FOXO4, product photo
Anti-Aging

FOXO4

Senolytic D-retro-inverso peptide. Disruptor of the p53-FOXO4 interaction in senescent cells.

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At a glance

FOXO4 by the numbers

The key figures from our lexicon.

Full lexicon entry
Class
Senolytic peptide

FOXO4-p53

Half-life
short
Use
Subcutaneous

in mg

Sizes
2 to 16 mg

3 sizes in the shop

For research and educational purposes only. Values from the TPD lexicon, sources linked there.

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Knowledge

Everything about FOXO4

Description

FOXO4-DRI is a synthetic D-retro-inverso peptide (DRI) that disrupts the protein-protein interaction between FOXO4 and p53 in senescent cells. Structurally it is a modified peptide with D-amino acids in reversed sequence, which makes the compound resistant to proteolytic degradation and extends its half-life. FOXO4-DRI is one of the most prominent senolytic compounds in anti-aging research.

The research mechanism lies in the targeted elimination of senescent cells. Senescent cells are no longer proliferating cells that accumulate in aging tissue and cause chronic inflammation and tissue dysfunction through their senescence-associated secretory phenotype (SASP). In preclinical studies it was shown that senescent cells use FOXO4 to sequester p53 and thus suppress the apoptotic response.

FOXO4-DRI breaks this interaction. p53 is released and can exert its apoptotic function. Senescent cells are selectively eliminated. In the landmark 2017 Cell paper from the Peter de Keizer lab, this mechanism was characterized and associated with dramatic effects in mouse aging models: improved kidney function, increased physical activity, restored fur density.

In research setups, FOXO4-DRI is one of the most intensively discussed senolytic tools. The data focuses on preclinical animal models. Clinical studies are in early phases.

FOXO4-DRI is available in 5mg vials as 10-vial packs.

This information is for research and educational purposes only. No medical recommendations.

Risks & Safety

FOXO4-DRI is a senolytic compound that actively drives senescent cells into apoptosis. This interventional mechanism sets the profile apart from that of milder anti-aging peptides.

Documented in the preclinical literature:

  • Pro-apoptotic mechanism: through the release of p53, the apoptotic response is activated. In animal models this effect is focused on senescent cells, but the selectivity in humans is not validated.
  • No robust human data: clinical studies are in early phases. Statements on tolerability and dosing in humans cannot be derived from the literature.
  • Injection site: as a parenterally applied peptide, irritation at the injection site is to be expected.
  • Circulation: animal models describe transient systemic reactions following application.
  • Mechanistically interventional: a compound that actively triggers cell death naturally has a different risk profile than purely regenerative peptides, even though the preclinical data is limited to senescent cells.

This classification does not replace medical advice. Risk and responsibility for any actual use lie entirely with the buyer.

Studies

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FAQ

Frequently asked

Sources for every answer: lexicon entry

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Is FOXO4-DRI approved or studied in humans?

No. There is no approval and as of 26 October 2026 ClinicalTrials.gov lists not a single trial with FOXO4-DRI. All data come from cell experiments and mouse models.

How does FOXO4-DRI work?

Senescent cells survive because the protein FOXO4 holds the guardian p53 in the nucleus. FOXO4-DRI binds to p53 and displaces FOXO4, as structural data from 2025 show. p53 then leaves the nucleus and the cell undergoes programmed cell death. In cell culture this hit old fibroblasts 11.7 times more strongly than normal ones.

What did the 2017 Cell study show?

In mice FOXO4-DRI dampened the damage caused by the cancer drug doxorubicin. In fast-ageing and naturally aged mice fitness, fur density and kidney function came back. Platelets stayed unchanged. The study does not report a longer life span.

What further findings are there?

In aged mouse Leydig cells the share of dying cells rose from 10 to 27 percent, in old mice blood testosterone rose. In long-expanded human cartilage cells FOXO4-DRI removed more than half of the cells, but the newly formed cartilage was not better.

Is removing old cells harmless?

Not necessarily. A 2023 study removed old cells in mouse models of pulmonary hypertension, also with FOXO4-DRI. Cells of the lung vessels were lost and the pulmonary hypertension got worse. So senescent cells can also have a job to do.

What does DRI mean?

D-retro-inverso: the chain is made of D-amino acids in reverse order. That way it resembles the original in shape but is harder to break down. The same chain made of normal L-amino acids had no effect in cell culture.

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