Evidence map›Paper›PMID 42261369›Full record

ReviewNeuropsychiatric disease and treatment2026

Current Evidence of Acetyl-L-Carnitine Use in Mood Disorders-: A Systematic Review and Meta-Analysis.

Rakesh Kumar, Zahra Hashempour, Sara Shahriarirad, Reza Shahriarirad, Leslie C Hassett, Balwinder Singh, Paul E Croarkin, Marin Veldic, Mark A Frye, Sandeep R Pagali

Abstract readReview
In one paragraph

Review in Neuropsychiatric disease and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rakesh KumarDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3916-9263
Zahra HashempourSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Sara ShahriariradSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza ShahriariradDepartment of Surgery Innovation Center, Mayo Clinic, Rochester, MN, USA.
Leslie C HassettMayo Clinic Libraries, Mayo Clinic, Rochester, MN, USA.
Balwinder SinghDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-7062-8192
Paul E CroarkinDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-6843-6503
Marin VeldicDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Mark A FryeDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Sandeep R PagaliDivision of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acetyl-l-carnitine (ALC) is increasingly recognized for its potential psychopharmacological mechanism and role in the treatment of mood disorders, particularly major depressive disorder (MDD) and bipolar disorder (BD). Emerging evidence suggests that ALC levels are reduced in individuals with MDD, and this deficiency may contribute to depressive symptoms through disruptions in mitochondrial fatty acid transport, neuroplasticity, and neurotransmission. This review synthesizes findings from randomized controlled trials, open-label studies, and observational research examining ALC use and clinical outcomes in adults treated with ALC in MDD and BD. A systematic review (n=15) and meta-analysis (n=10) studies (14 randomized controlled trials [RCTs] and 1 open label) involving 809 participants (treatment group: 392; comparator group: 417) revealed that ALC significantly reduces depressive symptoms compared to placebo, with comparable efficacy to standard antidepressants and fewer adverse effects. Subgroup analyses suggest enhanced benefits in older adults and those with treatment-resistant depression. These findings support the potential of ALC as both a biomarker and a therapeutic agent in mood disorders. Further large-scale, longitudinal studies are needed to clarify its clinical utility and mechanistic pathways in mood disorders.

Indexed as

acetyl-L-carnitineALCbipolar depressionmajor depressive disordersmood disorderspersonalized medicine

Identifiers

PMID42261369
PMCPMC13242760

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.