Evidence map›Paper›PMID 41897532›Full record

ArticleAntioxidants (Basel, Switzerland)2026

The Carnosine-HNE Michael Adduct as a Redox-Active Species Associated with Nrf2-Dependent Antioxidant and Anti-Inflammatory Responses.

Alessandra Altomare, Giovanna Baron, Francesca Gado, Larissa Della Vedova, Giulio Ferrario, Lara Davani, Ettore Gilardoni, Rebecca Ferrisi, Clara Mocchetti, Lavpreet Singh and 8 more

Abstract read
In one paragraph

Article in Antioxidants (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Alessandra AltomareDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-9906-6098
Giovanna BaronDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-9335-6318
Francesca GadoDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0003-2971-0834
Larissa Della VedovaDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0001-5818-6272
Giulio FerrarioDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-8583-6290
Lara DavaniDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.
Ettore GilardoniDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-2010-2667
Rebecca FerrisiDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0001-9709-766X
Clara MocchettiDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.
Lavpreet SinghDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.
Barbora De CourtenSchool of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, Melbourne 3000, Australia.ORCID 0000-0001-8760-2511
Marina CariniDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.
Rosalba SiracusaDepartment of Chemical, Biological, Pharmaceutical and Environmental Science, University of Messina, 98122 Messina, Italy.ORCID 0000-0001-7868-2505
Ramona D'AmicoDepartment of Medicine and Surgery, "Kore" University of Enna (UKE), 94100 Enna, Italy.ORCID 0000-0003-0389-3871
Rosanna Di PaolaDepartment of Veterinary Sciences, University of Messina, 98168 Messina, Italy.ORCID 0000-0001-6725-8581
Clelia DallanoceDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-7383-1484
Daniela ImpellizzeriDepartment of Chemical, Biological, Pharmaceutical and Environmental Science, University of Messina, 98122 Messina, Italy.ORCID 0000-0001-9492-3161
Giancarlo AldiniDepartment of Pharmaceutical Sciences, University of Milan, Via Mangiagalli 25, 20133 Milan, Italy.ORCID 0000-0002-2355-6744

Funding

Ministero dell'università e della ricerca PRIN 2022: D.D. MUR (prot. N. 1017 7th July 2023); CUP J53D23008990006, code: 2022FWB4EX.
6 · The paper itself

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 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.

Indexed as

4-hydroxy-2-nonenal (HNE)anti-inflammatoryantioxidantcarnosineNF-κBNrf2 activation

Identifiers

PMID41897532
PMCPMC13024699

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.