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LongevityGrade DWeak, conflicting or negative3 primary sources

FOXO4-DRI

Also known as FOXO4-D-retro-inverso peptide · FOXO4-p53 interfering peptide

A designed peptide that selectively kills senescent cells in mice, producing striking results in a widely cited 2017 paper. No human data exists.

Overview

Senescent cells have stopped dividing but refuse to die, and they leak inflammatory signals that damage surrounding tissue. They survive partly because a protein called FOXO4 holds p53 — the trigger for cell suicide — captive in the nucleus. FOXO4-DRI is a decoy that breaks that grip, releasing p53 to do its job. Healthy cells are unaffected because they are not relying on that particular arrangement to stay alive.

Research areas

Cellular senescenceSenolyticsAgeing

Dosing reported in the literature

Every protocol below is reproduced from a published study or approved labelling, with its source named. These are records of what was studied — not recommendations, and not a suggestion that any of them is appropriate for any person.

Protocol as reportedSource
Intraperitoneal FOXO4-DRI in three doses per cycle in aged and progeroid mice, with fitness and renal endpointsMouse only. There is no human equivalent dose.Baar et al., Cell 2017

Trial status

Preclinical only. No human trials of any phase.

Reported safety signals

  • No human safety data of any kind.
  • The mechanism deliberately releases p53-driven apoptosis; the consequences of doing that systemically in a human are unstudied.
  • Senescent cells have physiological roles in wound healing and tumour suppression, so clearing them is not unambiguously beneficial.
  • Sold through unregulated channels with no verified identity, at prices that make adulteration a real concern.

Common questions

Has anything from the 2017 mouse paper reached human trials?

Not this peptide. Other senolytic approaches — dasatinib plus quercetin, and various navitoclax derivatives — have entered early human trials. FOXO4-DRI has not, and the gap between a striking mouse result and a viable human drug in this field has proven very wide.

Primary sources

3 citations
  1. 01

    Targeted apoptosis of senescent cells restores tissue homeostasis in response to chemotoxicity and aging

    Cell2017

  2. 02

    Cellular senescence: defining a path forward

    Cell2019

  3. 03

    Senolytics: an emerging therapeutic class

    Nature Reviews Drug Discovery2021

Medical disclaimer

This page is for informational and research purposes only. Nothing here constitutes medical advice. The compounds discussed are research chemicals. Consult a qualified clinician before starting any protocol.

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