LongevityTier 4 β Preclinical only
FOXO4-DRI
FOXO4-p53 disruptor Β· Senolytic peptide
A retro-inverso peptide that selectively induces apoptosis in senescent cells by disrupting the FOXO4βp53 interaction. Demonstrated clearance of senescent cells and reversal of age-related frailty, hair loss, and renal dysfunction in mouse models.
π IP injection (animal research); SC/IV experimental in humansπ§ Lyophilised: β20 Β°C long-term. Reconstituted: use immediately or store at β80 Β°C. Sensitive to freeze-thaw cycles.
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Mechanism of Action
Senescent cells overexpress FOXO4, which retains p53 in the nucleus and prevents apoptosis. FOXO4-DRI competes with endogenous FOXO4 for p53 binding, releasing p53 to trigger mitochondrial apoptosis exclusively in senescent cells while sparing healthy cells.
Clinical Applications
- βSenolytic therapy β clearance of senescent cells
- βFrailty and age-related functional decline (preclinical)
- βAlopecia associated with cellular senescence (preclinical)
- βChronic kidney disease linked to senescent accumulation (preclinical)
- βLongevity research protocols
Dosing Protocol
Recommended Dosing
No established human dosing. Mouse studies: 5 mg/kg IP injection 3Γ/week for 1β3 weeks. Human translational dosing remains entirely experimental. Not for clinical use.Safety & Contraindications
Possible Side Effects
- β Unknown safety profile in humans
- β Potential off-target apoptosis in non-senescent cells (theoretical)
- β Risk of immune response to non-natural D-amino acid peptide
- β Injection site reactions possible
Contraindications
- βAll human use outside approved clinical trials
- βActive cancer (theoretical risk of disrupting tumour suppression)
- βImmunosuppressed patients
- βPregnancy and breastfeeding
Combinations & Synergies
π Theoretical stack with other senolytics (dasatinib + quercetin) β purely research context
π NAD+ precursors (NMN/NR) for complementary senescence-associated pathway support