This is a working overview of intranasal delivery, written for readers who want more than a one-paragraph summary but less than a textbook.
This page was last updated on 2026-04-20 and is reviewed periodically as new material appears.
The mechanisms attributed to semax are inferred from animal and cell studies rather than traced to one confirmed target. The most frequently cited pathway involves increased expression of brain-derived neurotrophic factor and nerve growth factor in hippocampal and cortical tissue. Some work points to engagement of melanocortin receptors, particularly MC4, which the parent ACTH fragment can activate. Effects on dopaminergic and serotonergic signalling have also been reported. No single account explains all observed results, and the relative weight of each pathway remains unsettled.
Published studies examine a fairly narrow set of endpoints. Rodent experiments commonly measure maze learning, infarct volume after induced ischemia, and tissue levels of neurotrophic factors. Clinical reports from Russian centres describe attention, memory and recovery scores in patients after stroke or transient ischemic attack. Most of those human studies are small and few have been repeated by independent groups. Outcome measures differ between studies, which limits direct comparison.
Circulation time for the peptide is short because peptidases cleave it readily. The Pro-Gly-Pro tail is thought to slow breakdown compared with the bare ACTH fragment, but the gain appears modest. Absorption after intranasal dosing is limited, and only a fraction of a dose is expected to reach the central nervous system. Laboratory concentrations therefore sit well above levels achieved systemically, a gap that complicates translation from bench findings to clinical claims.
Semax is a synthetic seven-amino-acid peptide whose sequence extends the ACTH(4-10) fragment with a C-terminal proline-glycine-proline tripeptide. The commonly cited sequence is Met-Glu-His-Phe-Pro-Gly-Pro, giving a molecular formula near C37H51N9O10S and a molecular weight close to 813.9 g/mol. It belongs to the broader class of synthetic ACTH fragments studied for central nervous system effects rather than for adrenal steroid stimulation. In practice the material appears as a lyophilized white powder for laboratory work or as a dilute saline solution in clinical settings.
Development is attributed to researchers at the Institute of Molecular Genetics in Moscow during the early 1980s, building on earlier Soviet work with ACTH fragments. Russian regulatory approval followed for intranasal use, and the compound has remained commercially available there for decades. Most published human data originate from Russian and, later, some Eastern European clinical reports, which are not always accessible in English translation. Outside that region the material is generally handled as a research chemical rather than a licensed medicine.
Regulatory status differs sharply between jurisdictions. In Russia the peptide is registered as a prescription nasal preparation, while agencies such as the United States Food and Drug Administration have not approved it for any indication. Products sold elsewhere are typically labeled for laboratory research only, and such labels shift responsibility for safe handling to the purchaser. Because the same name covers pharmaceutical-grade nasal drops and bulk research powder, identity and purity documentation becomes the main practical concern when comparing sources.
| Property | Value | Notes |
|---|---|---|
| Appearance | White to off-white powder | Lyophilized solid from research suppliers |
| Solubility | Freely soluble in water | Also dissolves in aqueous buffers; solutions are used fresh |
| Typical storage temperature | -20 °C for lyophilized powder | Short-term transport at 2-8 °C is common |
| Common analytical method | Reverse-phase HPLC | Paired with mass spectrometry for identity confirmation |
| Common synonyms | ACTH(4-10) analogue; MEHFPGP | N-terminal methionine retained in the chain |
Common degradation pathways include oxidation of the methionine side chain, hydrolysis of the peptide backbone, and aggregation under unfavourable pH or concentration. Stability studies typically monitor the main peak by chromatography and report total related substances as a percentage. Because no official monograph exists, acceptance criteria vary between laboratories, and reported purity values are not directly comparable across suppliers. Analysts therefore document the method, column, and detection wavelength alongside each result, and open questions remain about how much biological activity the oxidised forms retain.
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.
Semax 是人工设计的七肽，序列为 Met-Glu-His-Phe-Pro-Gly-Pro，骨架取自促肾上腺皮质激素片段 ACTH(4-10)。它于二十世纪八十年代在苏联的分子遗传学研究机构内合成。设计目标是保留该片段与注意力和记忆相关的活性，同时剔除促皮质激素释放等内分泌作用。此后俄罗斯将其登记为药品并进入临床使用。
当时的短肽研究普遍关注能否穿越血脑屏障、在低剂量下产生中枢效应，Semax 属于这一路线。鼻内给药是其主要使用方式，俄语文献报道的适应症涵盖缺血性卒中、短暂性脑缺血发作、认知功能减退以及视神经病变。这些研究大多发表在当地期刊上，样本规模与终点设置同西方试验惯例存在差异，国际同行对其临床证据的强度看法不一。
各国监管态度分化明显。俄罗斯按处方药管理，部分东欧国家留有使用记录；欧盟与美国未批准其作为药物上市，市面流通品通常标注为研究用化学品。身份差异意味着标示含量、纯度与无菌性缺少统一核查。体育领域还牵涉反兴奋剂名录，跨境携带则受目的地药品法规约束。
=== General fertility assessment === Comparison of an individual's AMH level with respect to average levels is useful in fertility assessment, as it provides a guide to ovarian reserve. Because one's AMH level cannot be altered by any external factors, it helps identify whether a woman needs to consider either egg freezing or trying for a pregnancy sooner rather than later if their long-term future fertility is poor. A higher level of anti-Müllerian hormone when tested in women in the general population has been found to have a positive correlation with natural fertility in women aged 30–44 aiming to conceive spontaneously, even after adjusting for age. However, this correlation was not found in a comparable study of younger women (aged 20 to 30 years).
Numerous small studies have investigated the effects of oral ketoconazole on hormone levels in humans. It has been found in men to significantly decrease testosterone and estradiol levels and to significantly increase luteinizing hormone, progesterone, and 17α-hydroxyprogesterone levels, whereas levels of androstenedione, follicle-stimulating hormone, and prolactin were unaffected. The ratio of testosterone to estradiol is also decreased during oral ketoconazole therapy in men. Suppression of testosterone levels by ketoconazole is generally partial and has often been found to be transient. Better effects on suppression of testosterone levels have been observed in men when ketoconazole is combined with a GnRH agonist to suppress the hypothalamic–pituitary–gonadal axis, which prevents compensatory upregulation of luteinizing hormone secretion and consequent activation of gonadal testosterone production. In premenopausal women with polycystic ovary syndrome, ketoconazole has been found to significantly decrease levels of androstenedione and testosterone and significantly increase levels of 17α-hydroxyprogesterone and estradiol. Studies in postmenopausal women with breast cancer have found that ketoconazole significantly decreases androstenedione levels, slightly decreases estradiol levels, and does not affect estrone levels. This indicates minimal inhibition of aromatase by ketoconazole in vivo in humans. Ketoconazole has also been found to decrease levels of endogenous corticosteroids, such as cortisol, corticosterone, and aldosterone, as well as vitamin D.
Sclerosis (from Ancient Greek σκληρός (sklērós) 'hard') is the stiffening of a tissue or anatomical feature, usually caused by a replacement of the normal organ-specific tissue with connective tissue. The structure may be said to have undergone sclerotic changes or display sclerotic lesions, which refers to the process of sclerosis. Common medical conditions whose pathology involves sclerosis include:
Sources: en.wikipedia.org
EC 1.14.14.5: alkanesulfonate monooxygenase EC 1.14.14.6: Now EC 1.14.13.111, methanesulfonate monooxygenase EC 1.14.14.7: transferred to EC 1.14.19.9, tryptophan 7-halogenase EC 1.14.14.8: anthranilate 3-monooxygenase (FAD) EC 1.14.14.9: 4-hydroxyphenylacetate 3-monooxygenase EC 1.14.14.10: nitrilotriacetate monooxygenase EC 1.14.14.11: styrene monooxygenase EC 1.14.14.12: 3-hydroxy-9,10-secoandrosta-1,3,5(10)-triene-9,17-dione monooxygenase EC 1.14.14.13: 4-(γ-L-glutamylamino)butanoyl-[BtrI acyl-carrier protein] monooxygenase EC 1.14.14.14: aromatase EC 1.14.14.15: (3S)-3-amino-3-(3-chloro-4-hydroxyphenyl)propanoyl-[peptidyl-carrier protein SgcC2] monooxygenase EC 1.14.14.16: steroid 21-monooxygenase EC 1.14.14.17: squalene monooxygenase EC 1.14.14.18: heme oxygenase (biliverdin-producing) EC 1.14.14.19: steroid 17α-monooxygenase EC 1.14.14.20: phenol 2-monooxygenase (FADH2) EC 1.14.14.21: dibenzothiophene monooxygenase EC 1.14.14.22: dibenzothiophene sulfone monooxygenase EC 1.14.14.23: cholesterol 7α-monooxygenase EC 1.14.14.24: vitamin D 25-hydroxylase EC 1.14.14.25: cholesterol 24-hydroxylase EC 1.14.14.26: 24-hydroxycholesterol 7α-hydroxylase EC 1.14.14.27: resorcinol 4-hydroxylase (FADH2) EC 1.14.14.28: long-chain alkane monooxygenase EC 1.14.14.29: 25/26-hydroxycholesterol 7α-hydroxylase EC 1.14.14.30: isobutylamine N-monooxygenase EC 1.14.14.31: ipsdienol synthase EC 1.14.14.32: 17α-hydroxyprogesterone deacetylase EC 1.14.14.33: ethylenediaminetetraacetate monooxygenase EC 1.14.14.34: methanesulfonate monooxygenase (FMNH2) EC 1.14.14.35: dimethylsulfone monooxygenase EC 1.14.14.36: tyrosine N-monooxygenase EC 1.14.14.37: 4-hydroxyphenylacetaldehyde oxime monooxygenase EC 1.14.14.38: valine N-monooxygenase EC 1.14.14.39: isoleucine N-monooxygenase EC 1.14.14.40: phenylalanine N-monooxygenase EC 1.14.14.41: (E)-2-methylbutanal oxime monooxygenase EC 1.14.14.42: homomethionine N-monooxygenase EC 1.14.14.43: (methylsulfanyl)alkanaldoxime N-monooxygenase EC 1.14.14.44: phenylacetaldehyde oxime monooxygenase EC 1.14.14.45: aromatic aldoxime N-monooxygenase EC 1.14.14.46: pimeloyl-[acyl-carrier protein] synthase EC 1.14.14.47: nitric-oxide synthase (flavodoxin) EC 1.14.14.48: jasmonoyl-L-amino acid 12-hydroxylase EC 1.14.14.49: 12-hydroxyjasmonoyl-L-amino acid 12-hydroxylase EC 1.14.14.50: tabersonine 3-oxygenase EC 1.14.14.51: (S)-limonene 6-monooxygenase EC 1.14.14.52: (S)-limonene 7-monooxygenase EC 1.14.14.53: (R)-limonene 6-monooxygenase EC 1.14.14.54: phenylacetate 2-hydroxylase EC 1.14.14.55: quinine 3-monooxygenase EC 1.14.14.56: 1,8-cineole 2-exo-monooxygenase EC 1.14.14.57: taurochenodeoxycholate 6α-hydroxylase EC 1.14.14.58: trimethyltridecatetraene synthase EC 1.14.14.59: dimethylnonatriene synthase EC 1.14.14.60: ferruginol monooxygenase EC 1.14.14.61: carnosic acid synthase EC 1.14.14.62: salviol synthase EC 1.14.14.63: β-amyrin 16β-monooxygenase EC 1.14.14.64: β-amyrin 6β-monooxygenase EC 1.14.14.65: sugiol synthase EC 1.14.14.66: marmesin synthase EC 1.14.14.67: 11-hydroxysugiol 20-monooxygenase EC 1.14.14.68: syn-pimaradiene 3-monooxygenase EC 1.14.14.69: ent-cassadiene hydroxylase EC 1.14.14.70: ent-sandaracopimaradiene 3-hydroxylase EC 1.14.14.71: cucurbitadienol 11-hydroxylase EC 1.14.14.72: drimenol monooxygenase EC 1.14.14.73: albendazole monooxygenase (sulfoxide-forming) EC 1.14.14.74: albendazole monooxygenase (hydroxylating) EC 1.14.14.75: fenbendazole monooxygenase (4′-hydroxylating) EC 1.14.14.76: ent-isokaurene C2/C3-hydroxylase EC 1.14.14.77: phenylacetonitrile α-monooxygenase EC 1.14.14.78: phylloquinone ω-hydroxylase EC 1.14.14.79: docosahexaenoic acid ω-hydroxylase EC 1.14.14.80: long-chain fatty acid ω-monooxygenase EC 1.14.14.81: flavanoid 3′,5′-hydroxylase EC 1.14.14.82: flavonoid 3′-monooxygenase EC 1.14.14.83: geraniol 8-hydroxylase EC 1.14.14.84: linalool 8-monooxygenase EC 1.14.14.85: 7-deoxyloganate 7-hydroxylase EC 1.14.14.86: ent-kaurene monooxygenase EC 1.14.14.87: 2-hydroxyisoflavanone synthase EC 1.14.14.88: isoflavone 3′-hydroxylase EC 1.14.14.89: 4′-methoxyisoflavone 2′-hydroxylase EC 1.14.14.90: isoflavone 2′-hydroxylase EC 1.14.14.91: trans-cinnamate 4-monooxygenase EC 1.14.14.92: benzoate 4-monooxygenase EC 1.14.14.93: 3,9-dihydroxypterocarpan 6a-monooxygenase EC 1.14.14.94: leukotriene-B4 20-monooxygenase EC 1.14.14.95: germacrene A hydroxylase EC 1.14.14.96: 5-O-(4-coumaroyl)-D-quinate 3′-monooxygenase EC 1.14.14.97: methyltetrahydroprotoberberine 14-monooxygenase EC 1.14.14.98: protopine 6-monooxygenase EC 1.14.14.99: (S)-limonene 3-monooxygenase EC 1.14.14.100: dihydrosanguinarine 10-monooxygenase EC 1.14.14.101: dihydrochelirubine 12-monooxygenase EC 1.14.14.102: N-methylcoclaurine 3′-monooxygenase EC 1.14.14.103: tabersonine 16-hydroxylase EC 1.14.14.104: vinorine hydroxylase EC 1.14.14.105: taxane 10β-hydroxylase EC 1.14.14.106: taxane 13α-hydroxylase EC 1.14.14.107: ent-kaurenoic acid monooxygenase EC 1.14.14.108: 2,5-diketocamphane 1,2-monooxygenase EC 1.14.14.109: 3-hydroxyindolin-2-one monooxygenase EC 1.14.14.110: 2-hydroxy-1,4-benzoxazin-3-one monooxygenase EC 1.14.14.111: 9β-pimara-7,15-diene oxidase EC 1.14.14.112: ent-cassa-12,15-diene 11-hydroxylase EC 1.14.14.113: α-humulene 10-hydroxylase EC 1.14.14.114: amorpha-4,11-diene 12-monooxygenase EC 1.14.14.115: 11-oxo-β-amyrin 30-oxidase EC 1.14.14.116: averantin hydroxylase EC 1.14.14.117: aflatoxin B synthase EC 1.14.14.118: tryprostatin B 6-hydroxylase EC 1.14.14.119: fumitremorgin C monooxygenase EC 1.14.14.120: dammarenediol 12-hydroxylase EC 1.14.14.121: protopanaxadiol 6-hydroxylase EC 1.14.14.122: oryzalexin E synthase EC 1.14.14.123: oryzalexin D synthase EC 1.14.14.124: dihydromonacolin L hydroxylase EC 1.14.14.125: monacolin L hydroxylase EC 1.14.14.126: β-amyrin 28-monooxygenase EC 1.14.14.127: methyl farnesoate epoxidase EC 1.14.14.128: farnesoate epoxidase EC 1.14.14.129: long-chain acyl-CoA ω-monooxygenase EC 1.14.14.130: laurate 7-monooxygenase EC 1.14.14.131: bursehernin 5′-monooxygenase EC 1.14.14.132: (–)-4′-demethyl-deoxypodophyllotoxin 4-hydroxylase EC 1.14.14.133: 1,8-cineole 2-endo-monooxygenase EC 1.14.14.134: β-amyrin 24-hydroxylase EC 1.14.14.135: glyceollin synthase EC 1.14.14.136: deoxysarpagine hydroxylase EC 1.14.14.137: (+)-abscisic acid 8′-hydroxylase EC 1.14.14.138: lithocholate 6β-hydroxylase EC 1.14.14.139: 5β-cholestane-3α,7α-diol 12α-hydroxylase EC 1.14.14.140: Now included with EC 1.14.14.162 EC 1.14.14.162, flavanone 2-hydroxylase EC 1.14.14.141: psoralen synthase EC 1.14.14.142: 8-dimethylallylnaringenin 2′-hydroxylase EC 1.14.14.143: (+)-menthofuran synthase EC 1.14.14.144: abieta-7,13-diene hydroxylase EC 1.14.14.145: abieta-7,13-dien-18-ol hydroxylase EC 1.14.14.146: geranylgeraniol 18-hydroxylase EC 1.14.14.147: 3-epi-6-deoxocathasterone 23-monooxygenase EC 1.14.14.148: angelicin synthase EC 1.14.14.149: 5-epiaristolochene 1,3-dihydroxylase EC 1.14.14.150: costunolide synthase EC 1.14.14.151: premnaspirodiene oxygenase EC 1.14.14.152: β-amyrin 11-oxidase EC 1.14.14.153: indole-2-monooxygenase EC 1.14.14.154: sterol 14α-demethylase EC 1.14.14.155: 3,6-diketocamphane 1,2-monooxygenase EC 1.14.14.156: tryptophan N-monooxygenase EC 1.14.14.157: indolin-2-one monooxygenase EC 1.14.14.158: carotenoid ε hydroxylase EC 1.14.14.159: dolabradiene monooxygenase EC 1.14.14.160: zealexin A1 synthase EC 1.14.14.161: nepetalactol monooxygenase EC 1.14.14.162: flavanone 2-hydroxylase EC 1.14.14.163: (S)-1-hydroxy-N-methylcanadine 13-hydroxylase EC 1.14.14.164: fraxetin 5-hydroxylase EC 1.14.14.165: indole-3-carbonyl nitrile 4-hydroxylase EC 1.14.14.166: (S)-N-methylcanadine 1-hydroxylase EC 1.14.14.167: (13S,14R)-13-O-acetyl-1-hydroxy-N-methylcanadine 8-hydroxylase EC 1.14.14.168: germacrene A acid 8β-hydroxylase EC 1.14.14.169: eupatolide synthase EC 1.14.14.170: 8-epi-inunolide synthase EC 1.14.14.171: β-amyrin 16α-hydroxylase EC 1.14.14.172: 3,5,6-trichloropyridin-2-ol monooxygenase EC 1.14.14.173: 2,4,6-trichlorophenol monooxygenase EC 1.14.14.174: geranylhydroquinone 3′′-hydroxylase EC 1.14.14.175: ferruginol synthase EC 1.14.14.176: taxadiene 5α-hydroxylase EC 1.14.14.177: ultra-long-chain fatty acid ω-hydroxylase EC 1.14.14.182: taxoid 7beta-hydroxylase EC 1.14.14.197: progesterone 11alpha-monooxygenase
The territory of the Viceroyalty of New Granada became the Republic of Colombia, organized as a union of the current territories of Colombia, Panama, Ecuador, Venezuela, parts of Guyana and Brazil and north of Marañón River. The Congress of Cúcuta in 1821 adopted a constitution for the new Republic. Simón Bolívar became the first President of Colombia, and Francisco de Paula Santander was made Vice President. However, the new republic was unstable and the Gran Colombia ultimately collapsed. Modern Colombia comes from one of the countries that emerged after the dissolution of Gran Colombia, the other two being Ecuador and Venezuela. Colombia was the first constitutional government in South America, and the Liberal and Conservative parties, founded in 1848 and 1849, respectively, are two of the oldest surviving political parties in the Americas. Slavery was abolished in the country in 1851. Internal political and territorial divisions led to the dissolution of Gran Colombia in 1830. The so-called "Department of Cundinamarca" adopted the name "New Granada", which it kept until 1858 when it became the "Confederación Granadina" (Granadine Confederation). After a two-year civil war in 1863, the United States of Colombia was created, which became known as the Republic of Colombia in 1886.
=== Melanotan peptide hormones === The role of alpha-melanocyte-stimulating hormone (α-MSH) in promoting melanin diffusion has been known since the 1960s. In the 1980s, scientists at University of Arizona began attempting to develop α-MSH and analogs as potential sunless tanning agents, and synthesized and tested several analogs, including afamelanotide, then called melanotan-I. In the European Union and United States, afamelanotide is indicated for the prevention of phototoxicity in adults with erythropoietic protoporphyria. Afamelanotide is also being investigated as a method of photoprotection from in the treatment of polymorphous light eruption, actinic keratosis and squamous cell carcinoma (a form of skin cancer). Bremelanotide is used for the treatment of generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. To pursue the tanning agent, melanotan-I was licensed by Competitive Technologies, a technology transfer company operating on behalf of University of Arizona, to an Australian startup called Epitan, which changed its name to Clinuvel in 2006. A number of products are sold online and in gyms and beauty salons as "melanotan" or "melanotan-1" which discuss afamelanotide in their marketing. The products are not legal in any jurisdiction and are dangerous. Starting in 2007 health agencies in various counties began issuing warnings against their use.
Molybdenum is a chemical element; it has symbol Mo and atomic number 42. The name is derived from Ancient Greek μόλυβδος mólybdos, meaning lead, since its ores were sometimes confused with those of lead. Molybdenum minerals have been known throughout history, but the element was discovered (in the sense of differentiating it as a new entity from the mineral salts of other metals) in 1778 by Carl Wilhelm Scheele. The metal was first isolated in 1781 by Peter Jacob Hjelm. Molybdenum does not occur naturally as a free metal on Earth; in its minerals, it is found only in oxidized states. The free element, a silvery metal with a grey cast, has the sixth-highest melting point of any element. It readily forms hard, stable carbides in alloys, and for this reason most of the world production of the element (about 80%) is used in steel alloys, including high-strength alloys and superalloys. Most molybdenum compounds have low solubility in water. Heating molybdenum-bearing minerals under oxygen and water affords molybdate ion MoO2−4, which forms quite soluble salts. Industrially, molybdenum compounds (about 14% of world production of the element) are used as pigments and catalysts. Molybdenum-bearing enzymes are by far the most common bacterial catalysts for breaking the chemical bond in atmospheric molecular nitrogen in the process of biological nitrogen fixation. At least 50 molybdenum enzymes are now known in bacteria, plants, and animals, although only bacterial and cyanobacterial enzymes are involved in nitrogen fixation.
Sources: en.wikipedia.org
It consists mainly of animal experiments and small clinical reports, with much of the clinical material published in Russian-language journals. Large independent trials are scarce. Separating reliable effects from chance findings is consequently difficult.
A fraction of an intranasal dose is thought to reach the central nervous system, and this route is favoured partly for that reason. The proportion is not well characterized. Direct measurement in humans remains difficult with current methods.
Raised BDNF and NGF expression has been reported across several animal studies, which makes the signal fairly consistent. Whether the same change occurs in humans at usable doses is not established. It is best treated as a working hypothesis rather than a confirmed clinical mechanism.
It is a short synthetic peptide built from seven amino acids: methionine, glutamic acid, histidine, phenylalanine and three prolines. The sequence derives from the 4-10 fragment of adrenocorticotropic hormone with an added proline-glycine-proline tail. No plant or animal extract is involved; the material is produced by solid-phase peptide synthesis.