Effects of alpha lipoic acid and its R+ enantiomer supplemented to hyperbaric oxygen therapy on interleukin-6, TNF-α and EGF production in chronic leg wound healing | Canada Hyperbarics Skip to main content
RCT J Enzyme Inhib Med Chem 2014

Effects of alpha lipoic acid and its R+ enantiomer supplemented to hyperbaric oxygen therapy on interleukin-6, TNF-α and EGF production in chronic leg wound healing

Nasole E, Nicoletti C, Yang Z, Girelli A, Rubini A, Giuffreda F, et al. — J Enzyme Inhib Med Chem, 2014

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a randomized controlled trial to compare the effects of lipoic acid (LA) or its R-(+)-lipoic acid (RLA) enantiomer, both supplemented to hyperbaric oxygen therapy (HBOT), on chronic leg wound healing.

What They Found

Ulcers improved more significantly in the RLA group compared to the LA and placebo groups. Both LA and RLA groups demonstrated increased EGF and VEGF levels over time, while RLA uniquely decreased IL-6 on days 7 and 14, and TNF-α levels decreased on day 14 in both active treatment groups.

What This Means for Canadian Patients

For Canadian patients with chronic leg wounds undergoing hyperbaric oxygen therapy, supplementing with R-(+)-lipoic acid may offer superior healing outcomes compared to standard lipoic acid. This could potentially lead to faster wound closure and reduced inflammation, improving their overall quality of life.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

The study's relatively short duration and specific patient population may limit the generalizability of these findings.

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Study Details

Study Type RCT
Category Wound Care
Source Pubmed
PubMed ID 23360079
Year Published 2014
Journal J Enzyme Inhib Med Chem
MeSH Terms Aged; Aged, 80 and over; Antioxidants; Chronic Disease; Combined Modality Therapy; Diabetic Foot; Double-Blind Method; Epidermal Growth Factor; Female; Humans; Hyperbaric Oxygenation; Interleukin-6; Male; Middle Aged; Stereoisomerism; Thioctic Acid; Tumor Necrosis Factor-alpha; Wound Healing

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.