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Anti-Aging & Longevity

FOXO4-DRI

Formula: Large peptide (49 amino acids, all D-retro-inverso)

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Written by Peptok Research
Reviewed by Medical Advisory BoardLast updated: Jan 2026

Quick Stats

Evidence Strength1/10 (Low)

Based on number and quality of indexed studies

Community Popularity1/10 (Low)

Based on search volume and community interest

Legal Status

⚖️ Not FDA-approved

Type

Anti-Aging & Longevity

Route

Intravenous, Intraperitoneal (research)

Half-life

Not well characterized (~hours)

Medical Disclaimer

This content is for informational and research purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional before making decisions about peptide use or any medical treatment. Individual results may vary.

Overview

FOXO4-DRI is a senolytic peptide designed to selectively target and eliminate senescent cells. It works by disrupting the interaction between FOXO4 and p53, triggering apoptosis in these aging cells. Research suggests potential benefits in age-related conditions, though much data is currently from animal studies.

Quick Summary

  • 🧬
    What it is:FOXO4-DRI is a senolytic peptide designed to selectively target and eliminate senescent cells.
  • 🎯
    Primary use:Anti-Aging & Longevity applications — see benefits section for details.
  • 📊
    Evidence level:Preliminary — Mostly anecdotal or very early-stage research (1 indexed papers)
  • Bottom line:Very early research phase. Approach with appropriate caution; long-term safety is unknown.

FOXO4-DRI stands out because it's designed to selectively target senescent cells. Unlike some other anti-aging compounds, FOXO4-DRI aims to eliminate cells that have stopped dividing and are thought to contribute to age-related decline. This peptide achieves this by interfering with a specific protein interaction inside the cell.

The goal of FOXO4-DRI is not simply to slow down aging, but to reverse some aspects of it by removing the source of harmful inflammation and cellular dysfunction caused by senescent cells. This targeted approach makes it distinct from other Anti-Aging & Longevity peptides that focus on general cellular support or metabolic optimization.

How FOXO4-DRI Works

FOXO4-DRI's mechanism centers around disrupting the interaction between two key proteins: FOXO4 and p53. FOXO4 is a protein involved in DNA repair and stress resistance. P53, often called the "guardian of the genome," is a tumor suppressor protein that triggers cell cycle arrest or apoptosis (programmed cell death) when DNA damage is detected.

In senescent cells, FOXO4 binds to p53, preventing p53 from triggering apoptosis. This allows the damaged senescent cells to persist, releasing inflammatory molecules and contributing to age-related problems. FOXO4-DRI is designed to interfere with this binding. By blocking the FOXO4-p53 interaction, FOXO4-DRI allows p53 to function normally, leading to the selective apoptosis of senescent cells.

Recent research has shown that FOXO4-DRI induces keloid senescent fibroblast apoptosis by promoting nuclear exclusion of upregulated p53-serine 15 phosphorylation. This means the peptide encourages p53 to leave the nucleus, triggering apoptosis in the senescent cells [3].

What the Research Actually Shows

Improved Testosterone Secretion:

  • Study Type: Animal study (aged mice)
  • Findings: FOXO4-DRI alleviated age-related testosterone secretion insufficiency by targeting senescent Leydig cells [4].
  • Evidence Grade: Animal only

Improved Spermatogenesis:

  • Study Type: Animal study (aged mice)
  • Findings: FOXO4-DRI improved spermatogenesis in aged mice by reducing the senescence-associated secretory phenotype (SASP) secretion from Leydig cells [5]. This suggests a potential for improving male fertility in older individuals.
  • Evidence Grade: Animal only

Radiosensitization of Lung Cancer Cells:

  • Study Type: In vitro (cell culture) and in vivo (mouse model)
  • Findings: Targeting senescence-like fibroblasts with FOXO4-DRI radiosensitized non-small cell lung cancer cells and reduced radiation-induced pulmonary fibrosis [2]. This suggests FOXO4-DRI could be used in conjunction with radiation therapy to improve cancer treatment outcomes and reduce side effects.
  • Evidence Grade: Preliminary

Removal of Senescent Cells in Cartilage:

  • Study Type: In vitro (cell culture)
  • Findings: FOXO4-DRI selectively removed senescent cells from in vitro expanded human chondrocytes [6]. Chondrocytes are cartilage cells, and this finding suggests a potential application for treating osteoarthritis and other cartilage-related conditions.
  • Evidence Grade: Preliminary

Potential Role in Pulmonary Hypertension:

  • Study Type: Animal study (mice)
  • Findings: Eliminating senescent cells can promote pulmonary hypertension development and progression [1]. This finding suggests caution when using senolytics, including FOXO4-DRI, in individuals at risk for or with existing pulmonary hypertension. Further research is needed to understand the specific effects of FOXO4-DRI on pulmonary hypertension.
  • Evidence Grade: Animal only. This study highlights a potential negative effect and requires further investigation.

FOXO4-DRI vs. GHK-Cu

Both FOXO4-DRI and GHK-Cu are used in the Anti-Aging & Longevity peptides space, but they operate through vastly different mechanisms. FOXO4-DRI is a senolytic peptide, meaning it targets and eliminates senescent cells. GHK-Cu, on the other hand, is a copper-binding peptide that promotes tissue repair and regeneration.

FOXO4-DRI directly addresses the problem of senescent cell accumulation, which is a driver of aging. By selectively inducing apoptosis in these cells, it aims to reduce inflammation and improve tissue function. GHK-Cu, however, works by enhancing collagen production, promoting angiogenesis (new blood vessel formation), and modulating inflammation. It doesn't directly target senescent cells.

Therefore, the choice between FOXO4-DRI and GHK-Cu depends on the specific goals. If the primary goal is to remove senescent cells, FOXO4-DRI is the more direct approach. If the goal is to support tissue repair and regeneration, GHK-Cu is a better option. It's also conceivable that these two could be used together in a comprehensive anti-aging strategy. You can use a peptide dosage calculator to figure out the right amounts to take.

The Honest Limitations

The research on FOXO4-DRI is still in its early stages. While the animal studies are promising, it's important to acknowledge the limitations. Many of the studies are in vitro, meaning they were conducted in cell cultures, not in living organisms. Animal studies don't always translate directly to humans.

There are no large-scale, randomized controlled trials (RCTs) in humans to confirm the efficacy and safety of FOXO4-DRI. The long-term effects of FOXO4-DRI are also unknown. The study on pulmonary hypertension development [1] raises a flag about potential unintended consequences of senolytic therapies and highlights the need for careful evaluation of risks and benefits.

Optimize FOXO4-DRI Storage

FOXO4-DRI, like many peptides, is sensitive to temperature and light. To maintain its stability and efficacy, proper storage is crucial. It should be stored in lyophilized (freeze-dried) form in a freezer at -20°C (-4°F) or lower until reconstitution. Once reconstituted with bacteriostatic water, it should be stored in the refrigerator at 2-8°C (36-46°F) and used within a few weeks. Avoid repeated freeze-thaw cycles, as this can degrade the peptide.

Benefits & Evidence

Selective destruction of senescent cells

Moderate Evidence

1 studies · 0 human trials

Tissue rejuvenation

Preliminary

1 studies · 0 human trials

Improved organ function in aged models

Preliminary

1 studies · 0 human trials

Restored fur density and kidney function in mice

Preliminary

1 studies · 0 human trials

Targeted mechanism (spares healthy cells)

Preliminary

1 studies · 0 human trials

Physical performance improvement in aged animals

Preliminary

1 studies · 0 human trials

Who Uses FOXO4-DRI?

Research enthusiasts

Preliminary

Emerging therapeutic applications being studied

Biohackers

Anecdotal

Exploring optimization potential

Not recommended if:

Pregnant or nursing, history of hormone-sensitive cancers, active autoimmune conditions, or pediatric patients. Always consult a physician before starting any peptide protocol.

Dosage Guide

Protocol by Experience Level

ExperienceDoseFrequencyCycleRoute
Beginner3 mgDaily or EOD4–6 wks, 2 wks offSubQ injection
Intermediate5 mgDaily4–6 wks, 2 wks offSubQ injection
Advanced8 mgDaily (split dose)4–6 wks, 2 wks offSubQ injection

Standard Protocol

No human dose established. Mouse studies: 5 mg/kg IP 3x/week

Notes

Extremely experimental. D-retro-inverso design makes it protease-resistant but very expensive to synthesize. No human trials. The self-experimenter community has very limited experience.

Route

Intravenous, Intraperitoneal (research)

Half-life

Not well characterized (~hours)

Molecular Weight

~5500 g/mol

Disclaimer

This information is for educational purposes only. Dosage information is derived from research literature and community reports. Always consult a qualified healthcare provider before using any peptide.

What the Community Reports

Community data coming soon

We're aggregating Reddit discussions for FOXO4-DRI.

Safety Profile

Regulatory Status

Not FDA-approved. Research chemical. Unregulated. Expensive due to complex synthesis.

Common

  • Very limited safety data
  • Theoretical: excessive cell clearance
  • Unknown long-term effects

Rare

  • Potential immune activation from senescent cell debris

Serious

No serious adverse events reported in available literature.

Pregnancy: ❌ Not recommended — no safety dataKnown Interactions: 3 documented stacks
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Research

Mechanism of Action

Senescent cells survive by sequestering the tumor suppressor p53 via FOXO4 binding. FOXO4-DRI is a D-retro-inverso peptide that mimics FOXO4 and competitively disrupts the FOXO4-p53 interaction. This frees p53 to translocate to mitochondria and trigger intrinsic apoptosis (caspase-dependent cell death) specifically in senescent cells. Healthy cells do not rely on FOXO4-p53 interaction for survival, so they are unaffected.

Search Volume Trend

Rank #24
12 months agoPresent

Common Stacks

Peptides frequently combined together for synergistic effects.

Epitalon

Performance

Commonly combined with Epitalon for enhanced outcomes

GHK-Cu

Longevity & Anti-Aging

Skin/collagen synergy — anti-aging and wound healing

Humanin

Performance

Commonly combined with Humanin for enhanced outcomes

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