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Dihexa

Dihexa is an orally active, blood-brain barrier-permeable oligopeptide derived from angiotensin IV that binds hepatocyte growth factor (HGF) with high affinity to potentiate c-Met receptor activity, exhibiting potent neurotrophic and synaptogenic effects for improving cognitive function in animal models of Alzheimer's disease.

Brief glance

The primary outcome is Cognitive, but it's also used for Longevity. This compound is considered a Small Molecule. It may be compounded in 503A pharmacies where allowed. It is not listed under a DEA schedule.

Overview

Dihexa is an oligopeptide active pharmaceutical ingredient derived from angiotensin IV that binds with high affinity to hepatocyte growth factor (HGF) and potentiates its activity at the c-Met receptor to promote neuroplasticity and synaptogenesis. It demonstrates potent cognitive enhancement in animal models of Alzheimer's disease and related impairments, surpassing brain-derived neurotrophic factor by seven orders of magnitude in neurotrophic activity assays. As an orally active compound with blood-brain barrier permeability, it supports neuronal survival, memory formation, and synaptic plasticity under investigational use.

Benefits

Dihexa promotes synaptogenesis and enhances synaptic density, demonstrating potent neurotrophic activity in preclinical models, up to seven orders of magnitude greater than brain-derived neurotrophic factor (BDNF).1,2,3 In animal models of Alzheimer's disease, it restores spatial learning and cognitive functions, reduces neuroinflammation by decreasing astrocyte and microglia activation, and ameliorates neuronal loss.2,4,5 These effects position Dihexa as an investigational agent for neurodegenerative conditions, including potential support in Parkinson's disease and traumatic brain injury recovery, though human clinical trials remain lacking.1,4,6 Short-term safety studies indicate no apparent toxicity or neoplastic induction.3

Side effects

Dihexa's reported side effects are generally mild and include headaches, fatigue, gastrointestinal discomfort, sleep disturbances such as vivid dreams or insomnia, irritability, anxiety, and overstimulation, often transient during initial use.2,4,7,8,9 Rare potential effects encompass bleeding problems with symptoms like bruising or nosebleeds, and allergic reactions including rash, hives, or swelling.2 Key safety considerations involve a profound lack of human clinical trials and long-term data, with most information derived from preclinical animal studies and anecdotal reports, necessitating medical supervision.2,4,6,8 Theoretical risks stem from its activation of the HGF/c-Met pathway, which could promote tumorigenesis or cancer progression, making it contraindicated in patients with active malignancy or high cancer risk.4,6,9 Additional cautions apply to pregnancy, breastfeeding, and concurrent use with other neuroactive compounds due to insufficient data and potential interactions.4,8 Its long half-life further underscores the need for caution regarding accumulation.6

Mechanisms of action

Dihexa binds with high affinity to hepatocyte growth factor (HGF) and potentiates its activity at the c-Met receptor, thereby activating the HGF/c-Met signaling pathway.3,4,6,10 This activation promotes synaptogenesis, dendritic spine formation, and enhanced synaptic plasticity by stimulating neuronal growth and connectivity.4,7,11 Dihexa also engages the PI3K/AKT signaling pathway, which contributes to its anti-inflammatory, anti-apoptotic, and neurotrophic effects, including increased neuronal cell counts and reduced pro-inflammatory cytokines.5,10 These mechanisms support neuroprotection and cognitive enhancement, with activity reported as seven times greater than brain-derived neurotrophic factor (BDNF).10

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