Clin. Lab. Haem.
1998, 20, 239–244
Carnosine and anserine as modulators of
neutrophil function
K.M.L. TAN Department of Biochemistry, Faculty of Medicine,
J.K. CANDLISH National University of Singapore, Singapore
Summary Carnosine and anserine, the bioactive peptides found in most meats and fish, were tested for
their ability to modulate neutrophil and U937 cell function, specifically with respect to
respiratory burst, interleukin-1b production and apoptosis. Both peptides increased the
respiratory burst and interleukin-1b production of human neutrophils but not of U937 cells.
They suppressed apoptosis of human neutrophils but enhanced apoptosis of U937 cells as
assessed by DNA strand breaks. These results suggest that carnosine and anserine have the
capacity to modulate the immune response at least in human neutrophils.
Keywords Carnosine, neutrophils, superoxide, interleukin-1b, apoptosis
Introduction
Carnosine (N-b-alanyl-L-histidine) and anserine (N-b-ala-
nyl-1-methyl-L-histidine) are found in skeletal muscle of
most vertebrates, including those used for food; for exam-
ple, 100 g of chicken breast contains 400 mg (17.6
mmol/L) of carnosine and 1020 mg (33.6 mmol/l) of anser-
ine (Crush 1970). In humans, carnosine and related dipep-
tides have been detected in skeletal muscle, cardiac muscle
and brain and are primarily associated with the myofibrils
(Jackson & Lenney 1995). The concentration of carnosine
is approximately 20 mmol/l in human skeletal muscle
(Decker 1995). Many actions of carnosine have been
reported. It is a pH buffer in skeletal muscle (Babizhayev et
al. 1994) and has antioxidant activity (Boldyrev et al.
1995). It is thought to be a neuromodulator in the olfactory
system (Davidson & Sittman 1994), has been shown to
inhibit the growth of neoplastic cells (Holliday & McFarland
1996) and is also known to have effects on vascular smooth
muscle tone (O’Dowd, O’Dowd & Miller 1996). However,
the precise physiological role of carnosine remains unclear.
Anserine, not being found in humans, has been less studied.
Bioactive constituents of foods have been shown to regu-
late aspects of immune responses (Kitts et al. 1993). This
prompted us to examine the effects of carnosine and anser-
ine on human neutrophils and the U937 promonocytic
human cell line. Because carnosine and anserine are anti-
oxidants, the leucocytes tested were those that generate
reactive oxygen intermediates. The neutrophil is a chemo-
tactic, phagocytic, polymorphonuclear cell which is the
Accepted for publication 27 November 1997
Correspondence Author: Dr J.K. Candlish, Department of Biochem-
istry, Faculty of Medicine, National University of Singapore, 10 Kent
Ridge Crescent, Singapore 119260, Republic of Singapore.
© 1998 Blackwell Science Limited
first cell type to migrate to the site of infection (Smith
1994). Being the most abundant phagocyte, it has an
important role in acute inflammation. The U937 cell line
is a promonocytic cell line that can be induced to express
macrophage-like characteristics by a variety of stimuli
(Sundstrom & Nilsson 1976). In this study, it was used as
a comparator to the terminally differentiated, end-stage
neutrophils.
The three functions of these cells examined were the
respiratory burst, interleukin-1b (IL-1b) production, and
apoptosis. Cell surface stimulation of neutrophils and
monocytes leads to a respiratory burst in which oxygen
consumption increases markedly and superoxide radicals
are formed; in addition, there is a mechanism called priming
whereby dormant neutrophils acquire a state of pre-
activation that enables a more powerful response to be
generated once microbicidal activity is activated (Smith
1994). In this study we examined whether the dipeptides
carnosine and anserine can stimulate neutrophils to
increase superoxide anion production in the oxidative res-
piratory burst.
IL-1 is an inflammatory cytokine that is synthesized and
released by human neutrophils (Lloyd & Oppenheim 1992)
and stimulated U937 cells (Palacios et al. 1982). IL-1a
and IL-1b are ligands for the same receptors and have
indistinguishable functions, including chemotactic attrac-
tion of neutrophils and macrophages (Dinarello 1991).
During the inflammatory process, IL-1 produced by human
neutrophils may stimulate the synthesis and release of
acute phase reactants, augment T- and B-cell activation
and induce other regulatory cytokines such as interleukin-
6 (IL-6), interleukin-8 (IL-8) and granulocyte-macrophage
colony stimulating factor (GM-CSF) (Lloyd & Oppenheim
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