Anti-AgingPreclinical

FOXO4-DRI

Proxofim

A senolytic peptide that selectively induces death in senescent cells by disrupting the FOXO4-p53 interaction. Represents a novel approach to targeting cellular aging.

What is FOXO4-DRI?

FOXO4-DRI is a cell-penetrating peptide designed to induce selective apoptosis (death) in senescent cells while sparing healthy cells. It works by disrupting the interaction between FOXO4 and p53 that keeps senescent cells alive, effectively targeting the "zombie cells" that accumulate with aging.

Developed by Dutch researchers and published in Cell in 2017, FOXO4-DRI represents a novel senolytic approach to combating cellular aging.


Senescence Background

What Are Senescent Cells?

  • Cells that stop dividing but don't die
  • Accumulate with age
  • Secrete inflammatory factors (SASP)
  • Contribute to aging and disease

The FOXO4-p53 Interaction

  • Senescent cells survive through FOXO4-p53 binding
  • This interaction keeps p53 in the nucleus
  • Prevents normal apoptosis pathways
  • FOXO4-DRI disrupts this survival mechanism

Molecular Profile

Design

FOXO4-DRI is a:

  • D-amino acid retro-inverso peptide
  • Cell-penetrating sequence
  • Designed to interfere with FOXO4-p53 binding
  • Resistance to proteolytic degradation

Features

PropertyValue
TypeD-retro-inverso peptide
TargetFOXO4-p53 interaction
SpecificitySenescent cells
StabilityEnhanced (D-amino acids)

Mechanism of Action

Senolytic Effect

  1. Enters cells via cell-penetrating sequence
  2. Competes with FOXO4 for p53 binding
  3. Releases p53 from nuclear sequestration
  4. Allows p53 to trigger apoptosis
  5. Senescent cells die; healthy cells unaffected

Selectivity

Targets senescent cells because:

  • Senescent cells depend on FOXO4-p53 for survival
  • Healthy cells have different survival mechanisms
  • Results in selective elimination

Research Findings (2017 Paper)

Key Results

  • Restored fitness in aged mice
  • Improved fur density
  • Enhanced kidney function
  • Increased physical activity
  • Cleared senescent cells

Comparison with Other Senolytics

ApproachTypeTarget
FOXO4-DRIPeptideFOXO4-p53
Dasatinib+QuercetinSmall moleculesMultiple
FisetinFlavonoidMultiple
ABT-263Small moleculeBcl-2 family

Considerations

Challenges:

  • Large peptide size
  • Stability considerations
  • Administration route limitations
  • Limited human data

Summary

FOXO4-DRI represents a novel peptide approach to eliminating senescent cells through targeted disruption of survival mechanisms.

Key Points:

  • Classification: Senolytic peptide
  • Target: FOXO4-p53 interaction
  • Effect: Selective senescent cell death
  • Status: Research compound, early stage

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