SS-31 — Mitochondria-targeted peptide (Szeto-Schiller peptide)

Selectively concentrates in inner mitochondrial membrane, binds cardiolipin to stabilize cristae structure, optimizes electron transport chain efficiency, reduces reactive oxygen species (ROS) production, and prevents cytochrome c release (anti-apoptotic).

Overview

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Compound Class

Mitochondria-targeted peptide (Szeto-Schiller peptide)

Mechanism of Action

Selectively concentrates in inner mitochondrial membrane, binds cardiolipin to stabilize cristae structure, optimizes electron transport chain efficiency, reduces reactive oxygen species (ROS) production, and prevents cytochrome c release (anti-apoptotic).

Regulatory Status

Not FDA approved; FDA rejected NDA 2023; ongoing trials

Evidence Level

Moderate — Phase 2/3 trials in Barth syndrome and heart failure