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. 2022 Jun 11;13(5):1914–1929. doi: 10.1093/advances/nmac059

TABLE 3.

Summary of studies assessing the effect of exogenous carnosine, and its constituent amino acids, on hemodynamic parameters1

Supplementation protocol
Study (reference) Species Experimental model Dosages(s) Duration Main results
Allo et al. (47) Rat 45-min coronary artery occlusion + 120-min reperfusion 3% β-alanine 4–28 d β-alanine supplementation did not affect hemodynamic parameters in a diseased model
Lee et al. (86) Rat 40-min ischemia + 30-min reperfusion 1 mM carnosine, 1 mM l-histidine, or 10 mM l-histidine 20 min The LVDP recovery of 1 mM carnosine-treated ischemic hearts improved more than untreated and 10 mM histidine-treated ischemic hearts; 1 mM carnosine and 10 mM histidine improved dP/dt recovery but did not improve coronary flow or HR; 1 mM histidine improved HR recovery but did not improve dP/dt, coronary flow, or LVDP recovery
Ririe et al. (104) Rat Healthy 0.625 – 20 mM carnosine, l-histidine, or β-alanine 30 min Carnosine increased vasodilation in a dose-dependent manner. l-histidine and β-alanine had no vasodilatory effect. β-alanine increased vascular smooth muscle tone in a dose-dependent manner
Niijima et al. (110) Rat Normotensive or hypertensive (2×/wk DOCA + NaCl) 0.1 mg or 1 mg carnosine 5 wk Carnosine had no effect on systolic blood pressure in normotensive rats (116 mmHg vs. 112 mmHg at 0 and 5 wk). Systolic blood pressure increased in the untreated hypertensive rats (114 mmHg vs. 198 mmHg at 0 and 5 wk). Carnosine supplementation decreased the rise in systolic pressure seen with hypertension (0.1 mg carnosine: 115 mmHg vs. 163 mmHg at 0 and 5 wk; 1 mg carnosine: 113 mmHg vs. 148 mmHg at 0 and 5 wk)
Zieba et al. (111) Rabbit Doxorubicin (2 mg · kg–1 · wk–1 for 7 wk) 100 mg · kg–1 · d–1 carnosine 9 wk MAP, CI, and SI decreased with doxorubicin but the addition of carnosine with doxorubicin increased the levels to similar values seen in the untreated and treated groups not exposed to doxorubicin. There was no change in HR or TPR in any of the groups. Carnosine had no effect on haemodyanmic parameters in healthy rabbits not exposed to doxorubicin
Abebe and Mozaffari (46) Rat Endothelial-intact or endothelial-denuded 3% β-alanine 3 wk β-alanine supplementation impaired the relaxation responses of blood vessels to adenosine agonists
Dursun et al. (69) Rat Adriamycin (single dose of 16 mg/kg on day 14) 10 mg · kg–1. d–1 carnosine 2 wk The MAP and LVDP decrease seen with adriamycin was maintained by the addition of carnosine. Similar results were seen with dP/dt; however, this was not significant
Özdoğan et al. (70) Rat Adriamycin (4 doses over 8 d) 10 mg · kg–1 · d–1 carnosine 2 wk The decrease in LVDP and ±dP/dt induced by adriamycin was increased with the addition of carnosine
Pansani et al. (51) Rat Healthy 3% β-alanine 30 d β-alanine supplementation decreased LVSD, HR, EF, and %FS and increased E/A ratios compared with the untreated group
Stefani et al. (112) Rat Coronary heart failure induced by myocardial infraction surgery 250 mg · kg–1 · d–1 β-alanine + 55–75 mg · kg–1 · d–1 l-histidine 8 wk No change in hemodynamic parameters with supplementation
1

CI, cardiac index; dP/dt, first derivative of left ventricular pressure; E/A, relationship between the E and A waves; EF, ejection fraction; FS, fractional shortening; HR, heart rate; LVDP, left ventricular developed pressure; MAP, mean arterial pressure; SI, stroke index; TPR, total peripheral resistance.