therapy

Glucose oxidation

no changein humans1

1 study
  1. Acetyl-L-carnitine has no effect on glucose oxidation in humans.

    “The increase in the M value was related to increased glucose storage (highly significant effect of ALC) rather than increased glucose oxidation (no statistical significance).”

    Human trialtype 2 diabetesn = 18

    Acetyl-L-carnitine infusion increases glucose disposal in type 2 diabetic patients

    Metabolism: clinical and experimental

Glucose uptake

upin humans1

1 study
  1. Acetyl-L-carnitine increases glucose uptake in humans (from 3.8 to 5.2 mg/kg/min, P = .006).

    “The total end-clamp glucose tissue uptake (M value) was significantly increased by the administration of ALC (from 3.8 to 5.2 mg/kg/min, P = .006)”

    Human trialtype 2 diabetestissuen = 18

    Acetyl-L-carnitine infusion increases glucose disposal in type 2 diabetic patients

    Metabolism: clinical and experimental

Latest

Nov 2025: 0Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 1Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0Sep 2026: 0Oct 2026: 01 paper in 12 months