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Also known as: SS-31, Elamipretide
SS-31 (elamipretide) is a mitochondria-targeted tetrapeptide studied for protecting mitochondrial function in conditions involving oxidative stress and energy failure. It has been investigated clinically for mitochondrial myopathy and heart and kidney disease.
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SS-31 is a cell-permeable aromatic-cationic tetrapeptide (D-Arg-dimethylTyr-Lys-Phe-NH2) that selectively concentrates in the inner mitochondrial membrane, where it binds the phospholipid cardiolipin. By stabilizing cardiolipin and its interaction with cytochrome c and respiratory-chain supercomplexes, SS-31 improves electron-transport efficiency, increases ATP production, and reduces electron leak and reactive oxygen species generation. This preservation of cristae structure and mitochondrial bioenergetics underlies its studied protective effects in tissues with high energy demand such as heart, skeletal muscle, kidney, and retina.