FOXO4-DRI
PEPTIDES+ MEMBERS ONLY
INDICATIONS FOR USE
FOXO4-DRI is an experimental peptide used in anti-aging research. Its proposed application is to selectively target senescent cells, thereby improving tissue function and reducing age-related inflammation.
ROUTE OF ADMINISTRATION
Subcutaneous injection.
COMMON INITIAL DOSING REGIMENS
Inject 0.3mg-0.5mg (30-50 units via insulin syringe) SQ daily for 7 days, every other week.
MECHANISM OF ACTION
FOXO4-DRI inhibits the interaction between FOXO4 and p53 in senescent cells. By disrupting this interaction, senescent cells undergo apoptosis, thereby reducing cellular senescence and its associated pro-inflammatory secretory phenotype.
COMMON SIDE EFFECTS
Due to its experimental status, side effects in humans are largely unknown. Potential risks include:
Immune: Injection site reactions or systemic immune activation.
Metabolic: Possible off-target effects leading to fatigue or loss of appetite.
Rare: Theoretical risks include unintended apoptosis in non-senescent cells, leading to tissue damage.
CONTRAINDICATIONS
Absolute: Hypersensitivity to the peptide or its components.
Relative: Use cautiously in patients with active infections, autoimmune diseases, or ongoing malignancies, as effects on the immune system are not fully understood.
DISCLAIMER
This medication is experimental and not FDA-approved.
MORE INFORMATION
FDA Safety Data Sheet not available (experimental peptide).
Li Y. FOXO4-DRI improves spermatogenesis in aged mice through reducing senescence-associated secretory phenotype secretion from Leydig cells. Exp Gerontol. 2024 [PubMed Link]
Kong YX. FOXO4-DRI induces keloid senescent fibroblast apoptosis by promoting nuclear exclusion of upregulated p53-serine 15 phosphorylation. Commun Biol. 2025 [PubMed Link]
Zhang C. FOXO4-DRI alleviates age-related testosterone secretion insufficiency by targeting senescent Leydig cells in aged mice. Aging (Albany NY). 2020 [PubMed Link]
Born E. Eliminating Senescent Cells Can Promote Pulmonary Hypertension Development and Progression. Circulation. 2023 [PubMed Link]
Huang Y. Senolytic Peptide FOXO4-DRI Selectively Removes Senescent Cells From in vitro Expanded Human Chondrocytes. Front Bioeng Biotechnol. 2021 [PubMed Link]
Bourgeois B. The disordered p53 transactivation domain is the target of FOXO4 and the senolytic compound FOXO4-DRI. Nat Commun. 2025 [PubMed Link]
Meng J. Targeting senescence-like fibroblasts radiosensitizes non-small cell lung cancer and reduces radiation-induced pulmonary fibrosis. JCI Insight. 2021 [PubMed Link]
Valentijn FA. Cellular senescence in the aging and diseased kidney. J Cell Commun Signal. 2018 [PubMed Link]
van Willigenburg H. Cellular senescence as a therapeutic target to improve renal transplantation outcome. Pharmacol Res. 2018 [PubMed Link]
Krimpenfort P. Rejuvenation by Therapeutic Elimination of Senescent Cells. Cell. 2017 [PubMed Link]