Mitochondrial-supported bioenergetics decline and oxidative stress increases during aging. To address whether the dietary addition of acetyl-L-carnitine [ALCAR, 1.5% (wt͞vol) in the drinking water] and͞or (R)-␣-lipoic acid [LA, 0.5% (wt͞wt) in the chow] improved these endpoints, young (2-4 mo) and old (24 -28 mo) F344 rats were supplemented for up to 1 mo before death and hepatocyte isolation. ALCAR؉LA partially reversed the age-related decline in average mitochondrial membrane potential and significantly increased (P ؍ 0.02) hepatocellular O 2 consumption, indicating that mitochondrial-supported cellular metabolism was markedly improved by this feeding regimen. ALCAR؉LA also increased ambulatory activity in both young and old rats; moreover, the improvement was significantly greater (P ؍ 0.03) in old versus young animals and also greater when compared with old rats fed ALCAR or LA alone. To determine whether ALCAR؉LA also affected indices of oxidative stress, ascorbic acid and markers of lipid peroxidation (malondialdehyde) were monitored. The hepatocellular ascorbate level markedly declined with age (P ؍ 0.003) but was restored to the level seen in young rats when ALCAR؉LA was given. The level of malondialdehyde, which was significantly higher (P ؍ 0.0001) in old versus young rats, also declined after ALCAR؉LA supplementation and was not significantly different from that of young unsupplemented rats. Feeding ALCAR in combination with LA increased metabolism and lowered oxidative stress more than either compound alone. H armon, Miguel, and others (1, 2) postulated that mitochondrial decay is a significant factor in aging, caused, in part, by the release of reactive oxygen species (ROS) as by-products of mitochondrial electron transport. Mitochondria are targets of their own oxidant by-products. The steady-state oxidative damage in mitochondria is high relative to other organelles, and the percentage of oxygen converted to superoxide increases with age (3-6). This leads to a vicious cycle of increasing mitochondrial damage, which adversely affects cell function (7), and results in a loss of ATP-generating capacity, especially in times of greater energy demand, thereby compromising vital ATP-dependent reactions. Cellular processes affected by mitochondrial decay include detoxification, repair systems, DNA replication, osmotic balance, and higher-order processes (7), such as cognitive function (7-9). Thus, preservation of mitochondrial function is important for maintaining overall health during aging (7). This theory is buttressed by the observation that caloric restriction, the only known regimen to increase mean life span in animals, maintains mitochondrial function and lowers oxidant production (7,8,(10)(11)(12). A spartan diet of calorie restriction appears to be too unappealing to be widely adopted in humans, and thus other alternative regimens to improve or maintain normal mitochondrial activities have been sought.Several dietary supplements, including the mitochondrial cofactor and antioxidant lipoi...