PMID- 37441273 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 2590-2571 (Electronic) IS - 2590-2571 (Linking) VI - 4 DP - 2023 TI - The therapeutic potential of carnosine: Focus on cellular and molecular mechanisms. PG - 100153 LID - 10.1016/j.crphar.2023.100153 [doi] LID - 100153 AB - Carnosine is a naturally occurring endogenous dipeptide composed by the ligation of beta-alanine and L-histidine performed particularly by tissues with an increased oxidative metabolism such as muscles and brain. In the last 50 years different studies have assessed the role and function of carnosine through numerous in vitro, in vivo, and clinical studies, demonstrating the multimodal mechanism of action of this dipeptide that includes anti-aggregant, antioxidant, and anti-inflammatory activities. In particular its activity has been investigated in experimental models of cardiovascular disease (CVD), type 2 diabetes mellitus (T2DM), and neurodegenerative disorders, such as cerebral ischemia and Alzheimer's disease (AD). In the present review, we examined the protective role that carnosine could exert in the context of T2DM, CVD, and AD, which show common pathogenic mechanisms including oxidative stress, inflammation, and aggregation phenomena. Carnosine's pharmacodynamic profile is multimodal and combines the systemic anti-inflammatory and antioxidant activities with its anti-aggregant and neuroprotective efficacy in the central nervous system. This enlarged pharmacological activity opens a new path to explore the therapeutic potential of carnosine in all the three diseases, and in particular in patients with T2DM, who often show a history of CVD and also have an increased risk to develop mild cognitive impairment and AD. CI - (c) 2023 The Authors. FAU - Caruso, Giuseppe AU - Caruso G AD - Department of Drug and Health Sciences, University of Catania, Catania, Italy. AD - Unit of Neuropharmacology and Translational Neurosciences, Oasi Research Institute-IRCCS, Troina, Italy. FAU - Di Pietro, Lucia AU - Di Pietro L AD - Department of Drug and Health Sciences, University of Catania, Catania, Italy. AD - Scuola Superiore di Catania, University of Catania, Catania, Italy. FAU - Cardaci, Vincenzo AU - Cardaci V AD - Scuola Superiore di Catania, University of Catania, Catania, Italy. AD - Vita-Salute San Raffaele University, Milano, Italy. FAU - Maugeri, Salvatore AU - Maugeri S AD - Department of Drug and Health Sciences, University of Catania, Catania, Italy. FAU - Caraci, Filippo AU - Caraci F AD - Department of Drug and Health Sciences, University of Catania, Catania, Italy. AD - Unit of Neuropharmacology and Translational Neurosciences, Oasi Research Institute-IRCCS, Troina, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230307 PL - Netherlands TA - Curr Res Pharmacol Drug Discov JT - Current research in pharmacology and drug discovery JID - 9918300982506676 PMC - PMC10333684 OTO - NOTNLM OT - Carnosine OT - Inflammation OT - Neuroprotection OT - Oxidative stress OT - Protein aggregation COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The authors declare no conflict of interest. EDAT- 2023/07/13 19:14 MHDA- 2023/07/13 19:15 PMCR- 2023/03/07 CRDT- 2023/07/13 15:24 PHST- 2023/01/13 00:00 [received] PHST- 2023/01/31 00:00 [revised] PHST- 2023/03/01 00:00 [accepted] PHST- 2023/07/13 19:15 [medline] PHST- 2023/07/13 19:14 [pubmed] PHST- 2023/07/13 15:24 [entrez] PHST- 2023/03/07 00:00 [pmc-release] AID - S2590-2571(23)00001-9 [pii] AID - 100153 [pii] AID - 10.1016/j.crphar.2023.100153 [doi] PST - epublish SO - Curr Res Pharmacol Drug Discov. 2023 Mar 7;4:100153. doi: 10.1016/j.crphar.2023.100153. eCollection 2023.