Carnosine: A Multifaceted Antioxidant and Anti-Inflammatory Peptide—Molecular Mechanisms and Biological Relevance

A special issue of Antioxidants (ISSN 2076-3921). This special issue belongs to the section "Natural and Synthetic Antioxidants".

Deadline for manuscript submissions: 31 August 2026 | Viewed by 1262

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Department of Pharmaceutical Sciences, Università degli Studi di Milano, Via L. Mangiagalli 25, 20133 Milan, Italy
Interests: reactive carbonyls species; advanced glycation end products (AGEs); advanced lipoxidation end products (ALEs); sequestering agents; protein adducts
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Special Issue Information

Dear Colleagues,

Carnosine (β-alanyl-L-histidine) is an endogenous dipeptide with well-documented antioxidant and anti-inflammatory properties that are increasingly relevant in the context of chronic and degenerative diseases. Although a large body of experimental evidence supports its cytoprotective activity, the molecular mechanisms underlying these effects remain incompletely resolved.

Early studies primarily attributed carnosine’s biological actions to its direct scavenging of reactive oxygen species and reactive carbonyl species. However, accumulating evidence indicates that carnosine also modulates redox-sensitive signaling pathways, including Nrf2-dependent responses, suggesting a broader mechanism of action that extends beyond simple chemical antioxidant activity. This paradigm shift raises critical questions regarding the contribution of carnosine metabolites, adduct formation with electrophilic species and downstream effects on cellular stress adaptation and inflammation.

Given the central role of oxidative and carbonyl stress in aging, metabolic disorders, neurodegeneration and cancer, a deeper mechanistic understanding of carnosine biology is urgently needed. Clarifying how carnosine integrates chemical scavenging with redox signaling may unlock new therapeutic perspectives.

This Special Issue welcomes original research and critical reviews addressing the molecular mechanisms, disease relevance and translational potential of carnosine in oxidative stress and inflammation-related pathologies.

Prof. Dr. Giancarlo Aldini
Guest Editor

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Keywords

  • carnosine
  • reactive carbonyl species scavenging
  • anti-inflammatory dipeptides
  • oxidative stress pathologies
  • carbonyl stress protection

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Published Papers (1 paper)

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Research

27 pages, 5831 KB  
Article
The Carnosine–HNE Michael Adduct as a Redox-Active Species Associated with Nrf2-Dependent Antioxidant and Anti-Inflammatory Responses
by Alessandra Altomare, Giovanna Baron, Francesca Gado, Larissa Della Vedova, Giulio Ferrario, Lara Davani, Ettore Gilardoni, Rebecca Ferrisi, Clara Mocchetti, Lavpreet Singh, Barbora De Courten, Marina Carini, Rosalba Siracusa, Ramona D’Amico, Rosanna Di Paola, Clelia Dallanoce, Daniela Impellizzeri and Giancarlo Aldini
Antioxidants 2026, 15(3), 388; https://doi.org/10.3390/antiox15030388 - 19 Mar 2026
Viewed by 864
Abstract
Carnosine (CAR), an endogenous histidine-containing dipeptide, exhibits antioxidant and anti-inflammatory activity in various experimental models; however, its molecular mechanism of action remains poorly understood. Here, we demonstrate that the Michael adduct between CAR and 4-hydroxy-2-nonenal (HNE), which has been detected in previous studies [...] Read more.
Carnosine (CAR), an endogenous histidine-containing dipeptide, exhibits antioxidant and anti-inflammatory activity in various experimental models; however, its molecular mechanism of action remains poorly understood. Here, we demonstrate that the Michael adduct between CAR and 4-hydroxy-2-nonenal (HNE), which has been detected in previous studies in both in vitro and in vivo settings, mediates its bioactivity, particularly its antioxidant and anti-inflammatory responses, through Nrf2 activation. The CAR–HNE adduct was synthesized and its physicochemical, metabolic, and biological properties were evaluated. CAR–HNE exhibited high stability in biological matrices and retained the ability to transfer HNE to thiol nucleophiles at a slow rate under physiologically relevant conditions, consistent with electrophile-mediated Nrf2 activation. This kinetic behavior limits the cytotoxicity typically associated with free HNE while preserving the redox signaling capacity. CAR–HNE induced dose-dependent Nrf2 activation and NF-κB inhibition in cell-based assays without the hormetic toxicity observed for free HNE. Mechanistically, CAR–HNE may act as a redox-tunable electrophilic reservoir, restoring nucleophilic tone and modulating redox-sensitive transcription factors. In vivo, CAR–HNE attenuated DSS-induced colitis more effectively than equimolar doses of either carnosine or HNE alone. Proteomic analyses revealed modulation of canonical Nrf2-dependent antioxidant pathways. Our findings suggest a conceptual shift in carnosine biology: rather than acting as a classical antioxidant or carbonyl quencher, carnosine functions as a precursor of redox-active electrophilic adducts that transduce anti-inflammatory and antioxidant responses via controlled RCS signaling. Full article
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