Role of carnosine in peripheral arterial disease

Active Project Grant Awarded Last action

Award ID
R01HL163419
Recipient
Awarding agency
Obligated
$1,938,898

Award facts

Assistance listing
93.837 Cardiovascular Diseases Research
Completion date 47% complete
Place of performance
Louisville, KY 40202, USA

Award details come from USAspending.gov.

Description

Abstract
Peripheral arterial disease is a serious manifestation of atherosclerosis in the lower extremities. Current interventions approved by FDA are either ineffective or have a modest effect. Surgical revascularization is the only viable option for pad subjects; however, the stents can fail. Patients with pad have marked defects in skeletal muscle metabolism, where the aerobic and anaerobic metabolism are uncoupled, increased acidification of the skeletal muscle and decreased ATP synthesis. In glycolytically active tissue, such as skeletal muscle, there are present histidyl dipeptides, such as carnosine which buffers intracellular PH, under ischemic conditions and facilitate the utilization of glucose during exercise and ischemia. Recent evidence from our laboratory shows that in addition to buffering, carnosine chelates first transition metals and improves angiogenesis, forms conjugates with reactive aldehydes derived from lipid peroxidation and regress atherosclerosis. Hence enhancing carnosine via supplementation, which easily permeates through the ischemic muscle, is easily could be a feasible therapeutic that can target the underlying pathophysiological associated with pad and increase limb function. To achieve this goal, we will treat the pad subjects with carnosine and examine whether the carnosine supplementation improves the lower extremity function. Second, we will perform extensive mechanistic studies to elucidate the mechanism by which carnosine improves the muscle function and finally we will follow these subjects and determine if carnosine has durable effects. Collectively, our pilot clinical trial will help US test the efficacy of carnosine as a low-cost therapeutic intervention for pad patients and the data generated will serve as a strong rationale to design large definitive phase III clinical trial for carnosine.

Transactions

Action Obligated Date
Amendment $632,838
Amendment $645,860
Original award $660,200

Subawards

Subrecipient Amount Awarded
Cincinnati Univ Of Budget period 06/01/2026-05/31/2027 No Change to the SOW currently in place. $25,536
Cincinnati Univ Of Scope of Work: Hypothesis: Augmenting carnosine levels in skeletal muscle may be a viable approach to overcome physical activity limitation in PAD patients.… $33,374
Cincinnati Univ Of Hypothesis: Augmenting carnosine levels in skeletal muscle may be a viable approach to overcome physical activity limitation in PAD patients. We plan to test… $44,496

Quick answers

Who received award R01HL163419?

R01HL163419 was awarded to University Of Louisville by National Heart Lung and Blood Institute (National Institutes of Health) on August 15, 2024.

How much is award R01HL163419 worth?

$1,938,898 has been obligated on R01HL163419.

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