PE-22-28 is a synthetic peptide fragment derived from Spadin — an endogenous neuropeptide cleaved from the propeptide of the neurotensin receptor 3 (NTSR3/sortilin). PE-22-28 corresponds to residues 22–28 of Spadin, with the sequence Arg-Ser-Ala-Thr-Pro-Leu-Met.
It is classified as a TREK-1 potassium channel blocker and rapid-onset antidepressant peptide. TREK-1 (TWIK-related potassium channel 1) is a background leak potassium channel highly expressed in limbic and cortical neurons. Its overactivity is directly linked to depression, anxiety, and cognitive blunting. By blocking TREK-1, PE-22-28 restores normal neuronal excitability and serotonergic transmission — producing antidepressant effects within hours, not weeks.
Also referenced as: Spadin(22-28) | mini-Spadin
Block serotonin reuptake transporter
Onset: 2–4 weeks
Block NMDA glutamate receptors
Onset: hours
Block TREK-1 K⁺ channel
Onset: hours — new mechanism
PE-22-28's mechanism is fundamentally different from every antidepressant currently in clinical use. It blocks the TREK-1 potassium channel, which controls the resting membrane potential of serotonergic neurons in the raphe nuclei. When TREK-1 is overactive, it hyperpolarizes neurons — reducing 5-HT release, causing blunted mood, anhedonia, and cognitive slowing. By blocking TREK-1, PE-22-28 restores normal neuronal firing thresholds and serotonin release dynamics without the delayed downstream receptor adaptation that makes SSRIs take weeks to work.
The hippocampal neurogenesis finding is separately compelling. PE-22-28 directly stimulates adult neurogenesis via BDNF and VEGF upregulation — making it one of the very few compounds with both acute mood effects and long-term structural brain repair potential.
Blocks TREK-1 K⁺ leak channel in serotonergic neurons — restores normal firing threshold and 5-HT release. Rapid onset: effects in hours vs weeks for SSRIs.
Stimulates adult hippocampal neurogenesis in the dentate gyrus via BDNF and VEGF. New neuron formation detectable within days — long-term structural antidepressant effect.
Increases synaptic serotonin availability by restoring raphe neuron excitability through a pre-synaptic channel mechanism — not reuptake inhibition.
Upregulates both BDNF and VEGF in hippocampus. BDNF drives synaptic plasticity; VEGF supports new neuron vascularization and survival in the dentate gyrus.
Based on 10 mg vial reconstituted with 3.0 mL BAC water = 33.3 mcg/unit
| Dose | Units to Draw | Context |
|---|---|---|
| 100–200 mcg SC | 3–6 u | Low / Intro |
| 200–500 mcg SC | 6–15 u | Common |
| 500 mcg – 1 mg SC | 15–30 u | Standard |
| 1–2 mg SC | 30–60 u | High |
Monitor before starting and at 4–6 week intervals. PE-22-28 targets hippocampal neurogenesis, serotonergic function, and BDNF signaling.
| Biomarker | Lab Test | Clinical Range | Optimal Range |
|---|---|---|---|
| BDNFPrimary neurogenesis marker | Serum BDNF (fasting AM) | ~10,000–30,000 pg/mL | Upper half of reference range; expect increase on PE-22-28 |
| VEGFHippocampal vascularization | Serum VEGF | 62–707 pg/mL | Mid-to-upper range; trending up indicates neurogenic activity |
| NGFNerve growth factor | Serum NGF (specialty labs) | ~15–100 pg/mL | Upper half of range; supports neuronal survival and plasticity |
| Biomarker | Lab Test | Clinical Range | Optimal Range |
|---|---|---|---|
| Whole Blood Serotonin | Whole Blood Serotonin | 50–200 ng/mL | 100–180 ng/mL |
| Urine 5-HIAASerotonin metabolite / turnover | 24-hr Urine 5-HIAA | 2–9 mg/24h | Mid-range; very low = poor serotonin turnover |
| TryptophanSerotonin precursor pool | Plasma Tryptophan (fasting) | 45–74 µmol/L | 55–74 µmol/L; adequate substrate for serotonin synthesis |
| Cortisol (AM)HPA axis / depression marker | AM Serum Cortisol | 6–23 µg/dL | 10–18 µg/dL; elevated AM cortisol is a key depression/anxiety biomarker |
| Biomarker | Lab Test | Clinical Range | Optimal Range |
|---|---|---|---|
| hsCRPNeuroinflammation proxy | High-sensitivity CRP | <3.0 mg/L | <0.5 mg/L; inflammation drives TREK-1 upregulation and depression |
| IL-6 | Serum IL-6 | <7.0 pg/mL | <1.5 pg/mL |
| DHEA-SNeuroprotective adrenal hormone | Serum DHEA-Sulfate | Age/sex dependent | Upper 25th percentile for age/sex; low DHEA-S linked to depression |
| Biomarker | Lab Test | Clinical Range | Optimal Range |
|---|---|---|---|
| AST / ALT | CMP | AST 10–40 / ALT 7–56 U/L | AST <26 / ALT <26 U/L |
| CBC | Complete Blood Count | Standard ranges | Mid-range; WBC 4.5–6.0 |
| Thyroid (TSH)Rule out hypothyroidism as depression driver | TSH + Free T3 / T4 | TSH 0.4–4.0 mIU/L | TSH 1.0–2.5 mIU/L; rule out hypothyroidism before peptide use |
PE-22-28 has no published human clinical trials. All efficacy data derives from rodent models. Derived from an endogenous peptide (Spadin) with expected favorable tolerability, but this has not been confirmed in humans. If currently taking SSRIs — PE-22-28 may be synergistic but this interaction has not been clinically evaluated. Do not discontinue psychiatric medications without physician guidance. Monitor BDNF as the primary objective biomarker of neurogenic response.
| Variable | Recommendation | Why |
|---|---|---|
| Daily dosing (cycle) | Once Daily | Once daily maintains continuous TREK-1 modulation and neurogenic signaling. No evidence twice-daily provides meaningfully superior outcomes. |
| Morning (AM) | ✓ Preferred for Cognition | AM dosing aligns with peak hippocampal neuroplasticity windows — learning and memory consolidation more active in the morning. |
| Evening (PM) | ~ Acceptable if Targeting Sleep | Pre-bed dosing leverages serotonergic effects for sleep onset and mood regulation overnight. No sedation risk — PE-22-28 does not cause drowsiness. |
| Fasted vs Fed | ~ Either Acceptable | CNS mechanism is not insulin or glucose-dependent. Food intake does not meaningfully affect efficacy. |
| Intranasal option | ✓ Faster CNS Onset | Like Selank, intranasal delivery bypasses the BBB via the olfactory-limbic pathway — faster onset (~15–20 min vs 30–45 min SC) for acute mood and cognitive effects. |
| SSRI combination | ⚠ Potentially Synergistic — Discuss with Prescriber | Animal data suggests PE-22-28 potentiates SSRI antidepressant effects. Do not adjust psychiatric medications without physician involvement. |