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Everything about Carnitine totally explained

Carnitine is a quaternary ammonium compound biosynthesized from the amino acids lysine and methionine. In living cells, it's required for the transport of fatty acids from the cytosol into the mitochondria during the breakdown of lipids (or fats) for the generation of metabolic energy. It is often sold as a nutritional supplement. Carnitine was originally found as a growth factor for mealworms and labeled vitamin Bt. Carnitine exists in two stereoisomers: its biologically active form is L-carnitine, while its enantiomer, D-carnitine, is biologically inactive.(External Link)

Production

In animals, carnitine is biosynthesized primarily in the liver and kidneys from the amino acids lysine or methionine . Vitamin C (ascorbic acid) is essential to the synthesis of carnitine. During growth or pregnancy the requirement of carnitine might exceed its natural production.

Role in fatty acid metabolism

Carnitine transports long-chain acyl groups from fatty acids into the mitochondrial matrix, so that they can be broken down through β-oxidation to acetate to obtain usable energy via the citric acid cycle. In some organisms such as fungi, the acetate is used in the glyoxylate cycle for gluconeogenesis and formation of carbohydrates. Fatty acids must be activated before binding to the carnitine molecule to form acyl-carnitine. The free fatty acid in the cytosol is attached with a thioester bond to coenzyme A (CoA). This reaction is catalyzed by the enzyme fatty acyl-CoA synthetase and driven to completion by inorganic pyrophosphatase.
   The acyl group on CoA can now be transferred to carnitine and the resulting acyl-carnitine transported into the mitochondrial matrix. This occurs via a series of similar steps:
  1. Acyl-CoA is conjugated to carnitine by carnitine acyltransferase I (palmitoyltransferase) located on the outer mitochondrial membrane
  2. Acyl-carnitine is shuttled inside by a carnitine-acylcarnitine translocase
  3. Acyl-carnitine is converted to acyl-CoA by carnitine acyltransferase II (palmitoyltransferase) located on the inner mitochondrial membrane. The liberated carnitine returns to the cytosol.
Human genetic disorders such as primary carnitine deficiency, carnitine palmitoyltransferase I deficiency, carnitine palmitoyltransferase II deficiency and carnitine-acylcarnitine translocase deficiency affect different steps of this process.
   Carnitine acyltransferase I undergoes allosteric inhibition as a result of malonyl-CoA, an intermediate in fatty acid biosynthesis, in order to prevent futile cycling between β-oxidation and fatty acid synthesis.

Effects on bone mass

In the course of human aging, carnitine concentration in cells diminishes affecting fatty acid metabolism in various tissues. Particularly adversely affected are bones which require continuous reconstructive and metabolic functions of osteoblasts for maintenance of bone mass.
   There is a close correlation between changes in plasma levels of osteocalcin and osteoblast activity and a reduction in osteocalcin plasma levels is an indicator of reduced osteoblast activity, which appears to underlie osteoporosis in elderly subjects and in postmenopausal women. Administration of a carnitine mixture or propionyl-L-carnitine is capable of increasing serum osteocalcin concentrations of animals thus treated, whereas serum osteocalcin levels tend to decrease with age in control animals.

Antioxidant effects

The carnitines exert a substantial antioxidant action, thereby providing a protective effect against lipoperoxidation of phospholipid membranes and against oxidative stress induced at the myocardial and endothelial cell level.

Effects on diabetes

L-Carnitine improved glucose disposal among 15 patients with type II diabetes and 20 healthy volunteers. Glucose storage increased between both groups, but glucose oxidation increased only in the diabetic group. Finally, glucose uptake increased about 8% for both.

Food sources

The highest concentrations of carnitine are found in red meat and dairy products. Other natural sources of carnitine include nuts and seeds (for example pumpkin, sunflower, sesame), legumes or pulses (beans, peas, lentils, peanuts), vegetables (artichokes, asparagus, beet greens, broccoli, brussels sprouts, collard greens, garlic, mustard greens, okra, parsley), fruits (apricots, bananas), cereals (buckwheat, corn, millet, oatmeal, rice bran, rye, whole wheat, wheat bran, wheat germ) and other 'health' foods (bee pollen, brewer's yeast, carob, and kale).
Product Quantity Carnitine
Beef Steak 3.5 oz 95 mg
Ground Beef 3.5 oz 94 mg
Pork 3.5 oz 27.7 mg
Bacon 3.5 oz 23.3 mg
Tempeh half cup 19.5 mg
Cod Fish 3.5 oz  5.6 mg
Chicken Breast 3.5 oz  3.9 mg
American Cheese 3.5 oz  3.7 mg
Ice Cream 3.5 fl oz  3.7 mg
Whole Milk 3.5 fl oz  3.3 mg
Avocado one medium 2 mg
Cottage Cheese 3.5 fl oz  1.1 mg
Whole Wheat Bread 3.5 oz  0.36 mg
Asparagus 3.5 oz  0.195 mg
White Bread 3.5 oz  0.147 mg
Macaroni 3.5 oz  0.126 mg
Peanut Butter 3.5 oz  0.083 mg
Rice (cooked) 3.5 oz  0.0449 mg
Eggs 3.5 oz  0.0121 mg
Orange Juice 3.5 fl oz  0.0019 mg
Generally, 20 to 200 mg/day are ingested per day by those on an omnivorous diet, while those on a strict vegetarian or vegan diet may ingest as little as 1 mg/day.

Other sources

Other sources may be found in over-the-counter vitamins, energy drinks and various other products. Products containing L-carnitine can't be marketed as "natural health products" in Canada. L-Carnitine products and supplements are not allowed to be imported into Canada (Health Canada).

As a weight loss supplement

"Although L-carnitine has been marketed as a weight-loss supplement, there's no scientific evidence to date to show that it improves weight loss. A recent study of moderately overweight women found that L-carnitine didn't significantly alter body weight, body fat, or lean body mass. Based on the results of this one small study, claims that L-carnitine helps reduce weight are not supported at this time."

Further Information

Get more info on 'Carnitine'.


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