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肌肽的生理和生物学活性综述:从临床前事实到潜在临床应用

A comprehensive review on physiological and biological activities of carnosine: turning from preclinical facts to potential clinical applications.

作者信息

Kumar Akshita, Suryakumar Geetha, Singh Som Nath, Rathor Richa

机构信息

Soldier Performance Division, Defence Institute of Physiology & Allied Sciences (DIPAS), Lucknow Road, Timarpur, Delhi, 110054, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Feb;398(2):1341-1366. doi: 10.1007/s00210-024-03427-7. Epub 2024 Sep 20.

DOI:10.1007/s00210-024-03427-7
PMID:39302423
Abstract

Carnosine, a compound with plethora of benefits, was originally discovered in 1900 and is formed by the amide linkage of β-alanine and L-histidine. Carnosine production is limited by β-alanine whereas the imidazole ring of histidine moiety makes it a suitable buffer in physiological pH range. It is reported to be found in the skeletal muscle, brain, heart, and gastrointestinal tissues of humans. This review focuses on the biological properties of carnosine including pH buffering ability, antioxidant activity, anti-inflammatory activity, anti-aging effect, enhancement of cognitive function, and immunomodulation. The relevance of carnosine in muscle function attributing to enhancement of physical performance has also been highlighted. Studies spanning several years have proved the preclinical effectiveness of carnosine in treating diverse pathological diseases. A complete summary of all key activities of carnosine from in vivo investigations and clinical trials has been compiled. Considering its numerous advantages, carnosine may be a promising option for the development of a nutraceutical.

摘要

肌肽是一种具有诸多益处的化合物,于1900年首次被发现,由β-丙氨酸和L-组氨酸通过酰胺键连接而成。肌肽的产生受β-丙氨酸限制,而组氨酸部分的咪唑环使其成为生理pH范围内合适的缓冲剂。据报道,它存在于人体的骨骼肌、大脑、心脏和胃肠道组织中。本综述重点关注肌肽的生物学特性,包括pH缓冲能力、抗氧化活性、抗炎活性、抗衰老作用、认知功能增强和免疫调节。还强调了肌肽在肌肉功能中对提高身体性能的相关性。历经数年的研究证明了肌肽在治疗多种病理疾病方面的临床前有效性。已汇编了来自体内研究和临床试验的肌肽所有关键活性的完整总结。鉴于其诸多优点,肌肽可能是一种有前景的营养保健品开发选择。

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本文引用的文献

1
Carnosine synthase deficiency aggravates neuroinflammation in multiple sclerosis.肌肽合酶缺乏加重多发性硬化症中的神经炎症。
Prog Neurobiol. 2023 Dec;231:102532. doi: 10.1016/j.pneurobio.2023.102532. Epub 2023 Sep 27.
2
Antioxidant Properties Mediate Nephroprotective and Hepatoprotective Activity of Essential Oil and Hydro-Alcoholic Extract of the High-Altitude Plant .抗氧化特性介导高海拔植物精油和水醇提取物的肾保护和肝保护活性。
Antioxidants (Basel). 2023 May 28;12(6):1167. doi: 10.3390/antiox12061167.
3
Cognitive and negative symptoms in schizophrenia with L-Carnosine adjuvant therapy - A randomized double-blind placebo-controlled study.
左旋肉碱辅助治疗精神分裂症的认知和阴性症状:一项随机、双盲、安慰剂对照研究。
Pharmacol Res Perspect. 2023 Apr;11(2):e01074. doi: 10.1002/prp2.1074.
4
Neuroprotective effects of carnosine in a mice stroke model concerning oxidative stress and inflammatory response.肌肽在小鼠中风模型中对氧化应激和炎症反应的神经保护作用。
J Neurol Sci. 2023 Apr 15;447:120608. doi: 10.1016/j.jns.2023.120608. Epub 2023 Mar 4.
5
Antioxidant and Neuroprotective Effects of Carnosine: Therapeutic Implications in Neurodegenerative Diseases.肌肽的抗氧化和神经保护作用:对神经退行性疾病的治疗意义
Antioxidants (Basel). 2022 Apr 26;11(5):848. doi: 10.3390/antiox11050848.
6
Carnosine synthase deficiency in mice affects protein metabolism in skeletal muscle.小鼠中的肌肽合酶缺乏会影响骨骼肌中的蛋白质代谢。
Biochem Biophys Res Commun. 2022 Jul 5;612:22-29. doi: 10.1016/j.bbrc.2022.04.075. Epub 2022 Apr 19.
7
Absence of endogenous carnosine synthesis does not increase protein carbonylation and advanced lipoxidation end products in brain, kidney or muscle.内源性肌肽合成缺失不会增加大脑、肾脏或肌肉中的蛋白质羰基化和晚期脂质氧化终产物。
Amino Acids. 2022 Jul;54(7):1013-1023. doi: 10.1007/s00726-022-03150-8. Epub 2022 Mar 16.
8
Effect of Oral carnosine supplementation on urinary TGF-β in diabetic nephropathy: a randomized controlled trial.口服肌肽补充对糖尿病肾病患者尿转化生长因子-β的影响:一项随机对照试验。
BMC Nephrol. 2021 Jun 26;22(1):236. doi: 10.1186/s12882-021-02434-7.
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L-carnosine mitigates interleukin-1α-induced dry eye disease in rabbits via its antioxidant, anti-inflammatory, antiapoptotic, and antifibrotic effects.L-肉碱通过抗氧化、抗炎、抗凋亡和抗纤维化作用减轻兔白细胞介素-1α诱导的干眼症。
Cutan Ocul Toxicol. 2021 Sep;40(3):241-251. doi: 10.1080/15569527.2021.1935995. Epub 2021 Jun 16.
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