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Semax

A synthetic heptapeptide based on the ACTH(4-10) fragment, researched for nootropic and neuroprotective effects, with a recurring focus on brain-derived neurotrophic factor (BDNF) signalling.

What it is

Semax is a short synthetic peptide derived from the 4-10 fragment of adrenocorticotropic hormone (ACTH), with the sequence Met-Glu-His-Phe-Pro-Gly-Pro (MEHFPGP). The native ACTH(4-7) core is extended at the C-terminus with a Pro-Gly-Pro tripeptide, a modification that markedly improves resistance to enzymatic breakdown while stripping away the steroidogenic hormonal activity of the parent fragment. The result is a non-hormonal analogue: a heptapeptide of seven amino-acid residues that retains central nervous-system activity without stimulating the adrenal cortex.

Semax belongs to the family of neuro-active research peptides developed in Russia, alongside its sibling Selank. It was first described in the scientific literature in 1991 and is registered in Russia as a nootropic and neuroprotective agent (ATC code N06BX), appearing on the Russian List of Vital and Essential Drugs. It has not been evaluated or approved by the FDA or most other national regulators. Supplied strictly for laboratory research use only, not for human or veterinary use.

How it works

The most studied mechanism is modulation of the neurotrophin system, in particular BDNF and its receptor tyrosine kinase trkB. In the rat hippocampus, Dolotov and colleagues showed that a single dose of Semax raises both BDNF protein and the phosphorylation (activation) of trkB, alongside larger increases in BDNF and trkB messenger RNA. This positions Semax as an upstream regulator of the BDNF/trkB axis that supports synaptic plasticity, neuronal survival and memory consolidation. A companion study demonstrated that Semax binds specifically and reversibly to basal-forebrain cell membranes with a dissociation constant in the low nanomolar range, consistent with a defined molecular target rather than a purely diffuse effect.

Beyond neurotrophins, Semax has additional reported actions relevant to neuroprotection. It behaves as an inhibitor of enkephalin-degrading enzymes, prolonging the action of endogenous regulatory peptides, and its C-terminal Pro-Gly-Pro fragment is itself biologically active. In cerebral-ischaemia models, genome-wide analyses show Semax shifting the expression of immune, vascular and neurotrophic gene programmes, including upregulation of vascular endothelial growth factor and chemokine signalling that favour tissue survival and repair. Together these pathways underlie the nootropic and neuroprotective effects that dominate the research literature.

What the research shows

The quantitative backbone of the Semax literature is its effect on the hippocampal BDNF/trkB system. In Wistar rats, a single intranasal dose of 50 micrograms per kilogram produced a maximal 1.4-fold increase in BDNF protein and a 1.6-fold increase in trkB tyrosine phosphorylation, driven by a 3-fold rise in exon III BDNF mRNA and a 2-fold rise in trkB mRNA. Binding studies in the basal forebrain report a dissociation constant of roughly 2.4 nM. In cerebral-ischaemia models Semax reshapes broad gene programmes, and in an early human study intranasal dosing improved attention and short-term memory in healthy volunteers. These are laboratory and early clinical findings that describe how the compound is researched, not any approved human use.

1.4x
BDNF protein
rat hippocampus, 50 mcg/kg
3x
BDNF mRNA (exon III)
single intranasal dose
1.6x
trkB phosphorylation
receptor activation
~2.4 nM
Binding Kd
basal forebrain membranes
MetricResultModel or studySource
BDNF protein 1.4-fold increase (max) Rat hippocampus, 50 mcg/kg intranasal (Dolotov 2006) PubMed 16996037
trkB phosphorylation 1.6-fold increase Rat hippocampus, 50 mcg/kg intranasal (Dolotov 2006) PubMed 16996037
BDNF mRNA (exon III) 3-fold increase Rat hippocampus, 50 mcg/kg intranasal (Dolotov 2006) PubMed 16996037
trkB mRNA 2-fold increase Rat hippocampus, 50 mcg/kg intranasal (Dolotov 2006) PubMed 16996037
Binding affinity (Kd) 2.4 nM, specific and reversible Rat basal-forebrain membranes (Dolotov 2006) PubMed 16635254
Gene expression, ischaemia 96 genes altered at 3 h, 68 at 24 h Rat focal ischaemia (pMCAO), 100 mcg/kg (Medvedeva 2014) BMC Genomics 2014
Attention and memory Significant improvement vs placebo Healthy human volunteers, 16 mcg/kg intranasal (Kaplan 1996) Neurosci Res Commun 1996
Reading the neurotrophin data

The fold-changes above are protein and mRNA measurements in animal brain tissue, not clinical endpoints. The larger mRNA increases (2 to 3-fold) precede and drive the smaller protein-level changes, a typical pattern for transcriptionally regulated growth factors.

Side Effects

Most of what is known about Semax tolerability comes from Russian clinical use, where it is marketed intranasally and has been given for stroke, cognitive and optic-nerve indications for several decades. Those reports generally describe good tolerability with few adverse effects, but the independent human safety record is thin: trials outside Russia are limited, structured long-term adverse-event data is largely absent, and Semax holds no FDA or EMA approval. The effects listed below are those noted in the available literature, not a complete or independently confirmed safety profile.

Reported effect or concernFrequency or contextSource
Generally good tolerability, few adverse effects Russian clinical use for stroke and CNS disorders; peptide biodegrades to natural amino acids without toxic products, which the authors link to fewer side effects Kolomin et al. 2013
Nasal cavity discoloration Reported in roughly 10% of patients using intranasal Semax, per a review summarized in an independent evidence report Cognitive Vitality report
Raised blood glucose in diabetics Reported in about 7.4% of diabetic patients in the review cited by the same evidence report Cognitive Vitality report
Local nose and throat irritation, taste or smell changes Possible with intranasal peptide sprays; noted as a plausible transient complaint rather than a frequently measured one Peptides.org review
Slightly elevated anxiety Suggested in one small study of 16 healthy but fatigued subjects given a single 1 mg intranasal dose; described as possible, not established Peptides.org review
Limited long-term and independent safety data Human evidence for side effects is described as scarce; long-term effects unknown; not approved by FDA or EMA Cognitive Vitality report

On the whole, Russian clinical experience points to a mild adverse-effect profile dominated by minor local and metabolic findings, with no signal for sedation, dependence, or serious harm at the doses studied. That said, the evidence rests heavily on one national research tradition, lacks independent Western replication and long-term follow-up, and should be read as suggestive rather than a demonstration that Semax is proven safe.

At a glance

ClassSynthetic heptapeptide (ACTH 4-10 analogue)
Molecular weight813.9 Da
CAS80714-61-0
Vial20 mg vial

The sequence is Met-Glu-His-Phe-Pro-Gly-Pro (MEHFPGP), molecular formula C37H51N9O10S. Molecular weight and CAS are confirmed against PubChem.

Dosing

Semax has never been approved by the FDA or EMA, so there is no Western reference dose. The figures below come from Russian clinical use and published studies, where it is given intranasally as a 0.1% or a 1% solution. Lower amounts appear in cognitive and mild neurological contexts, while acute ischemic stroke protocols use much larger daily amounts. Independent, non-Russian dosing data are limited, and several source doses are reported per kilogram of body weight rather than as fixed amounts.

Context or regimenDoseRoute and frequencySource
Early Russian development review 0.015 to 0.050 mg/kg (about 15 to 50 µg/kg), effect lasting 20 to 24 hours Intranasal, single administration Ashmarin 1997, PMID 9173745
Healthy volunteers, brain imaging study 1% solution, single dose (roughly 1 mg range), given once Intranasal, single dose before fMRI Lebedeva 2018, PMID 30225715
Cognitive and BDNF mechanism study (animal) 50 µg/kg, single application Intranasal, single dose Dolotov 2006, PMID 16996037
Ischemic stroke patients, clinical trial 6000 µg per day (6 mg/day), two 10-day courses with a 20-day interval Intranasal, daily for 10 days per course Gusev 2018, PMID 29798983
Acute stroke, meta-analysis of Russian trials 1% solution, 12 to 18 mg per day for the first 10 to 14 days Intranasal, daily during the acute period Bull. Rehab. Med. 2018 meta-analysis

Reported doses vary widely by indication, from microgram-per-kilogram amounts for cognitive and experimental work up to 12 to 18 mg per day in acute stroke care. Because most of this evidence comes from Russian clinical practice and studies, independent confirmation is limited. This information is educational and reflects doses used in research and clinical reports, not instructions for use; these materials are for laboratory research use only.

Preparing it

Semax is supplied as a lyophilised powder and is reconstituted with bacteriostatic or sterile water before use in the laboratory. See the reconstitution guide for step-by-step handling, and the concentration guide for working out the amount of solvent needed to reach a target concentration. Store the sealed vial cold and keep reconstituted solution refrigerated at 2-8 C.

Where to go next

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