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A small ciliary neurotrophic factor (CNTF)-derived peptide mimetic with an adamantylated residue for blood-brain-barrier penetration, studied in Alzheimer's-model animals for neurogenesis, BDNF induction, and reduction of tau and amyloid pathology.
P021 (also written P21, Peptide 021, GLXC-21260) is a small peptidergic compound derived from the biologically active region of human ciliary neurotrophic factor (CNTF, residues 148-151) by epitope mapping. An adamantane-based residue is added at the C-terminus (giving Ac-DGGL(A)G-NH2) to increase lipophilicity, improve blood-brain-barrier permeability, and reduce degradation by exopeptidases.
It was developed in the laboratory of Khalid Iqbal and colleagues and has been characterized in multiple Alzheimer's-disease animal models. PubChem lists it under CID 56589645 with molecular formula C27H42N6O8 and a molecular weight near 578.7 g/mol.
All findings described here are from preclinical animal and cell research. There are no established human treatment outcomes, and this entry is provided for research and reference use only.
P021 is described in the literature as a neurogenic and neurotrophic compound. Proposed mechanisms include inhibition of leukemia inhibitory factor (LIF) signaling and enhancement of dentate-gyrus neurogenesis, together with increased expression of brain-derived neurotrophic factor (BDNF).
Through increased BDNF signaling, animal studies report a decrease in the activity of glycogen synthase kinase-3beta (GSK-3beta), a major tau kinase, which is associated in these models with reduced abnormal tau hyperphosphorylation and attenuated amyloid-beta and neurofibrillary pathology.
Kazim et al., prevention of dendritic and synaptic deficits (J Neurosci / PMC5488423): Reported that chronic P021 treatment in a mouse model was associated with prevention of synaptic and neurogenesis deficits and cognitive impairment. Reported for reference only.
3xTg-AD cognition and pathology studies: Work in the 3xTg-AD mouse model reported rescue of cognitive deficits at 4 months and reduced tau hyperphosphorylation and Abeta plaque load at later timepoints. These are animal-model observations; any dosing figures are experimental parameters, not recommendations.
Prenatal-to-postnatal neurotrophic treatment study (PMC7450938): Reported that early neurotrophic treatment with P021 prevented Alzheimer-like behavior and pathology in mice. Described for information only.
Combinations examined in the research literature. Descriptive only — not a recommendation to combine compounds.
References are being compiled for this entry.