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FOXO4-DRI

Also identified as FOXO4 D-retro-inverso peptide, FOXO4-p53 interfering peptide

D-retro-inverso peptide

Sequence: D-Leu-D-Thr-D-Leu-D-Arg-D-Lys-D-Glu-D-Pro-D-Ala-D-Ser-D-Glu-D-Ile-D-Ala-D-Gln-D-Ser-D-Ile-D-Leu-D-Glu-D-Ala-D-Tyr-D-Ser-D-Gln-D-Asn-Gly-D-Trp-D-Ala-D-Asn-D-Arg-D-Arg-D-Ser-Gly-Gly-D-Lys-D-Arg-D-Pro-D-Pro-D-Pro-D-Arg-D-Arg-D-Arg-D-Gln-D-Arg-D-Arg-D-Lys-D-Lys-D-Arg-Gly

Molecular weight
5358
Molecular formula
C228H388N86O64
CAS
2460055-10-9
Published studies reviewed
4

FOR RESEARCH USE ONLY. NOT FOR HUMAN OR VETERINARY USE. NOT FOR HUMAN CONSUMPTION.

Compounds described on this site are supplied solely for laboratory research. They are not offered for human or veterinary use or for clinical use, and they are not intended to diagnose, mitigate, cure or prevent any disease.

FOXO4-DRI is a 46-residue D-retro-inverso peptide, assembled from D-amino acids in the reversed sequence of its parent, with a TAT-derived cell-penetrating basic stretch. Four preclinical publications are reviewed: the 2017 design paper, an NMR study of its binding partner on p53, a study in human chondrocyte cultures, and a mouse study that reports harm. Every measurement was made in cells, a spectrometer or animals, and no human study was found.

At a glance

Also identified as
FOXO4 D-retro-inverso peptide, FOXO4-p53 interfering peptide
Class
D-retro-inverso peptide
Target or mechanism
Inhibitor — p53 transactivation domain 2 (p53TAD2); FOXO4–p53 interaction
Evidence types represented
in vitro, animal
Published studies reviewed
4
Last reviewed
2026-09-21

Overview

FOXO4-DRI is a 46-residue D-retro-inverso peptide: its amino acids are the D-forms of the natural ones, assembled in the reverse order of the parent sequence. The design includes a basic, hydrophilic stretch derived from HIV-TAT, which is what carries it into cells.

Everything on this page is preclinical. The publications recorded here are cell-culture work, structural biology and animal studies. No human study of this peptide was found, and none is recorded.

The molecule is studied for one interaction: the binding between the transcription factor FOXO4 and the tumour-suppressor protein p53. The structural and cell claims on this page describe that interaction; nothing else on the page is a statement about what the peptide does.

One of the four publications reports harm. In a mouse model of pulmonary hypertension, elimination of senescent endothelial cells — with FOXO4-DRI among the agents used — was accompanied by worsening pulmonary haemodynamics. That finding sits on this page beside the others, at the same size.

Mechanism under investigation

FOXO4-DRI
Inhibitor
  • p53 transactivation domain 2 (p53TAD2)
  • FOXO4–p53 interaction

Recorded here as a peptide that competes with FOXO4 for binding to p53. In the design paper, adding the peptide to an NMR sample of the FOXO4 forkhead domain bound to the p53 N-terminal domain reversed the chemical-shift changes that binding had produced, which the authors read as competition at higher affinity; in senescent cells it caused p53 to be excluded from the nucleus and the cells to undergo apoptosis, an effect reduced by knocking down p53 or by pan-caspase inhibitors. A later NMR study identifies the binding partner as the disordered second transactivation domain of p53. None of this was measured in a person.

Scope of the published work

Areas investigated
  • FOXO4–p53 binding
  • Viability of senescent cells in culture
  • Cell-permeability of a D-retro-inverso peptide
  • Senescence markers in mice
  • Pulmonary haemodynamics in animal models
Models used
  • IMR90 fibroblast cultures
  • Solution NMR
  • Expanded human chondrocyte cultures
  • Fast-aging XpdTTD/TTD mice, naturally aged mice
  • Mouse and rat pulmonary hypertension models

Every figure on this page was measured in a cell culture, in a spectrometer or in an animal. No human study of this peptide is recorded here, and nothing on this page establishes anything about a person. It is not a statement about the research material PepGenex supplies.

Limitations

Evidence represented on this page: in vitro and animal. No human research is represented. The page reviews 4 published studies, and each figure is reported for the study that published it; results are not pooled across studies.

Common questions

What is FOXO4-DRI?

FOXO4-DRI is a 46-residue D-retro-inverso peptide: its amino acids are the D-forms of the natural ones, assembled in the reverse order of the parent sequence.

How does FOXO4-DRI work, according to the published research?

Recorded here as a peptide that competes with FOXO4 for binding to p53. In the design paper, adding the peptide to an NMR sample of the FOXO4 forkhead domain bound to the p53 N-terminal domain reversed the chemical-shift changes that binding had produced, which the authors read as competition at higher affinity; in senescent cells it caused p53 to be excluded from the nucleus and the cells to undergo apoptosis, an effect reduced by knocking down p53 or by pan-caspase inhibitors. A later NMR study identifies the binding partner as the disordered second transactivation domain of p53. None of this was measured in a person.

  • Solution NMR structural models were solved of the p53 transactivation domain in complex with the FOXO4 forkhead domain, and in complex with FOXO4-DRI. The disordered peptide binds the disordered second transactivation domain of p53 (p53TAD2) and forms a transiently folded complex, with both the FOXO4-derived region and the cationic cell-permeability portion contributing to the interaction. (Bourgeois et al., 2025, PMID 40593617)

What has published research on FOXO4-DRI found, and what are its limits?

This page records 4 publications, reporting laboratory (in vitro) work in 3, animal work in 2. Each is listed with its identifier under References.

No human study is represented on this page.

Evidence represented on this page: in vitro and animal.

No human research is represented.

The page reviews 4 published studies, and each figure is reported for the study that published it; results are not pooled across studies.

Every figure on this page was measured in a cell culture, in a spectrometer or in an animal. No human study of this peptide is recorded here, and nothing on this page establishes anything about a person. It is not a statement about the research material PepGenex supplies.

Is FOXO4-DRI approved by the U.S. FDA?

This page cites no FDA approval record for FOXO4-DRI; PepGenex Science states a U.S. regulatory status only where a sourced record exists.

PepGenex research materials are not FDA approved and are not for human or veterinary use.

What risks have published studies of FOXO4-DRI reported?

No human study is recorded on this page, so it reports no adverse events in people. Laboratory and animal findings are not a measure of risk in people.

Published research

Grouped by the kind of study. Select one to narrow what is shown below.

Laboratory (in vitro)(2)

Laboratory (in vitro)

The disordered p53 transactivation domain is the target of FOXO4 and the senolytic compound FOXO4-DRI.

Bourgeois B, Spreitzer E, Platero-Rochart D, Paar M, Zhou Q, Usluer S, de Keizer PLJ, Burgering BMT, Sánchez-Murcia PA, Madl T., Nature Communications, 2025;16(1):5672

published

  • Solution NMR structural models were solved of the p53 transactivation domain in complex with the FOXO4 forkhead domain, and in complex with FOXO4-DRI. The disordered peptide binds the disordered second transactivation domain of p53 (p53TAD2) and forms a transiently folded complex, with both the FOXO4-derived region and the cationic cell-permeability portion contributing to the interaction.
  • Phosphorylation of p53 increased its affinity for both FOXO4 and FOXO4-DRI.
View publication →
Laboratory (in vitro)

Senolytic Peptide FOXO4-DRI Selectively Removes Senescent Cells From in vitro Expanded Human Chondrocytes.

Huang Y, He Y, Makarcyzk MJ, Lin H., Frontiers in Bioengineering and Biotechnology, 2021;9:677576

published

Chondrocytes from healthy donors were expanded in culture to population doubling level 9, simulating the expansion step of autologous chondrocyte implantation, with cells at level 3 as a minimally expanded control. Expanded cells were exposed to FOXO4-DRI and then taken through a standard pellet culture to assess cartilage formation.

  • More than half of the cells at population doubling level 9 were removed, while cell number at level 3 was not significantly affected, and the level of senescence in the exposed level-9 cells was significantly lower than in the unexposed control. Cartilage tissue generated from exposed level-9 cells showed lower expression of senescence-related secretory factors than tissue from the unexposed control.
  • Pre-exposure to FOXO4-DRI did not enhance the chondrogenic potential of the level-9 chondrocytes in standard pellet culture. The authors conclude that the peptide removes senescent cells from these cultures, but that its usefulness in promoting cartilage formation from expanded chondrocytes needs further investigation.
Limitations

The chondrocyte study is the only source here that used human cells, and its two results point different ways: more than half the expanded cells were removed and senescence markers fell, but the cartilage-forming capacity of what remained was no greater than in the untouched control. The authors say so themselves. A marker moving is not the same as the thing the marker stands for changing.

View publication →

Preclinical (animal)(2)

Preclinical (animal)

Eliminating Senescent Cells Can Promote Pulmonary Hypertension Development and Progression.

Born E, Lipskaia L, Breau M, Houssaini A, Beaulieu D, Marcos E, Pierre R, Do Cruzeiro M, Lefevre M, Derumeaux G, et al.; Abid S., Circulation, 2023;147(8):650-666

published

A study of what removing senescent cells does in animal models of pulmonary hypertension, using four separate interventions: a suicide-gene construct driven by the p16 promoter, the senolytic compound ABT263, inactivation of p16, and the cell-permeable FOXO4–p53 interfering peptide FOXO4-DRI. Models included mice in normoxia, chronic hypoxia or hypoxia plus Sugen, mice overexpressing the serotonin transporter (SM22-5-HTT+), and rats given monocrotaline. Only the arm using FOXO4-DRI is recorded on this page.

  • In mice overexpressing the serotonin transporter, given either ABT263 or FOXO4-DRI, the authors report pulmonary haemodynamic alterations and loss of pulmonary endothelial cells compared with the relevant controls. Their conclusion is that elimination of senescent pulmonary endothelial cells by senolytic interventions may worsen pulmonary haemodynamics, and that this should be considered wherever cell senescence is being controlled.
Context

Removing senescent cells is not uniformly favourable in animals. In the pulmonary hypertension work, the same class of intervention that reduces senescence markers elsewhere was accompanied by loss of pulmonary endothelial cells and worsening haemodynamics. Two findings, two tissues, two directions — which is what an unsettled preclinical literature looks like, and the reason nothing on this page should be read as a settled property of the molecule.

View publication →
Laboratory (in vitro)Preclinical (animal)

Targeted Apoptosis of Senescent Cells Restores Tissue Homeostasis in Response to Chemotoxicity and Aging.

Baar MP, Brandt RMC, Putavet DA, Klein JDD, Derks KWJ, Bourgeois BRM, Stryeck S, Rijksen Y, van Willigenburg H, Feijtel DA, et al.; de Keizer PLJ., Cell, 2017;169(1):132-147.e16

published

The peptide was designed from a FOXO4 sequence built as a D-retro-inverso isoform — D-amino acids in the reversed order — and fused to HIV-TAT, a basic, hydrophilic sequence that carries cargo into cells. Using an antibody against HIV-TAT the authors detected uptake 2 to 4 hours after exposure and for at least 72 hours afterwards.

Three mouse models were used, each carrying the p16∷3MR reporter, which drives Renilla luciferase from the promoter of the senescence gene p16-INK4a so that senescence can be followed over time: a doxorubicin chemotoxicity model, the fast-aging XpdTTD/TTD strain, and naturally aged mice. In the chemotoxicity experiment the peptide was given over the course of the experiment.

  • In NMR competition experiments, adding increasing amounts of a recombinant N-terminal domain of p53 to a solution of the labelled FOXO4 forkhead domain produced progressive chemical-shift perturbations indicating specific binding. Stepwise addition of FOXO4-DRI reverted those perturbations toward the unbound state, which the authors read as the peptide competing with FOXO4 for p53 in a concentration-dependent way and with higher affinity.
  • In IMR90 fibroblasts, the peptide reduced the viability of senescent cells relative to control cells, with real-time cell-density measurements placing the effect 24 to 36 hours after exposure. The same peptide in its L-isoform did not, and neither did an unrelated D-retro-inverso peptide based on a different forkhead protein, FOXM1. Stable knock-down of p53 reduced the effect, as did co-incubation with the pan-caspase inhibitors QVD-OPH or ZVAD-FMK.
  • In doxorubicin-exposed mice the authors report that the peptide neutralised the doxorubicin-induced reduction in total body weight and the rise in plasma aspartate aminotransferase, a marker of liver damage. In the fast-aging strain and in naturally aged mice they report reduced p16-driven luciferase signal, higher fur-density scores, and lower plasma urea, which they interpret as restored renal filtering capacity. The paper states these results as directions with the supporting values in its figure panels; no numeric value is recorded here for them.
  • Comparing platelet counts before and 30 days after exposure, the authors report no noticeable change in platelets or in other whole-blood values, and no deleterious effect on non-proliferative tissue as far as tested, naming the heart. They set this against the severe thrombocytopenia reported for the pan-BCL inhibitors ABT-263 and ABT-737, and describe it as passing initial safety concerns.
Limitations

No human study of this peptide is recorded here, because this project found none. What exists is cell culture, NMR and animals. The design paper's mouse findings are stated by its authors as directions with the numbers in figure panels, so this page reports them as directions too, rather than manufacturing values the paper did not print.

View publication →

References

Published studies reviewed (4)

  1. Targeted Apoptosis of Senescent Cells Restores Tissue Homeostasis in Response to Chemotoxicity and Aging. — Baar MP, Brandt RMC, Putavet DA, Klein JDD, Derks KWJ, Bourgeois BRM, Stryeck S, Rijksen Y, van Willigenburg H, Feijtel DA, et al.; de Keizer PLJ., Cell, 2017;169(1):132-147.e16
    DOI 10.1016/j.cell.2017.02.031 · PMID 28340339 · PMC5556182
  2. The disordered p53 transactivation domain is the target of FOXO4 and the senolytic compound FOXO4-DRI. — Bourgeois B, Spreitzer E, Platero-Rochart D, Paar M, Zhou Q, Usluer S, de Keizer PLJ, Burgering BMT, Sánchez-Murcia PA, Madl T., Nature Communications, 2025;16(1):5672
    DOI 10.1038/s41467-025-60844-9 · PMID 40593617 · PMC12216184
  3. Senolytic Peptide FOXO4-DRI Selectively Removes Senescent Cells From in vitro Expanded Human Chondrocytes. — Huang Y, He Y, Makarcyzk MJ, Lin H., Frontiers in Bioengineering and Biotechnology, 2021;9:677576
    DOI 10.3389/fbioe.2021.677576 · PMID 33996787 · PMC8116695
  4. Eliminating Senescent Cells Can Promote Pulmonary Hypertension Development and Progression. — Born E, Lipskaia L, Breau M, Houssaini A, Beaulieu D, Marcos E, Pierre R, Do Cruzeiro M, Lefevre M, Derumeaux G, et al.; Abid S., Circulation, 2023;147(8):650-666
    DOI 10.1161/CIRCULATIONAHA.122.058794 · PMID 36515093

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