This is a working overview of intranasal route, written for readers who want more than a one-paragraph summary but less than a textbook.
This page was last updated on 2026-04-14 and is reviewed periodically as new material appears.
Regulatory status varies sharply by country. Semax is registered for medical use in Russia, where it appears in formularies as a nasal solution, and it also holds registration in a small number of neighbouring states. It has no approval from the United States Food and Drug Administration or the European Medicines Agency, and it is not a scheduled controlled substance in most jurisdictions. Elsewhere it circulates mainly as laboratory material, so purity documentation comes from suppliers rather than from a national pharmacopoeia.
Semax is a synthetic peptide created in the Soviet Union during the early 1980s by researchers working in Moscow. It was built from the short adrenocorticotropic hormone fragment known as ACTH(4-10), and the chain was then extended with three additional amino acids. The resulting molecule was named semax and entered clinical use in Russia in 1994. It is generally described as a nootropic and neuroprotective agent rather than as a hormone analogue.
Identity and purity are commonly assessed by reversed-phase high-performance liquid chromatography, with ultraviolet detection near 214 nanometers for the peptide backbone. Mass spectrometry, either electrospray or matrix-assisted laser desorption, confirms molecular mass and detects truncation or modification products. Amino acid analysis can verify composition. Because the sequence contains no strongly absorbing aromatic residue apart from phenylalanine, detection wavelengths are chosen carefully. Purity values above 95 percent are typical for research-grade material.
Quality documentation for research-grade peptide usually includes a certificate of analysis stating purity, identity, and residual counterion content. Batch-to-batch variation in purity and salt form is a recognized issue, and comparisons across suppliers require attention to the exact counterion, for example acetate versus trifluoroacetate. Sequence verification by tandem mass spectrometry provides stronger evidence than a single mass measurement. For any study reporting biological results, the analytical method and the measured purity should be stated explicitly. Independent verification of supplier claims is considered good practice.
| Property | Value | Notes |
|---|---|---|
| Chemical class | Synthetic heptapeptide | Analogue of the ACTH(4-10) fragment |
| Amino acid sequence | Met-Glu-His-Phe-Pro-Gly-Pro | Single-letter form MEHFPGP |
| Molecular formula | C37H51N9O10S | Free peptide, nominal mass near 814 Da |
| First registration | 1994, Russia | Nasal formulation for neurological indications |
| Typical purity grade | 95% or higher by HPLC | Research material; higher grades used as reference standards |
The proposed mechanism centres on neurotrophic signalling rather than direct receptor activation. Semax is reported to increase expression of brain-derived neurotrophic factor and nerve growth factor in several brain regions, and to shift the balance between excitatory and inhibitory neurotransmitter systems. Interaction with melanocortin receptors has been suggested because of the parent ACTH fragment. Many of these findings come from rodent studies, and the extent to which they translate to human physiology remains an open question.
Scientific literature on semax is unevenly distributed. A substantial share of published work originates from a small number of laboratories in Russia, while independent replication elsewhere is limited. Human data consist mostly of small trials with short follow-up, and several reported outcomes rely on subjective rating scales. Questions about how much intact peptide reaches the central nervous system after nasal administration, and how long it persists there, are still unresolved. The compound is best described as an active research subject rather than a settled pharmacological agent.
Semax is a synthetic heptapeptide with the sequence Met-Glu-His-Phe-Pro-Gly-Pro. It was derived from the ACTH(4-10) fragment, a short segment of adrenocorticotropic hormone that lacks the hormonal activity associated with the full-length peptide. Researchers at the Institute of Molecular Genetics in Moscow developed the compound during the 1980s. It has been registered as a pharmaceutical product in Russia and several neighbouring countries, where it is supplied as a nasal solution, and it is also sold internationally as a research chemical.
Proposed mechanisms center on neurotrophic signaling rather than on classical melanocortin receptor activation. Rodent experiments have reported shifts in the expression of brain-derived neurotrophic factor and nerve growth factor after administration, together with changes in the associated receptor systems. Several authors argue that the peptide acts largely through its degradation products and their interaction with peptidergic pathways, but this remains a hypothesis rather than a settled finding. No single molecular target has been identified in a way that the field broadly accepts.
Published research covers ischemic stroke, traumatic brain injury, cognitive impairment, optic nerve conditions and attention-related measures. Much of the human evidence comes from small trials conducted in one country, which limits how far the results generalize. Animal models supply the larger share of the data, and effects seen in rodents do not transfer automatically to people. Reviews have noted that methodological reporting is often incomplete, making it difficult to pool results or compare treatment schedules across studies.
Development is attributed to researchers at the Institute of Molecular Genetics in Moscow during the early 1980s, building on earlier Soviet work with ACTH fragments. Russian regulatory approval followed for intranasal use, and the compound has remained commercially available there for decades. Most published human data originate from Russian and, later, some Eastern European clinical reports, which are not always accessible in English translation. Outside that region the material is generally handled as a research chemical rather than a licensed medicine.
Regulatory status differs sharply between jurisdictions. In Russia the peptide is registered as a prescription nasal preparation, while agencies such as the United States Food and Drug Administration have not approved it for any indication. Products sold elsewhere are typically labeled for laboratory research only, and such labels shift responsibility for safe handling to the purchaser. Because the same name covers pharmaceutical-grade nasal drops and bulk research powder, identity and purity documentation becomes the main practical concern when comparing sources.
Semax is a synthetic seven-amino-acid peptide whose sequence extends the ACTH(4-10) fragment with a C-terminal proline-glycine-proline tripeptide. The commonly cited sequence is Met-Glu-His-Phe-Pro-Gly-Pro, giving a molecular formula near C37H51N9O10S and a molecular weight close to 813.9 g/mol. It belongs to the broader class of synthetic ACTH fragments studied for central nervous system effects rather than for adrenal steroid stimulation. In practice the material appears as a lyophilized white powder for laboratory work or as a dilute saline solution in clinical settings.
Verification of a supplied batch generally combines a certificate of analysis with independent testing, because certificates are self-reported documents. A typical package includes a chromatographic trace, a mass spectrum, and a stated water or counter-ion content. Batch-to-batch consistency matters more than a single purity figure when results are compared across experiments. No single mandatory standard governs research-grade peptide release, so laboratories are expected to define their own acceptance criteria. Residual trifluoroacetate from purification is a frequently overlooked counter-ion.
Lyophilized material is chemically stable for extended periods when kept dry, cold, and protected from light. The powder is hygroscopic, so vials should be warmed to room temperature before opening to reduce condensation on the contents. Once dissolved, the peptide is far less stable because peptide bonds are susceptible to hydrolysis and the methionine residue can oxidize. Solutions are typically aliquoted and held at 2-8 °C for short intervals or frozen for longer ones, and repeated freeze-thaw cycles should be avoided.
Routine characterization relies on reversed-phase high-performance liquid chromatography to establish purity and on mass spectrometry to confirm molecular identity. Electrospray ionization and matrix-assisted laser desorption ionization are both used for mass verification. Amino acid analysis and peptide mapping can detect sequence errors. Common impurities include truncated sequences, methionine sulfoxide formed by oxidation, and deamidated products. Chromatograms are usually recorded near 214 nm, where the peptide backbone absorbs, and purity is reported as the percentage area of the principal peak.
=== 27 October === Five volunteers with the International Federation of Red Cross and Red Crescent Societies were killed while three others were reported missing near Barah in an attack while distributing food aid. Colonel Ahmed Hussein Mustafa, the spokesperson for the SAF and allied forces in El Fasher, was killed during clashes with the RSF in the city.
=== Monitoring response to therapy === The clinical usefulness of ESR is limited to monitoring the response to therapy in certain inflammatory diseases such as temporal arteritis, polymyalgia rheumatica and rheumatoid arthritis. It can also be used as a crude measure of response in Hodgkin's lymphoma. Additionally, ESR levels are used to define one of the several possible adverse prognostic factors in the staging of Hodgkin's lymphoma.
== Prevalence and applications == RiPPs constitute one of the major superfamilies of natural products, like alkaloids, terpenoids, and nonribosomal peptides, although they tend to be large, with molecular weights commonly in excess of 1000 Da. The advent of next-generation sequencing methods has made genome mining of RiPPs a common strategy. In part due to their increased discovery and hypothesized ease of engineering, the use of RiPPs as drugs is increasing. Although they are ribosomal peptides in origin, RiPPs are typically categorized as small molecules rather than biologics due to their chemical properties, such as moderate molecular weight and relatively high hydrophobicity. The uses and biological activities of RiPPs are diverse. RiPPs in commercial use include nisin, a food preservative, thiostrepton, a veterinary topical antibiotic, and nosiheptide and duramycin, which are animal feed additives. Phalloidin functionalized with a fluorophore is used in microscopy as a stain due to its high affinity for actin. Anantin is a RiPP used in cell biology as an atrial natriuretic peptide receptor inhibitor. In 2012–2013, a derivatized RiPP in clinical trials was LFF571. Phase II clinical trials of LFF571, a derivative of the thiopeptide GE2270-A, for the treatment of Clostridioides difficile infections, with comparable safety and efficacy to vancomycin, was terminated early as the results were unfavorable. Also recently in clinical trials was the NVB302 (a derivative of the lantibiotic actagardine) which is used for the treatment of Clostridioides difficile infection.
Symptoms of intoxication from overdose include drowsiness, insomnia, stupor, agitation, coma, transient confusion, increased anxiety, ataxia, convulsions, oliguria, anuria, tachycardia or bradycardia, arrhythmia, AV block, hypotension, shock, respiratory depression, and, rarely, cardiac arrest.
=== June === 2 June – Reform UK announces plans to cut "wasteful spending" in councils it controls with the establishment of what it describes as a Department of Government Efficiency (Doge), with Kent County Council the first area to have a Doge department. 4 June – In her first question to the prime minister during Prime Minister's Questions, Sarah Pochin, the newly elected Reform UK MP for Runcorn and Helsby, calls on Keir Starmer to introduce a ban of the wearing of burqas "in the interests of public safety". Her request is rejected by the prime minister, and described as "dumb" by Reform's chairman, Zia Yusuf. 5 June – Shadow Chancellor Mel Stride seeks to distance the Conservative Party from the September 2022 mini-budget of Liz Truss by saying the Conservatives will "never again" put the UK's economic stability at risk by making "promises we cannot afford". Conservative leader Kemi Badenoch announces plans to establish a commission to look at whether the UK should withdraw from some international agreements, such as the European Convention on Human Rights, which she says are binding hands of the UK government. Zia Yusuf resigns as chairman of Reform UK, saying working to get the party elected is no longer "a good use of [his] time". Technology entrepreneur Nathaniel Fried, seen as a key figure in the party's DOGE strategy, resigns along with Yusuf. The Hamilton, Larkhall and Stonehouse by-election takes place following the death of Christina McKelvie, and is won by Davy Russel for Scottish Labour, who take the seat from the Scottish National Party.
Sources: en.wikipedia.org
This myth originated from a misinterpreted joke in a 2013 report of a pacu being found in Øresund, the strait between Sweden and Denmark, which claimed that the fish ate "nuts". Piranhas do not eat only meat but are omnivorous, and they swim in schools only to defend themselves from predators and not to attack. They very rarely attack humans, only when under stress and feeling threatened, and even then, bites typically only occur on hands and feet. Sharks can get cancer. The misconception that sharks do not get cancer was spread by the 1992 book Sharks Don't Get Cancer, which was used to sell extracts of shark cartilage as cancer prevention treatments. Reports of carcinomas in sharks exist, and current data does not support any conclusions about the incidence of tumors in sharks. Great white sharks do not mistake human divers for seals or other pinnipeds. When attacking pinnipeds, the shark surfaces quickly and attacks violently. In contrast, attacks on humans are slower and less violent: the shark charges at a normal pace, bites, and swims off. Great white sharks have efficient eyesight and color vision; the bite is not predatory, but rather for identification of an unfamiliar object. Snake jaws cannot unhinge. The posterior end of the lower jaw bones contains a quadrate bone, allowing jaw extension. The anterior tips of the lower jaw bones are joined by a flexible ligament allowing them to bow outwards, increasing the mouth gape. Snakes are not deaf or only able to sense ground vibrations.
The first timepieces to be worn, made in 16th-century Europe, were transitional in size between clocks and watches. These 'clock-watches' were fastened to clothing or worn on a chain around the neck. They were heavy drum shaped brass cylinders several inches in diameter, engraved and ornamented. They had only an hour hand. The face was not covered with glass, but usually had a hinged brass cover, often decoratively pierced with grillwork so the time could be read without opening. The movement was made of iron or steel and held together with tapered pins and wedges, until screws began to be used after 1550. Many of the movements included striking or alarm mechanisms. The shape later evolved into a rounded form; these were later called Nuremberg eggs. Still later in the century there was a trend for unusually shaped watches, and clock-watches shaped like books, animals, fruit, stars, flowers, insects, crosses, and skulls (Death's head watches) were made. Styles changed in the 17th century and men began to wear watches in pockets instead of as pendants (the woman's watch remained a pendant into the 20th century). This is said to have occurred in 1675 when Charles II of England introduced waistcoats. To fit in pockets, their shape evolved into the typical pocket watch shape, rounded and flattened with no sharp edges. Glass was used to cover the face beginning around 1610. Watch fobs began to be used, the name originating from the German word fuppe, a small pocket. The watch was wound and also set by opening the back and fitting a key to a square arbor, and turning it.
== Culture == Historically, mushrooms that resemble human body parts or rotting flesh (such as this one) hold cultural relevance. In European and Indigenous cultures these types of fungi were frequently associated with supernatural beliefs or omens. In the past Dead Man's Foot held significance in land-spirit and fertility myths in some regions.
The first symptom of CJD is usually rapidly progressive dementia, leading to memory loss, personality changes, and hallucinations. Myoclonus (jerky movements) typically occurs in 90% of cases, but may be absent at initial onset. Other frequently occurring features include anxiety, depression, paranoia, obsessive-compulsive symptoms, and psychosis. This is accompanied by physical problems such as speech impairment, balance and coordination dysfunction (ataxia), changes in gait, and rigid posture. In most people with CJD, these symptoms are accompanied by involuntary movements. Rarely, unusual symptoms like the alien limb phenomenon have been observed. The duration of the disease varies greatly, but sporadic (non-inherited) CJD can be fatal within months or even weeks. Most affected people die six months after initial symptoms appear, often of pneumonia due to impaired coughing reflexes. About 15% of people with CJD survive for two or more years. The symptoms of CJD are caused by the progressive death of the brain's nerve cells, which are associated with the build-up of abnormal prion proteins forming in the brain. When brain tissue from a person with CJD is examined under a microscope, many tiny holes can be seen where the nerve cells have died. Parts of the brain may resemble a sponge where the prions were infecting the areas of the brain.
Sources: en.wikipedia.org
==== Sliding scales ==== First described in 1934, what physicians typically refer to as sliding-scale insulin (SSI) is fast- or rapid-acting insulin only, given subcutaneously, typically at meal times and sometimes bedtime, but only when blood glucose is above a threshold (e.g. 10 mmol/L, 180 mg/dL). The so-called "sliding-scale" method is widely taught, although it has been heavily criticized. Sliding scale insulin (SSI) is not an effective way of managing long-term diabetes in individuals residing in nursing homes. Sliding scale insulin leads to greater discomfort and increased nursing time.
== In fiction == The creation of a mirror-image human is the basis of the 1950 short story "Technical Error" by Arthur C. Clarke. In this story, a physical accident transforms a person into his mirror image, speculatively explained by travel through a fourth physical dimension. H. G. Wells' The Plattner Story (1896) is based on a similar idea. In the 1970 Star Trek novel Spock Must Die! by James Blish, the science officer of the USS Enterprise is replicated in mirror-image form by a transporter mishap. He locks himself in the sick bay where he is able to synthesize mirror-image forms of basic nutrients needed for his survival. An alien machine that reverses chirality, and a blood-symbiont that functions properly only when in one chirality, were central to Roger Zelazny's 1976 novel Doorways in the Sand. On the titular planet of Sheri S. Tepper's 1989 novel Grass, some lifeforms have evolved to use the right-handed isomer of alanine. In the Mass Effect series, chirality of amino acids in foodstuffs is discussed often in both dialogue and encyclopedia files. In the 2014 science fiction novel Cibola Burn by James S. A. Corey, the planet Ilus has indigenous life with partially-mirrored chirality. This renders human colonists unable to digest native flora and fauna, and greatly complicates conventional farming. Consequently, the colonists have to rely upon hydroponic farming and food importation. In the 2017 Daniel Suarez novel Change Agent, an antagonist, Otto, nicknamed the "Mirror Man", is revealed to be a genetically engineered mirror-image human.
However, the 2018 consensus guidelines on chronic pain concluded that, overall, there is only weak evidence in favor of ketamine use in spinal injury pain, moderate evidence in favor of ketamine for CRPS, and weak or no evidence for ketamine in mixed neuropathic pain, fibromyalgia, and cancer pain. In particular, only for CRPS, there is evidence of medium to longer-term pain relief.
Sources: en.wikipedia.org
Registered medical products are most often 0.1% nasal drops. Research suppliers ship lyophilized powder, usually in milligram quantities, which is dissolved before use. The active peptide is the same in both cases; presentation and excipients differ.
No. The peptide is synthetic, although it is modelled on a fragment of a naturally occurring hormone. ACTH(4-10) is generated when ACTH is cleaved, but the Pro-Gly-Pro extension is not a known endogenous sequence. It is therefore a designed analogue rather than a natural metabolite.
The label reflects reported effects on attention, memory and recovery after neurological injury in regional clinical reports. Those reports are mostly small and have not been widely replicated outside the region. The classification is descriptive and does not imply a single defined mechanism.
Solid peptide is best kept frozen at about minus 20 degrees Celsius in a sealed container with desiccant. It should be allowed to reach room temperature before opening to prevent condensation. Repeated warming and cooling of the same vial is discouraged.