FOXO4-DRI

Also known as: Proxofim; FOXO-D-Retro-Inverso

Overview

FOXO4-DRI is a synthetic peptide that targets and eliminates aged or damaged cells by disrupting the FOXO4–p53 interaction, promoting apoptosis specifically in senescent cells while sparing healthy ones. By reducing senescent cell burden and the SASP milieu, it shows promise for anti-aging, tissue rejuvenation, and mitigation of age-related disease.

Benefits

- Anti-aging effects

- Organ function preservation

- Male reproductive health support

- Disease risk reduction

- Neuroprotection

Consider This Peptide If You Want To

- Promote cellular longevity and reduce senescent cell accumulation

- Support tissue regeneration, cognitive health, and recovery

Dosage & Administration

Dosage Guidelines

Recommended Dosage

• Amount:4 mg

• Frequency:every 3 days

• Duration:4 weeks

• Rest Period:24 weeks

• Time of Day:morning

• Ingestion:subcutaneous

Administration Routes:Subcutaneous

Research Findings on Dosage:

Subcutaneous Injection:

• Commonly Reported Dosage: 4 mg every three days

• Duration: 4-6 weeks, repeat 1--3 times per year.

Research-Based Protocols:

• Daily Protocol: 300--500 mcg/day for 1 week.

• Bi-Weekly Protocol: 2--10 mg bi-weekly for 4 weeks.

Mechanism of Action

Mechanism of Action

How this peptide works in the body

p53 Pathway Reactivation:

FOXO4-DRI disrupts the interaction between FOXO4 and p53, which normally prevents apoptosis in senescent cells. By freeing p53 from FOXO4 binding, it enables p53 to translocate to the mitochondria, where it activates pro-apoptotic proteins BAX and PUMA. This leads to mitochondrial membrane depolarization, cytochrome c release, and caspase activation, ultimately triggering selective apoptosis of senescent cells while sparing healthy ones.

Senescence Clearance:

FOXO4-DRI induces apoptosis in senescent cells, particularly those expressing high levels of the senescence-associated secretory phenotype (SASP). By reducing the secretion of pro-inflammatory cytokines (IL-6, IL-8, TNF-α) and growth factors like granulocyte-macrophage colony-stimulating factor (GM-CSF), it helps reduce chronic inflammation and prevent age-related tissue damage.

Insulin and Oxidative Stress Regulation:

By modulating the AKT, FOXO1, and MAPK pathways, FOXO4-DRI improves insulin sensitivity and enhances metabolic efficiency. It also reduces oxidative damage by increasing cellular antioxidant responses, protecting tissues from age-related metabolic dysfunction and oxidative stress-induced apoptosis.

Consider Stacking With

- MOTS-c

- Humanin

- SS-31

- Epitalon

Side Effects & Cautions

Common Side Effects

- Mild hot flashes post-administration

- Increased perspiration (especially during workouts)

Cautions

- Not extensively studied in humans; long-term effects unknown

- Requires appropriate nutritional support for optimal effects

Research & References

Research Highlights

Senescence and Aging:

Animal studies show reduced biological age markers and improved organ function after FOXO4-DRI treatment.

Targets high SASP-expressing senescent cells for apoptosis.

Male Hormonal Health:

Restores testosterone synthesis in age-related hypogonadism through enhanced Leydig cell function.

Renal and Hepatic Protection:

Prevents chemotherapy-induced senescence in renal and hepatic cells, improving survival and organ integrity.

Cartilage and Joint Support:

Shows potential in promoting cartilage health in degenerative joint conditions by targeting senescent chondrocytes.

References

Baar, M. P., et al. (2017). "Targeted apoptosis of senescent cells restores tissue homeostasis in response to chemotoxicity and aging." Cell

Serrano, M. (2017). "Tools to eliminate senescent cells." Nature

Huang, Y., et al. (2021). "FOXO4-DRI selectively removes senescent cells from in vitro expanded human chondrocytes." Cell Research

Valentino, M. A., et al. (2021). "Molecular modeling of the FOXO4-TP53 interaction for senolytic peptide design." Journal of Molecular Biology

Liu, X., et al. (2011). "Expression and clinical significance of FOXO4 in colorectal cancer." Clinical Cancer Research