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{{Short description|Chemical compound}}
{{Drugbox
{{cs1 config|name-list-style=vanc|display-authors=6}}
| verifiedrevid = 458150235
{{Infobox drug
| IUPAC_name = 2-trimethylazaniumylethyl phosphate
| Verifiedfields = changed
| image = Choline alfoscerate.svg
| Watchedfields = changed
| verifiedrevid = 458279808
| IUPAC_name = 2-trimethylazaniumylethyl phosphate <!-- see www.fda.gov/ucm/groups/fdagov-public/@fdagov-foods-gen/documents/document/ucm299330.pdf#page=12 -->
| image = L-alpha-GPC Structural Formula V.1.svg


<!--Clinical data--> <!--Clinical data-->
| tradename = | tradename =
| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> | pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X -->
| pregnancy_US = <!-- A / B / C / D / X --> | pregnancy_US = <!-- A / B / C / D / X -->
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<!--Identifiers--> <!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}} | CAS_number_Ref = {{cascite|changed|??}}
| CAS_number = <!-- blanked - oldvalue: 28319-77-9 --> | CAS_number = 28319-77-9
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 60M22SGW66
| ATC_prefix = N07 | ATC_prefix = N07
| ATC_suffix = AX02 | ATC_suffix = AX02
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEBI = 55397 | ChEBI = 55397
| PubChem = 71920 | PubChem = 657272
| DrugBank_Ref = {{drugbankcite|correct|drugbank}} | DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 571409 | ChemSpiderID = 571409
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 1567463
| smiles = P(=O)(OC(O)CO)OCC(C)(C)C | smiles = P(=O)(OC(O)CO)OCC(C)(C)C
| InChI = 1/C8H20NO6P/c1-9(2,3)4-5-14-16(12,13)15-7-8(11)6-10/h8,10-11H,4-7H2,1-3H3/t8-/m1/s1
| InChIKey = SUHOQUVVVLNYQR-MRVPVSSYBR
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} | StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C8H20NO6P/c1-9(2,3)4-5-14-16(12,13)15-7-8(11)6-10/h8,10-11H,4-7H2,1-3H3/t8-/m1/s1 | StdInChI = 1S/C8H20NO6P/c1-9(2,3)4-5-14-16(12,13)15-7-8(11)6-10/h8,10-11H,4-7H2,1-3H3/t8-/m1/s1
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<!--Chemical data--> <!--Chemical data-->
| C=8 | H=20 | N=1 | O=6 | P=1 | C=8 | H=20 | N=1 | O=6 | P=1
| molecular_weight = 257.221 g/mol
}} }}


'''L-Alpha Glycerylphosphorylcholine''' ('''Alpha GPC''', '''choline alfoscerate''') is a natural ] compound found in the brain and in milk. It is also a ] ] precursor<ref name="pmid12637119">{{cite journal |author=De Jesus Moreno Moreno M |title=Cognitive improvement in mild to moderate Alzheimer's dementia after treatment with the acetylcholine precursor choline alfoscerate: a multicenter, double-blind, randomized, placebo-controlled trial |journal=Clin Ther |volume=25 |issue=1 |pages=178–93 |year=2003 |month=January |pmid=12637119 |doi= 10.1016/S0149-2918(03)90023-3|url=http://linkinghub.elsevier.com/retrieve/pii/S0149291803900233}}</ref> which may have potential for the treatment of ] and is used as a ] ] to enhance memory and cognition. '''<small>L</small>-α-Glycerophosphorylcholine''' ('''alpha-GPC''', '''choline alfoscerate''', '''''sn''-glycero-3-phosphocholine''') is a natural ] compound found in the brain. It is also a ] ] precursor<ref name="pmid12637119">{{cite journal | vauthors = De Jesus Moreno Moreno M | title = Cognitive improvement in mild to moderate Alzheimer's dementia after treatment with the acetylcholine precursor choline alfoscerate: a multicenter, double-blind, randomized, placebo-controlled trial | journal = Clinical Therapeutics | volume = 25 | issue = 1 | pages = 178–93 | date = January 2003 | pmid = 12637119 | doi = 10.1016/S0149-2918(03)90023-3 }}</ref> which has been investigated for its potential for the treatment of ]<ref name="Parnetti">{{cite journal | vauthors = Parnetti L, Mignini F, Tomassoni D, Traini E, Amenta F | title = Cholinergic precursors in the treatment of cognitive impairment of vascular origin: ineffective approaches or need for re-evaluation? | journal = Journal of the Neurological Sciences | volume = 257 | issue = 1–2 | pages = 264–9 | date = June 2007 | pmid = 17331541 | doi = 10.1016/j.jns.2007.01.043 | s2cid = 34661218 }}
</ref> and other ]s.<ref name="Doggrell">{{cite journal | vauthors = Doggrell SA, Evans S | title = Treatment of dementia with neurotransmission modulation | journal = Expert Opinion on Investigational Drugs | volume = 12 | issue = 10 | pages = 1633–54 | date = October 2003 | pmid = 14519085 | doi = 10.1517/13543784.12.10.1633 | s2cid = 46175609 }}</ref>


Alpha-GPC rapidly delivers ] to the brain across the ] and is a biosynthetic precursor of ].<ref name="Parnetti" /> It is a non-prescription drug in most countries. The ] determined that intake of no more than 196.2&nbsp;mg/person/day is considered ] (GRAS).<ref>{{cite web |url= https://www.accessdata.fda.gov/scripts/fcn/gras_notices/GRN000419.pdf | archive-url = https://web.archive.org/web/20131224102629/https://www.accessdata.fda.gov/scripts/fcn/gras_notices/GRN000419.pdf | archive-date = 24 December 2013 |title= Generally Recognized as Safe (GRAS) Determination for the Use of AlphaSize® Alpha-Glycerylphosphoryl Choline | date = 25 January 2012 | publisher = United States Food and Drug Administration }}</ref>
Alpha GPC rapidly delivers ] to the brain across the blood-brain barrier and is a biosynthetic precursor of the acetylcholine neurotransmitter.<ref>{{cite journal
| last =Parnetti
| first = Lucilla
| coauthors = et al.
| year = 2007
| title = Cholinergic precursors in the treatment of cognitive impairment of vascular origin: Ineffective approaches or need for re-evaluation?
| journal = Journal of the Neurological Sciences
| volume = 257
| pages = 264–9
| pmid = 17331541
| issue =1–2
| doi =10.1016/j.jns.2007.01.043
}}
</ref> Alpha GPC is derived from highly purified soy ].


== Production ==
Studies have investigated its efficacy for cognitive disorders including stroke and ]. An Italian multicentre clinical trial on 2,044 patients suffering from recent stroke were supplied alpha-GPC in doses of 1,000&nbsp;mg/day for 28&nbsp;days and 400&nbsp;mg three times per day for the five ensuing months. The trial confirmed the therapeutic role of alpha-GPC on the cognitive recovery of patients based on four measurement scales, three of which reached statistical significance.<ref>Barbagallo Sangiorgi G, et al. "Alpha-Glycerophosphocholine in the mental recovery of cerebral ischemic attacks." An Italian multicenter clinical trial. Ann NY Acad Sci 1994; 717:253-69.</ref>
Industrially, alpha-GPC is produced by the chemical or enzymatic deacylation of ] enriched soya ] followed by ]. Alpha-GPC may also be derived in small amounts from highly purified soy ] as well as from purified sunflower lecithin.<ref name="Traini_2013">{{cite journal | vauthors = Traini E, Bramanti V, Amenta F | title = Choline alphoscerate (alpha-glyceryl-phosphoryl-choline) an old choline- containing phospholipid with a still interesting profile as cognition enhancing agent | journal = Current Alzheimer Research | volume = 10 | issue = 10 | pages = 1070–9 | date = December 2013 | pmid = 24156263 | doi = 10.2174/15672050113106660173 }}</ref><ref name="Scapicchio_2013">{{cite journal | vauthors = Scapicchio PL | title = Revisiting choline alphoscerate profile: a new, perspective, role in dementia? | journal = The International Journal of Neuroscience | volume = 123 | issue = 7 | pages = 444–9 | date = July 2013 | pmid = 23387341 | doi = 10.3109/00207454.2013.765870 | url = }}</ref>


== Safety ==
Commonly used doses are 300-1,200&nbsp;mg daily.
Alpha-GPC metabolizes to ] in the gastrointestinal tract, which has implications for cardiovascular health. In one study, risk of stroke over a ten-year period was increased by about 40% in users of alpha-GPC.<ref>{{cite journal | vauthors = Lee G, Choi S, Chang J, Choi D, Son JS, Kim K, Kim SM, Jeong S, Park SM | title = Association of L-α Glycerylphosphorylcholine With Subsequent Stroke Risk After 10 Years | journal = JAMA Network Open | volume = 4 | issue = 11 | pages = e2136008 | date = November 2021 | pmid = 34817582 | pmc = 8613599 | doi = 10.1001/jamanetworkopen.2021.36008 }}</ref>


== References == == References ==
{{Reflist|2}} {{Reflist|2}}


== External links ==

*
{{Dietary_supplements}} {{Dietary_supplements}}

{{Nootropics}}
{{Acetylcholine receptor modulators}}
{{Cholinergics}}


{{DEFAULTSORT:Alpha-Gpc}} {{DEFAULTSORT:Alpha-Gpc}}

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Latest revision as of 01:35, 9 September 2024

Chemical compound

Pharmaceutical compound
Glycerophosphorylcholine
Clinical data
ATC code
Legal status
Legal status
Identifiers
IUPAC name
  • 2-trimethylazaniumylethyl phosphate
CAS Number
PubChem CID
ChemSpider
UNII
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.044.496 Edit this at Wikidata
Chemical and physical data
FormulaC8H20NO6P
Molar mass257.223 g·mol
3D model (JSmol)
SMILES
  • P(=O)(OC(O)CO)OCC(C)(C)C
InChI
  • InChI=1S/C8H20NO6P/c1-9(2,3)4-5-14-16(12,13)15-7-8(11)6-10/h8,10-11H,4-7H2,1-3H3/t8-/m1/s1
  • Key:SUHOQUVVVLNYQR-MRVPVSSYSA-N
  (what is this?)  (verify)

L-α-Glycerophosphorylcholine (alpha-GPC, choline alfoscerate, sn-glycero-3-phosphocholine) is a natural choline compound found in the brain. It is also a parasympathomimetic acetylcholine precursor which has been investigated for its potential for the treatment of Alzheimer's disease and other dementias.

Alpha-GPC rapidly delivers choline to the brain across the blood–brain barrier and is a biosynthetic precursor of acetylcholine. It is a non-prescription drug in most countries. The FDA determined that intake of no more than 196.2 mg/person/day is considered generally recognized as safe (GRAS).

Production

Industrially, alpha-GPC is produced by the chemical or enzymatic deacylation of phosphatidylcholine enriched soya phospholipids followed by chromatographic purification. Alpha-GPC may also be derived in small amounts from highly purified soy lecithin as well as from purified sunflower lecithin.

Safety

Alpha-GPC metabolizes to trimethylamine n-oxide in the gastrointestinal tract, which has implications for cardiovascular health. In one study, risk of stroke over a ten-year period was increased by about 40% in users of alpha-GPC.

References

  1. De Jesus Moreno Moreno M (January 2003). "Cognitive improvement in mild to moderate Alzheimer's dementia after treatment with the acetylcholine precursor choline alfoscerate: a multicenter, double-blind, randomized, placebo-controlled trial". Clinical Therapeutics. 25 (1): 178–93. doi:10.1016/S0149-2918(03)90023-3. PMID 12637119.
  2. ^ Parnetti L, Mignini F, Tomassoni D, Traini E, Amenta F (June 2007). "Cholinergic precursors in the treatment of cognitive impairment of vascular origin: ineffective approaches or need for re-evaluation?". Journal of the Neurological Sciences. 257 (1–2): 264–9. doi:10.1016/j.jns.2007.01.043. PMID 17331541. S2CID 34661218.
  3. Doggrell SA, Evans S (October 2003). "Treatment of dementia with neurotransmission modulation". Expert Opinion on Investigational Drugs. 12 (10): 1633–54. doi:10.1517/13543784.12.10.1633. PMID 14519085. S2CID 46175609.
  4. "Generally Recognized as Safe (GRAS) Determination for the Use of AlphaSize® Alpha-Glycerylphosphoryl Choline" (PDF). United States Food and Drug Administration. 25 January 2012. Archived from the original (PDF) on 24 December 2013.
  5. Traini E, Bramanti V, Amenta F (December 2013). "Choline alphoscerate (alpha-glyceryl-phosphoryl-choline) an old choline- containing phospholipid with a still interesting profile as cognition enhancing agent". Current Alzheimer Research. 10 (10): 1070–9. doi:10.2174/15672050113106660173. PMID 24156263.
  6. Scapicchio PL (July 2013). "Revisiting choline alphoscerate profile: a new, perspective, role in dementia?". The International Journal of Neuroscience. 123 (7): 444–9. doi:10.3109/00207454.2013.765870. PMID 23387341.
  7. Lee G, Choi S, Chang J, Choi D, Son JS, Kim K, et al. (November 2021). "Association of L-α Glycerylphosphorylcholine With Subsequent Stroke Risk After 10 Years". JAMA Network Open. 4 (11): e2136008. doi:10.1001/jamanetworkopen.2021.36008. PMC 8613599. PMID 34817582.

External links

Dietary supplements
Types
Vitamins and
chemical elements
("minerals")
Other common
ingredients
Related articles
Acetylcholine receptor modulators
Muscarinic acetylcholine receptor modulators
mAChRsTooltip Muscarinic acetylcholine receptors
Agonists
Antagonists
Precursors
(and prodrugs)
See also
Receptor/signaling modulators
Nicotinic acetylcholine receptor modulators
Acetylcholine metabolism/transport modulators
Nicotinic acetylcholine receptor modulators
nAChRsTooltip Nicotinic acetylcholine receptors
Agonists
(and PAMsTooltip positive allosteric modulators)
Antagonists
(and NAMsTooltip negative allosteric modulators)
Precursors
(and prodrugs)
See also
Receptor/signaling modulators
Muscarinic acetylcholine receptor modulators
Acetylcholine metabolism/transport modulators
Categories: