Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Prospects of Intravenous CoenzymeQ10 Administration in Emergency Ischemic Conditions

Version 1 : Received: 13 December 2023 / Approved: 14 December 2023 / Online: 14 December 2023 (09:10:35 CET)

A peer-reviewed article of this Preprint also exists.

Kalenikova, E.I.; Gorodetskaya, E.A.; Povarova, O.V.; Medvedev, O.S. Prospects of Intravenous Coenzyme Q10 Administration in Emergency Ischemic Conditions. Life 2024, 14, 134. Kalenikova, E.I.; Gorodetskaya, E.A.; Povarova, O.V.; Medvedev, O.S. Prospects of Intravenous Coenzyme Q10 Administration in Emergency Ischemic Conditions. Life 2024, 14, 134.

Abstract

Coenzyme CoQ10 (CoQ10) is an endogenous lipid-soluble antioxidant that effectively protects lipids, proteins and DNA from oxidation due to its ability to undergo redox transitions between oxidized and reduced forms. Various oxidative stress-associated infectious and somatic diseases have been observed to disrupt the balance of CoQ10 concentration in tissues. As a high molecular weight polar lipophilic compound, CoQ10 exhibits very limited oral bioavailability, which restrains its therapeutic potential. Nevertheless, numerous studies have confirmed the clinical efficacy of CoQ10 therapy through the oral administration of high doses over extended time periods. Experimental studies have demonstrated that in emergency situations, intravenous administration of both oxidized and reduced forms CoQ10 leads to a rapid increase in its concentration in organ tissues, offering protection in ischemic conditions for organ tissues. This suggests that the cardio- and neuroprotective efficacy of intravenously administered CoQ10 forms could present new opportunities in treating acute ischemic conditions. Based on these findings, the review provides reasoning supporting further research and implementation of CoQ10 dosage forms for intravenous administration in emergency situations into clinical practice.

Keywords

coenzyme Q10; ubiquinol; ubiquinone; brain ischemia; myocardial infarct; intravenous administration

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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