Russian + Eastern European neuro-peptide pharmacology developed largely separately from Western Rx pathways; few of these have FDA approval but several have Russian Pharmacopeia listings + intranasal Rx availability. Semax (ACTH-4-10 derivative — Met-Glu-His-Phe-Pro-Gly-Pro) — BDNF upregulation, MAO modulation; cognitive enhancement + stroke recovery Russian Rx. Selank (TFTGAS-Pro-Gly-Pro — tuftsin analog) — anxiolytic via GABA + 5-HT modulation; Russian Rx (intranasal). N-acetyl variants are stability-enhanced. Cerebrolysin — porcine brain-derived peptide mixture; vascular dementia + Alzheimer's Eastern European Rx; IV/IM. Pinealon (Epitalamin) + Epithalon + Vilon — Khavinson "bioregulator" peptides; longevity claims with limited Western validation. Dihexa — angiotensin-IV analog → HGF/c-Met activation → synaptogenesis claim (research-stage).
Organ Systems
nervous
Pathway Steps
cognitive-peptide-intranasal → cns-bdnf-modulation — via intranasal route bypasses BBB; mechanism: BDNF/NGF upregulation + monoamine modulation. Intranasal delivery is used to bypass the blood-brain barrier, routing peptides (insulin, oxytocin, and various nootropic peptides) along olfactory/trigeminal pathways into the CNS. Proposed cognitive effects are often attributed to downstream neurotrophic (BDNF) signaling, though rigorous human evidence for many such peptides remains preliminary.
Known Modulators
semax (activator) — BDNF + MAO modulation (ACTH 4-10 fragment). Russian Rx (intranasal); stroke recovery + cognitive enhancement; lacks Western FDA path
dihexa (activator) — HGF/c-Met → synaptogenesis (angiotensin-IV analog). research nootropic; synapse-formation claim from rat studies; not human-validated
dsip (inhibitor) — delta-sleep-inducing peptide (mechanism unclear). nonapeptide; sleep induction + opioid-withdrawal claim; mechanism not specifically established