Editing N-Acetyl-cysteine (NAC)

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[[Information on nutritional supplements people with ALS have been taking]]
 
  
* [https://en.wikipedia.org/wiki/Acetylcysteine Wikipedia page]
 
  
== Effects on ALS ==
 
  
''Treatment with the antioxidant NAC caused a significantly prolonged survival and delayed onset of motor impairment in G93A mice compared to control mice.''  {{#pmid:10943709|Andreassen2000}}
 
  
''The systematic administration of NAC to R6/2 mice suppressed the activation of AMPK-α1, reduced neuronal toxicity, which was assessed by the activation of caspases, increased neuronal density, ameliorated ventricle enlargement, and improved motor dysfunction. This beneficial effect of NAC in vivo appears to be direct because NAC also reduced the activation of AMPK-α1 and the death of STHdh(Q109) cells upon elevated oxidative stress.''  {{#pmid:24946181|Ju2014}}
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== Effects on ALS ==
  
''Main outcome measures were treatment effects on plasma Lp(a) and plasma amino thiols (homocysteine, cysteine and cysteinyl glycine). There was no significant effect on plasma Lp(a) levels. Plasma thiols were significantly reduced during treatment with NAC: homocysteine by 45% (P < 0.0001), cysteinyl glycine by 24% (P < 0.0001) and cysteine by 11% (P = 0.0002). The high dose of NAC was well tolerated. In conclusion NAC has no effect on plasma Lp(a) levels while the reduction in homocysteine is considerable and might be of clinical significance in cases with high plasma homocysteine levels.'' {{#pmid:8929261|Wiklund1996}}
 
  
== Research paper link collection ==
 
  
* [http://alsanesthetics.org/research/solving-the-puzzle/potential-therapeutics-foci-of-intervention/118-nac Research articles on NAC and ALS]
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== Discussion threads on the ALSTDI forum ==
  
Sybr Green ThermoFisher 4385612 was used to perform real time quantitative PCR О”О”Ct on a QuantStudio6 Flex Real Time 384 well qPCR system <a href=https://lasix.beauty>lasix for weight loss</a> You and your doctor should talk regularly to decide how long you need treatment
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[http://www.alstdi.org/forum/yaf_postst54896_myriocin--gw4869-and-nac.aspx Myriocin, gw4869 and NAC]
  
== Regulated pathways ==
 
  
* Suppresses AMPK-α1 activation.
 
  
 
== References ==
 
== References ==
  
[[Category:Supplement data pages]]
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[1]
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<bibtex>
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@article{Ju2014,
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abstract = {Huntington's disease (HD) is an autosomal dominant neurological disorder that is induced by a CAG trinucleotide expansion in exon 1 of the Huntingtin (HTT) gene. We previously reported that the abnormal activation of an important energy sensor, AMP-activated protein kinase $\alpha$1 (AMPK-$\alpha$1), occurs in the brains of mice and patients with HD, which suggests that this abnormal activation may contribute to neuronal degeneration in HD. In the present study, we demonstrated that the elevated oxidative stress that was evoked by a polyQ-expanded mutant HTT (mHTT) caused the abnormal activation of AMPK-$\alpha$1 and, subsequently, resulted in neurotoxicity in a striatal progenitor cell line (STHdh(Q109)) and in the striatum of a transgenic mouse model of HD (R6/2). The systematic administration of an antioxidant (N-acetyl-cysteine, NAC) to R6/2 mice suppressed the activation of AMPK-$\alpha$1, reduced neuronal toxicity, which was assessed by the activation of caspases, increased neuronal density, ameliorated ventricle enlargement, and improved motor dysfunction. This beneficial effect of NAC in vivo appears to be direct because NAC also reduced the activation of AMPK-$\alpha$1 and the death of STHdh(Q109) cells upon elevated oxidative stress. Moreover, the activation of AMPK enhanced the level of oxidative stress in STHdh(Q109) cells, in primary neurons of R6/2 mice, and in the striatum of two different HD mouse models (R6/2 and Hdh(150Q/+)), whereas the inhibition of AMPK reduced the level of oxidative stress. Collectively, our findings suggest that positive feedback regulation between the elevated oxidative stress and the activation of AMPK-$\alpha$1 contributes to the progression of HD.},
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author = {Ju, Tz-Chuen and Chen, Hui-Mei and Chen, Yu-Chen and Chang, Ching-Pang and Chang, Chen and Chern, Yijuang},
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doi = {10.1016/j.bbadis.2014.06.012},
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issn = {0006-3002},
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journal = {Biochimica et biophysica acta},
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keywords = {AMP-Activated Protein Kinases,AMP-Activated Protein Kinases: metabolism,Animals,Apoptosis,Atrophy,Atrophy: metabolism,Atrophy: pathology,Blotting, Western,Cell Proliferation,Cells, Cultured,Corpus Striatum,Corpus Striatum: metabolism,Corpus Striatum: pathology,Disease Models, Animal,Humans,Huntington Disease,Huntington Disease: metabolism,Huntington Disease: pathology,Immunoenzyme Techniques,Mice,Mice, Transgenic,Nerve Degeneration,Nerve Tissue Proteins,Nerve Tissue Proteins: physiology,Neurons,Neurons: metabolism,Neurons: pathology,Oxidative Stress},
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mendeley-groups = {nac},
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month = sep,
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number = {9},
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pages = {1668--80},
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pmid = {24946181},
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title = {{AMPK-$\alpha$1 functions downstream of oxidative stress to mediate neuronal atrophy in Huntington's disease.}},
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url = {http://www.ncbi.nlm.nih.gov/pubmed/24946181},
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volume = {1842},
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year = {2014}
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}
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</bibtex>

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