N-acetylcarnosine eye drops penetrate the eye and act as a decoy to prevent lens glycation in cataracts.
"You need the N-acetyl to drive it as a as a Trojan horse. It goes it pushes it through the eye in these drops. You can get them. You'll see them probably for dogs, but they have them for humans as well. So you put it on your eye, it goes into the eye, and it helps to, um, act as a decoy to to prevent this—it's called glycation—on the, uh, the lens." (said at 0:36:14)
The speaker accurately describes the biochemical rationale and prodrug design of N-acetylcarnosine (NAC): unmodified L-carnosine cannot effectively cross the cornea, so N-acetylation enables corneal penetration into the anterior chamber, where it is deacetylated to carnosine and can act as a sacrificial scavenger (decoy) against protein glycation and oxidative cross-linking in the lens. However, important context is required regarding clinical efficacy: a Cochrane systematic review concluded there is currently no convincing clinical evidence that NAC eye drops prevent the progression of or reverse age-related cataracts in humans.
- supports: N-acetylcarnosine lubricant eyedrops possess all-in-one universal antioxidant protective e… (American journal of therapeutics 2009)
"Scientists at Innovative Vision Products, Inc. (IVP), developed lubricant eyedrops designed as a sustained-release 1% N-acetylcarnosine prodrug of L-carnosine... The obtained data demonstrate the transglycation properties of the ophthalmically stabilized L-carnosine and L-carnosine histidyl-hydrazide derivatives tested and can be used to decrease or predict the occurrence of long-term complications of AGE formation" (abstract)
pubmedfull study (doi) - context: N-acetylcarnosine (NAC) drops for age-related cataract. (The Cochrane database of systematic reviews 2017)
"When applied as an eye drop, L-carnosine cannot penetrate the eye. However, when applied to the surface of the eye, N-acetylcarnosine (NAC) penetrates the cornea into the front chamber of the eye (near to where the cataract is), where it is metabolised into L-carnosine... There is currently no convincing evidence that NAC reverses cataract, nor prevents progression of cataract" (abstract, background and conclusions, passage verified)
pubmedfull study (doi)