Uptake, recycling, and antioxidant actions of α-lipoic acid in endothelial cells

alpha-Lipoic acid. which becomes a powerful antioxidant in its reduced form, has been suggested as a dietary supplement to treat diseases associated with excessive oxidant stress. Because the vascular endothelium is dysfunctional in many of these conditions, we Studied the uptake. reduction, and antioxidant effects of a-lipoic acid in cultured human endothelial cells (EA.hy926). Using a new assay for dihydrolipoic acid. we found that EA.hy926 cells rapidly take up and reduce a-lipoic acid to dihydrolipoic acid, most of which is released into the incubation medium. Nonetheless, the cells maintain dihydrolipoic acid following overnight culture, probably by recycling it from a-lipoic acid. Acute reduction of a-lipoic acid activates the pentose phosphate cycle and consumes nicotinamide adenine dinucleotide phosphate (NADPH). Lysates of EA.hy926 cells reduce a-lipoic acid using both NADPH and nicotinamide adenine dinucleotide (NADH) as electron donors, although NADPH-dependent reduction is about twice that due to NADH. NADPH-dependent alpha-lipoic acid reduction is mostly due to thioredoxin reductase. Pre-incubation of cells with a-lipoic acid increases their capacity to reduce extracellular ferricyanide, to recycle intracellular dehydroascorbic acid to ascorbate, to decrease reactive oxygen species generated by redox cycling of menadione, and to generate nitric oxide. These results show that a-lipoic acid enhances both the antioxidant defenses and the function of endothelial cells. (C) 2002 Elsevier Science Inc.