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Library · Brain & nerves · Selective elimination of senescent cells

FOXO4-DRI (Proxofim)

Proxofim, FOXO4-DRI, FOXO4 DRI peptide, Forkhead box protein O4 D-Retro-Inverso

Synthetic D-retro-inverso peptide (Proxofim) developed at Erasmus University Medical Center (2017) to selectively kill senescent (“zombie”) cells by disrupting FOXO4-p53 binding. Shown in mice to reduce age-related decline and support tissue function, especially in the brain; remains research-only with no human trials.

Research score 65/100. Reference only, not a dose.

  • Anti-aging
  • Neuroprotection
  • DNA Repair
  • Cell Death Induction
  • Inflammation Resolution
US status
Research Chemical
Approval
Research Chemical Only
Evidence
Senolytic peptide designed to selectively clear senescent ('zombie') cells by disrupting FOXO4-p53 interaction. Investigational for anti-aging and frailty.
Research score
65 / 100
Indication
Research Only - No Medical Indication
Origin
Netherlands
Source category
Brain & Nervous System
Status group
Research chemical

Mechanism

Blocks the FOXO4-p53 interaction that normally protects senescent cells from death, causing p53 to move to mitochondria and trigger apoptosis selectively in senescent cells; crosses the blood-brain barrier to target senescent neural tissue.

Safety file

Human safety largely unestablished; theoretical risks include off-target apoptosis, immune activation, and metabolic disturbance, though animal models show good tolerability.

  • Injection site reactions
  • Potential immune response
  • Unknown long-term effects