A practical reference on neurotrophic signaling: what it is, how it behaves, what the literature reports, and where the honest uncertainties sit.
This page was last updated on 2026-04-28 and is reviewed periodically as new material appears.
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.
Solid semax is typically supplied as a lyophilised powder that is hygroscopic and sensitive to moisture, light, and repeated temperature cycling. Long-term storage of the dry peptide is generally recommended at approximately -20 degrees Celsius, while shorter working periods may use refrigeration at 2 to 8 degrees Celsius. Vials should remain tightly closed and desiccated when brought to room temperature, because condensation can damage the material before it is weighed. Dividing a batch into aliquots is preferable to thawing one container repeatedly.
Dissolution is normally performed in water, phosphate-buffered saline, or normal saline, since the peptide is freely soluble in aqueous media and is rarely handled with strong organic solvents. Solution pH should be kept near neutral, because extreme acidity or alkalinity accelerates backbone hydrolysis and encourages oxidation of the methionine side chain. Once dissolved, the material is less stable than the dry powder and is commonly divided into single-use portions and frozen. Buffers containing primary amines, such as Tris, are often avoided because of possible side reactions.
| Property | Value | Notes |
|---|---|---|
| Molecular formula | C37H51N9O10S | Calculated for the free peptide |
| Molar mass | 813.9 g/mol | Anhydrous free base |
| Peptide class | Synthetic heptapeptide | ACTH(4-10) analogue |
| Parent fragment | ACTH(4-10) | Adrenocorticotropic hormone segment |
| Developmental origin | Institute of Molecular Genetics, Moscow | Work began in the 1980s |
Russian regulatory authorities approved the peptide for nasal administration, and it remains listed in the national pharmacopoeia under several trade names. Documented indications include acute ischemic stroke, transient ischemic attacks, traumatic brain injury, and certain ophthalmological and neurological conditions. Physicians also prescribe it for cognitive complaints in older patients, although the evidence base for that use is thinner. Outside Russia and a few neighboring states, the substance is not an approved medicine and is sold instead as a research chemical.
Later generations of the molecule include an N-acetylated form and an amidated form, both marketed online alongside the parent peptide. These variants differ in terminal chemistry and stability, and they are frequently discussed in the same breath even though they have not been compared in controlled trials. Supply outside formal healthcare systems comes largely from laboratories that synthesize peptides to order. Purity and identity of these materials vary widely, and no single body oversees the international trade.
Pharmacokinetic accounts emphasize rapid breakdown. After intravenous dosing the intact peptide disappears from blood within minutes, and nasal delivery produces low but measurable concentrations. Metabolites rather than the parent molecule may account for part of the observed activity, although the relative contribution is unresolved. Dosing in the literature varies widely and no optimal schedule has been agreed. These gaps are regularly cited as a reason the findings have not produced broad clinical adoption beyond the original research setting.
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.
Development took place during the 1980s at institutes of the Russian Academy of Sciences, where peptide fragments of ACTH were screened for cognitive and neuroprotective effects. The compound received regulatory approval in Russia as a nasal preparation, marketed for conditions such as ischemic stroke, transient ischemic attacks, and optic nerve disorders. Registration in other countries has not followed. Most published clinical reports originate from a small number of Russian research groups, and independent replication outside that setting remains limited. The regulatory status therefore differs sharply between Russia and the rest of the world.
Laboratory work points toward modulation of neurotrophic signaling, particularly expression of brain-derived neurotrophic factor and nerve growth factor in hippocampal tissue. Studies also describe effects on monoamine turnover, inflammatory mediators, and oxidative markers. These observations come mainly from animal models and cultured cells, so the causal chain in humans is not firmly established. Whether the reported molecular changes translate into measurable clinical benefit is an open question. Reviews generally present the mechanism as plausible rather than demonstrated.
=== Efficacy === There is an average 52% decrease in inflammatory acne lesions by week 12. The combination is less effective than benzoyl peroxide/salicylic acid after short-term treatment of two to four weeks, but the two treatments showed similar effectiveness after ten to twelve weeks.
=== Iceland in 1986 === In 1986, at the age of 20, whilst at the University of Leeds, he crossed Iceland, together with three other students (Andrew Backhouse, David Brock and Shaun Fagan), from Seyðisfjörður in the east, through the interior to the north of the Vatnajökull ice fields, and then west to Reykjavík. The team encountered an 'ash storm', where storm force winds had whipped up fine black volcanic ash, and had to wear goggles and face masks to push on into the winds. In the rain shadow of the Vatnajökull, they ran out of water, then encountered a flash flood, as mud rushed down from the melting glaciers. They also had to survive on food contaminated with petrol that had leaked from their petrol stoves. This journey of 400 miles (640 km) raised £2,000 for the Royal Association for Disability and Rehabilitation. As part of the training for the walk across Iceland he ran the Leeds Marathon, in a time of 3 hours and 41 minutes. On the Icelandic trek, he came up with the idea of walking 6,000 miles (9,700 km), across Britain and America to raise money for Macmillan Cancer Support in Britain and hospice in America and Canada.
clinical assessment and monitoring interventions assessments and prevention of harm To streamline management, there are 5 phases of therapy from the time of recognition of the condition to resolution:
=== Differential diagnosis === While there can be many potential causes of male patients that present with increased breast tissue, differential diagnoses are most concerning for gynecomastia, pseudogynecomastia, and breast cancer (which is rare in men). Other potential causes of male breast enlargement such as mastitis, lipoma, sebaceous cyst, dermoid cyst, hematoma, metastasis, ductal ectasia, fat necrosis, or a hamartoma are typically excluded before making the diagnosis.
== Treatment == Disease progression may be slowed with immunosuppressives and other medications, and esophageal reflux, pulmonary hypertension and Raynaud phenomenon may benefit from symptomatic treatment. However, there is no cure for this disease as there is no cure for scleroderma in general.
Sources: en.wikipedia.org
In China and Korea, lotus leaf tea (Korean: 연잎차; RR: yeonnipcha) is made from the leaves of the lotus. Lotus leaves are also used to serve food in various cultures. It is used as a wrap for steaming rice and sticky rice and other steamed dishes in Asian cuisines, such as lo mai gai and zongzi in Chinese cuisine, kao hor bai bua (Thai: ข้าวห่อใบบัว) fried rice wrapped in lotus leaf in Thai cuisine. Vietnamese also use lotus leaves to wrap green young rice, cốm, which is eaten in autumn. The leaves impart a unique scent to the soft, moist rice.
28 February to 28 February 1971 The 11th Light Infantry Brigade launched Operation Iron Mountain to attack PAVN/VC bases and logistics routes in southeastern Quảng Ngãi Province. The operation resulted in 4,589 PAVN/VC killed and 137 captured while U.S. losses are 440 killed.
== History == NeoGenomics first received state and national-level laboratory certifications in 2002. Three years later in 2005, the company developed a technical-only service model using FISH. In 2013, the company launched its sequencing platform and was listed on the Nasdaq Stock Market as NEO. In 2014, NeoGenomics launched molecular tests including BTK and CALR mutation analysis. In 2015, NeoGenomics acquired Clarient, Inc. and its subsidiary company, Clarient Diagnostic Services, Inc., a national cancer diagnostics laboratory with capabilities in immunohistochemistry for solid tumor cancers from GE Healthcare. Clarient is headquartered in Aliso Viejo, California; with an ancillary laboratory in Houston, Texas. In November 2017, NeoGenomics established their first headquarters outside the United States in Rolle, Switzerland. In September 2024, the District Court for the Middle District of North Carolina entered a permanent injunction against NeoGenomics’ accused RaDaR assay, which was preliminarily enjoined in December 2023.
=== Combinatorial libraries === Combinatorial libraries are special multi-component mixtures of small-molecule chemical compounds that are synthesized in a single stepwise process. They differ from collection of individual compounds as well as from series of compounds prepared by parallel synthesis. It is an important feature that mixtures are used in their synthesis. The use of mixtures ensures the high efficiency of the process. Both reactants can be mixtures and, in this case, the procedure would be even more efficient. For practical reasons however, it is advisable to use the split-mix method, in which one of two mixtures is replaced by single building blocks (BBs). The mixtures are so important that there are no combinatorial libraries without using mixture in the synthesis and, if a mixture is used in a process, inevitably combinatorial library forms. The split-mix synthesis is usually realized using solid support but it is possible to apply it in solution, too. Since the structures of the components are unknown, deconvolution methods need to be used in screening. One of the most important features of combinatorial libraries is that the whole mixture can be screened in a single process. This makes these libraries very useful in pharmaceutical research. Partial libraries of full combinatorial libraries can also be synthesized. Some of them can be used in deconvolution
Sources: en.wikipedia.org
An oncosphere is the larval form of a tapeworm once it has been ingested by an intermediate host animal. The intermediate host must ingest the tapeworm's eggs either in food or water – once this has happened, the eggs hatch and develop into oncospheres which will then burrow through the gut wall of the intermediate host in order to access the organs or tissues of that host where they will continue the next stage of their development as cysticerci or bladderworms. The bladderworm is a cyst created by the oncosphere. In order to become an adult tapeworm, a cysticercus must then be consumed by its definitive host (in either raw or undercooked meat) and establish itself by anchoring in that host's digestive tract. From there, the worm will grow in length and eventually produce proglottids which will exit the intestinal tract with other waste material and then burst, releasing the worm's eggs and completing the cycle.
According to The New York Times sources, in February 2021, Israel agreed to finance a supply of the Sputnik V vaccine to Syria in order to secure the release of an Israeli civilian held in Syria. Due to the delay in shipping of doses from Italy and the European Union, San Marino imported doses of the Sputnik V vaccine (not approved by the EMA) and started a mass vaccination on 28 February of its healthcare workers. 14 April 2021, Armenia agreed with Russia on purchase of 1 million doses of coronavirus vaccines Sputnik V. This was the decision of Armenian health minister Anahit Avanesyan. The Armenian authorities have begun negotiations with Russia on the production of the Sputnik V coronavirus vaccine. Head of the Armenian Ministry of Health Anahit Avanesyan stated this at a press conference on 12 March 2021.
Wong was also the first woman to be executed for murder in Singapore since its independence. 1975: Andrew Chou Hock Guan, David Chou Hock Heng, Peter Lim Swee Guan, Alex Yau Hean Thye, Stephen Francis, Richard James, and Konesekaram Nagalingam, who were hanged on 28 February 1975 for the Gold Bars triple murders. 1975: Lim Kim Huat and Neoh Bean Chye, the two Malaysian gunmen found guilty of shooting and killing wine shop proprietor Chew Liew Tea and hanged on 27 June 1975. 1980: Quek Kee Siong, a labourer who was found guilty of the rape and murder of ten-year-old Cheng Geok Ha and sentenced to death in March 1979. He lost his appeal in November 1980, and later hanged. 1982: Kalidass Sinnathamby Narayanasamy, a lance corporal of the Singapore Armed Forces who molested and killed his seven-year-old niece. He was sentenced to hang for murder on 27 March 1980 and lost his appeal in May 1982, and sometime afterwards, he was executed. 1982: Haw Tua Tau, a hawker who was found guilty of murdering Phoon Ah Leong and Hu Yuen Keng back in 1976. After losing his appeals, Haw was hanged sometime in 1982. 1983: Vadivelu Kathikesan, a Singaporean charged with the murders of two men between June and October 1979. Vadivelu was sentenced to hang in March 1982 for the October 1979 murder of cigarette stall owner Mohamed Dawood Abdul Jaffar, and he was hanged on an unknown date after the loss of his appeal in January 1983. His other charge of killing Abdul Rahiman Adnan in June 1979 was withdrawn after his conviction for the Mohamed Dawood murder.
=== Endoscopy === After Edlich learned about endoscopes in Asia, he received an endoscope for gastroscopic visualization of the patient's stomach. As a surgical resident, Edlich was the first physician to do a gastroscopy at the University of Minnesota Medical Center. Edlich's picture was featured on the cover of Postgraduate Medicine, the Journal of Applied Medicine, in November 1968. His experiences with gastroscopy led to the first minimally invasive surgical procedure at the University of Minnesota Hospital, an endoscopic gastrostomy. Edlich soon realized the limitations of the thick, narrow-diameter latex Ewald tubes that were being used to evacuate blood clots from the patient's stomach before endoscopic examination. Edlich devised a thin-walled, transparent, plastic tube for evacuation of blood clots from a patient's stomach.
== Current food inflation == On 16 February 2025, Mohsen Baghaei, a workers' representative on the Supreme Labor Council, warned of steep price hikes in essential goods over the past two months, with cooking oil up 40%, rice nearly doubling, and staples like potatoes and onions also surging. He estimated that the average worker’s cost-of-living basket has risen over 30% in this period, jumping from 300 million rials ($325) to 380 million rials ($413). According to Iran international as of February 2025 the price of one kg of kiwi equals 2% of the average income. On 23 February 2025, a government agency announced an annual rate of 35%. However, labor groups and analysts argue that the government minimizes negative economic news, implying that the actual inflation rate is considerably higher. The Iranian rial has depreciated by more than 50% over the past six months, fueling expectations of even higher inflation. Currently, the minimum wage is approximately $120 per month, while semi-official estimates suggest that a family of three requires at least $400 per month to meet its basic needs. With Nowruz 2025 approaching, food prices are surging. Approximately one-third of essential food items have experienced price hikes between 30% and 50%, with some items increasing by over 50%. Meanwhile, wages remain low, as the minimum monthly wage for a worker with two children is just $120. In 1403 (Iranian calendar) food prices rose by 70%, packaging costs rose in some cases by 200%, and freight charges climbed 55%. The secondary tariffs which U.S. president Donald J.
Sources: en.wikipedia.org
Semax is based on the ACTH(4-10) fragment, a seven-amino-acid segment of adrenocorticotropic hormone. The synthetic peptide retains the core sequence while removing regions associated with endocrine activity. This modification is intended to isolate effects on the nervous system.
It is registered for clinical use in Russia and a few other countries, typically as a nasal drop formulation. It does not hold approval from the United States Food and Drug Administration or the European Medicines Agency. Outside those markets it is generally handled as a research chemical.
The compound was developed in Moscow and the earliest studies were conducted there, so the primary literature is largely in Russian-language journals. Translation and indexing have been incomplete, which limits access for outside researchers. Independent groups have since published some work, but the total volume remains modest.
Dry powder is usually kept at about -20 degrees Celsius for long-term storage and at 2 to 8 degrees Celsius for short working periods. Containers should stay sealed and protected from light and moisture to limit degradation.