Health Library

PE-22-28

Not FDA-approved

Also known as: Mini-spadin

G V S W G L R
Structure source: Human sortilin propeptide residues 22-28 (UniProt Q99523, precursor residues 55-61)

PE-22-28 is a lab-made chain of seven amino acids copied from a natural fragment of sortilin, a protein in the body. It is a shortened version of spadin, a longer peptide studied for depression. It showed antidepressant-like effects in mice, but no study has tested it in people.

How it works

  • In lab studies, it blocks TREK-1, a potassium channel that keeps nerve cells from firing too easily.
  • In lab tests on cells carrying human TREK-1, it blocked the channel far more strongly than spadin.
  • In mice, short courses reduced behaviours used to screen antidepressant drugs and increased the growth of new nerve cells.
  • In a mouse stroke model, it reduced movement and thinking problems and prevented depression-like behaviour. Low amounts switched TREK-1 on, while higher amounts blocked it.
  • In lab tests on insulin-making pancreatic cells, it helped the cells survive inflammatory damage.

Evidence

Depression and mood

Animal and lab studies onlyCEBM Level 5

In mice, it reduced depression-like behaviour in standard screening tests. No study has given it to people, and no trial is registered.

Recovery after stroke

Animal and lab studies onlyCEBM Level 5

In mice with an induced stroke, it reduced movement and thinking problems and prevented depression-like behaviour. It has not been studied in people with stroke.

Caveats

  • No study has given PE-22-28 to people. Its safety, side effects and effective dose in humans are unknown.
  • Human studies often linked to it measured the body's own sortilin fragment in the blood of depressed patients. They did not give the peptide.
  • TREK-1 also works in the heart, pain nerves and insulin-making cells. Mice lacking TREK-1 were more prone to seizures, had heart-rhythm pauses under stress, and handled blood sugar worse on a high-fat diet. Whether PE-22-28 does any of this is unknown.
  • Most of the research comes from one French group. An independent lab found that spadin, the parent peptide, did not directly block TREK-1 in its test system.
  • Its interactions with antidepressants and other psychiatric medicines have not been studied.

References

  1. Djillani A, et al. Front Pharmacol. 2017;8:643.
  2. Pietri M, et al. Neuropharmacology. 2019;158:107715.
  3. Daziano G, et al. Pharmacol Res. 2021;167:105539.
  4. Ma R, Lewis A. Front Pharmacol. 2020;11:434.
  5. Roulot M, et al. Neuropsychiatr Dis Treat. 2018;14:2307-2312.

This page is for education only. It is not medical advice. Decisions about any treatment belong with a physician who knows your history.