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Elamipretide (SS-31, MTP-131) Antioxidant peptide

Cat.No.S9803

Elamipretide (MTP-131, SS-31) is a cytochrome c peroxidase inhibitor. Elamipretide improves mitochondrial dysfunction, synaptic and memory impairment induced by lipopolysaccharide in mice.
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Quality Control

Batch: Purity: 99.37%
99.37

Solubility

In vitro
Batch:

Water : 100 mg/mL

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In vivo
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Chemical Information, Storage & Stability

Molecular Weight 639.79 Formula

C32H49N9O5

Storage (From the date of receipt) 3 years -20°C powder
CAS No. 736992-21-5 -- Storage of Stock Solutions

Synonyms D-Arg-Dmt-Lys-Phe-NH2 SMILES CC1=C(CC(NC(=O)C(N)CCCNC(N)=N)C(=O)NC(CCCCN)C(=O)NC(CC2=CC=CC=C2)C(N)=O)C(=CC(=C1)O)C

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Mechanism of Action

Targets/IC50/Ki
cytochrome c peroxidase
In vitro

Elamipretide (SS-31, MTP-131) binds with high affinity to cardiolipin, an anionic phospholipid expressed on the inner mitochondrial membrane that is required for cristae formation. In addition, the complex of this compound with cardiolipin inhibits cytochrome c peroxidase activity, which catalyzes cardiolipin peroxidation and results in mitochondrial damage during ischemia, by protecting its heme iron.

In vivo

Pretreatment of rats with Elamipretide (SS-31, MTP-131) protects cristae membranes during renal ischemia and prevents mitochondrial swelling. Prompt recovery of ATP on reperfusion leads to rapid repair of ATP-dependent processes, such as restoration of the actin cytoskeleton and cell polarity. Rapid recovery of ATP also inhibits apoptosis, protects tubular barrier function, and mitigates renal dysfunction.

References

Clinical Trial Information

(data from https://clinicaltrials.gov, updated on 2026-07-13)

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07531251 RECRUITING
Barth Syndrome
Stealth BioTherapeutics Inc.
2026-07-02 PHASE4
NCT06373731 ACTIVE_NOT_RECRUITING
Age Related Macular Degeneration (ARMD)
Stealth BioTherapeutics Inc.
2024-05-30 PHASE3
NCT07275424 RECRUITING
Aging, Healthy
David Marcinek
2025-11-26 PHASE2
NCT05162768 COMPLETED
Mitochondrial Myopathies; Mitochondrial Pathology; Mitochondrial DNA Mutation; Mitochondrial Diseases; Mitochondrial DNA Deletion; Mitochondrial DNA Depletion; Mitochondrial Metabolism Defect; Mitochondrial Complex I Deficiency
Stealth BioTherapeutics Inc.
2022-04-29 PHASE3
NCT05168774 COMPLETED
Friedreich Ataxia
Children's Hospital of Philadelphia
2022-03-03 PHASE1; PHASE2
NCT03891875 COMPLETED
Age-related Macular Degeneration
Stealth BioTherapeutics Inc.
2019-03-27 PHASE2

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