Journal of Clinical Medicine Review Potential Role of L-Carnitine in Autism Spectrum Disorder Alina K˛epka 1,† , Agnieszka Ochoci ´nska 1,*,† , Sylwia Chojnowska 2 , Małgorzata Borzym-Kluczyk 3, Ewa Skorupa 1, Małgorzata Kna´s 2 and Napoleon Waszkiewicz 4 1 Department of Biochemistry, Radioimmunology and Experimental Medicine, The Children’s Memorial Health Institute, 04-730 Warsaw, Poland;
[email protected] (A.K.);
[email protected] (E.S.) 2 Faculty of Health Sciences, Lomza State University of Applied Sciences, 18-400 Lomza, Poland;
[email protected] (S.C.);
[email protected] (M.K.) 3 Department of Pharmaceutical Biochemistry, Medical University of Bialystok, 15-089 Bialystok, Poland;
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[email protected]; Tel.: +48-22-815-73-01 † These authors are sharing the first place. Both contributed equally to this work. Abstract: L-carnitine plays an important role in the functioning of the central nervous system, and especially in the mitochondrial metabolism of fatty acids. Altered carnitine metabolism, abnormal fatty acid metabolism in patients with autism spectrum disorder (ASD) has been documented. ASD is a complex heterogeneous neurodevelopmental condition that is usually diagnosed in early child- hood. Patients with ASD require careful classification as this heterogeneous clinical category may include patients with an intellectual disability or high functioning, epilepsy, language impairments, or associated Mendelian genetic conditions. L-carnitine participates in the long-chain oxidation of fatty acids in the brain, stimulates acetylcholine synthesis (donor of the acyl groups), stimulates ex- pression of growth-associated protein-43, prevents cell apoptosis and neuron damage and stimulates Citation: K˛epka,A.; Ochoci´nska,A.; neurotransmission.