Abstract

It is suggested that the non-toxic dipeptide carnosine (beta-alanyl-L-histidine) should be examined as a potential protective agent against COVID-19 infection and inflammatory consequences especially in the elderly. Carnosine is an effective anti-inflammatory agent which can also inhibit CD26 and ACE2 activity. It is also suggested that nasal administration would direct the peptide directly to the lungs and escape the attention of serum carnosinase.

Highlights

  • It is suggested that the non-toxic dipeptide carnosine should be examined as a potential protective agent against COVID-19 infection and inflammatory consequences especially in the elderly

  • Recent studies have shown that carnosine and acetylcarnosine are present in human blood; carnosine is present in erythrocytes and acetyl-carnosine is mostly in serum; erythrocytes normally contain carnosine and 10-fold less acetyl-carnosine, while the situation is reversed in serum where acetyl-carnosine is the predominant form

  • These levels decline in elderly humans [38] and low levels of acetyl-carnosine are associated with enhanced frailty [39]

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Summary

Carnosine and blood

Another role for carnosine could include beneficial effects in blood. Recent findings suggest that COVID-19 infection can promote in some patients a hypercoagulatory state, which is associated increased mortality [34]. Recent studies have shown that carnosine and acetylcarnosine are present in human blood; carnosine is present in erythrocytes and acetyl-carnosine is mostly in serum; erythrocytes normally contain carnosine and 10-fold less acetyl-carnosine, while the situation is reversed in serum where acetyl-carnosine is the predominant form These levels decline in elderly humans [38] and low levels of acetyl-carnosine are associated with enhanced frailty [39]. Erythrocytes from schizophrenics show evidence of increased aging-related protein glycation [44], while dietary carnosine supplementation has been shown to produce beneficial effects in schizophrenics [45], possibly due, in part, to carnosine’s anti-glycating activity [11,12]

Carnosine as a possible senotherapeutic
Conclusion

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