We have found that N-acetylneuraminic acid (NANA) consumes toxic hydrogen peroxide (H 2 O 2 ) under physiological conditions. Close investigation of this ¢nding revealed that NANA was oxidized by an equimolar amount of H 2 O 2 to provide its decarboxylated product, 4-(acetylamino)-2,4-dideoxy-D-glycero-D-galacto-octonic acid (ADOA). To date, there have been little data on this reaction, and its physiological signi¢cance has not been discussed. Examining the detoxi¢cation of H 2 O 2 in cultured cells with NANA, we were able to con¢rm that the cell death caused by H 2 O 2 was suppressed by NANA in a dose-dependent manner. These results revealed a novel role for NANA as a reactive oxygen scavenger. It is known that terminal NANA residues are removed by neuraminidase and that free NANA molecules are recycled or degraded by enzymes. We propose that released monomeric NANA is the potent defense molecule against oxidative damage.