PE-22-28
PE-22-28 scored 4.4 / 10 (⚠️ Caution) on the BioHarmony scale as a Substance → Peptide → Neuropeptide.
PE-22-28 is a synthetic spadin analogue that blocks the TREK-1 potassium channel, a target with a clean and well-characterized link to fast-acting antidepressant effects in rodents, per Mazella 2010 and Djillani 2017. The mechanism is promising and the rodent antidepressant data is real, but there are zero human trials, the dosing is biphasic in a way that can flip the effect, and it is grey-market only.
What is PE-22-28?
PE-22-28 is a lab-made peptide that blocks the TREK-1 potassium channel, and that single action is the whole pitch. TREK-1 quietly sets how excitable a neuron is, so blocking it raises the firing of serotonin neurons and, in animals, behaves like a fast-acting antidepressant. The target has a genuinely clean backstory: deleting the TREK-1 gene in mice makes them resistant to depression, which is what first put this channel on the map as a depression target, per Mazella 2010. PE-22-28 itself is a 7-amino-acid fragment engineered from spadin, a sortilin-derived peptide, and it was built to hit TREK-1 harder and last longer than its parent, per Djillani 2017.
Here is the catch, and it is a big one. Every result for PE-22-28 comes from mice, rats, or cells. There are zero human trials, no human safety data, no human pharmacokinetics, and no registered studies on ClinicalTrials.gov. On top of that, the dose response is biphasic, so a low dose can activate the channel while a higher dose blocks it, which means naive dosing could do the opposite of what someone wants, per Djillani 2019. And TREK-1 is not brain-only: it sits in the heart, blood vessels, pancreas, and gut, so a systemic blocker carries off-target risk nobody has characterized in people, per Hivelin 2016. The mechanism is exciting. The human proof does not exist.
The single most citable contrast: PE-22-28 blocks TREK-1 at about 0.12 nanomolar and acts for roughly 23 hours in mice, versus 40 to 60 nanomolar and under 7 hours for spadin. It is a far stronger, longer-lasting tool aimed at the same target, and still tested only in animals.Djillani 2017, Front Pharmacol
Terminology
A few terms decide how you read this report, because the gap between a clean animal mechanism and a proven human treatment is exactly where PE-22-28 lives. Get these straight and the rest of the report reads clearly, since most of the confusion around this peptide comes from blurring the parent compound with the analogue, or from treating a rodent finding as if it were a human result.
- TREK-1 (KCNK2): A background potassium channel that sets baseline neuron excitability. Blocking it makes neurons fire more, and that is the antidepressant mechanism here.
- Spadin: The 17-amino-acid parent peptide, derived from sortilin, also written PE 12-28. PE-22-28 is the shortened, optimized version of it.
- Spadin analogue: A peptide engineered from spadin to hit the same target with better potency or stability. PE-22-28 is the headline example.
- Biphasic dose response: A pattern where a low dose and a high dose do opposite things. For spadin-class peptides, a low dose activates TREK-1 while a higher dose inhibits it.
- Off-target tissue: TREK-1 is expressed outside the brain, in heart, vasculature, pancreas, and gut, so a systemic blocker can act in places you did not intend.
- Preclinical: Studied only in cells or animals, never in humans. That is the entire evidence base for PE-22-28.
- Neurogenesis and synaptogenesis: The growth of new neurons and new synapses. PE-22-28 boosts both in mice, which is the proposed route to a durable antidepressant effect.
How do you take PE-22-28?
Dosing & Protocols
Dosing information is summarized from published research and community reports. This is not a prescribing guide. Consult a healthcare provider before starting any protocol.
View 1 route and 4 protocols
Routes & Forms
| Route | Form | Clinical Range | Community Range |
|---|---|---|---|
| Subcutaneous or intraperitoneal injection | Lyophilized powder reconstituted with bacteriostatic water (grey-market research chemical, no certificate-of-analysis standard) | No approved clinical dose | Low-microgram to low-milligram per injection, extrapolated from rodent work, highly speculative |
Protocols
There is no validated protocol Anecdotal
- Dose
- Unknown
- Frequency
- Unknown
- Duration
- Unknown
No human protocol exists. The entries below are rodent reference points and grey-market anecdote only, included so you can see how thin the basis is, not as a recommendation.
Rodent neuroprotective reference (channel-activating) Anecdotal
- Dose
- About 0.03 micrograms per kilogram
- Frequency
- Single or short-course injection
- Duration
- Days
This low dose activates TREK-1 in mice for neuroprotection, per the biphasic finding. It is a mouse number, not a human dose, and it illustrates the low-dose end of the trap.
Rodent antidepressant reference (channel-inhibiting) Anecdotal
- Dose
- About 3 micrograms per kilogram
- Frequency
- Once daily over a short course
- Duration
- About 4 days in behavioral models
This higher dose inhibits TREK-1 in mice for the antidepressant effect. Note that it is roughly a hundred times the neuroprotective dose, which is exactly why biphasic dosing is a trap. Mouse number only.
Grey-market anecdotal practice Anecdotal
- Dose
- Low-microgram to low-milligram per injection
- Frequency
- Often once daily
- Duration
- Short self-directed courses
Forum users describe subcutaneous injection reconstituted from powder. These figures are not derived from any human study, purity is unverified, and the biphasic risk plus off-target tissue exposure makes self-dosing genuinely uncertain.
How this score is calculated →
What are the benefits of PE-22-28?
Upside contribution: 1.27
| Dimension | Weight | Score | Visual | Weighted |
|---|---|---|---|---|
| Efficacy | 25% | 2.5 | 0.625 | |
| Breadth | 15% | 2.5 | 0.375 | |
| Evidence | 25% | 1.5 | 0.375 | |
| Speed | 10% | 3.0 | 0.300 | |
| Durability | 10% | 2.2 | 0.220 | |
| Bioindividuality | 15% | 2.5 | 0.375 | |
| Total | 2.270 |
Upside Rationale
The upside is concentrated in mechanism and rodent effect rather than in anything proven in people. PE-22-28's real asset is a clean, specific, well-characterized target with a fast antidepressant signal in animals, while its weakness is that the human column is completely empty. Efficacy, breadth, speed, durability, and bioindividuality all score moderately and rest on animal inference, which is why none of them climbs above the midpoint. Evidence is the dimension that drags the total down hardest, and it should, because there is no human study to lean on. It helps to read the upside as a forecast rather than a track record: the biology says this should work, and in mice it does, but biology that works in mice routinely fails to translate to human depression, so every dimension below is scored as promise, discounted for the fact that the promise has never been put to a human test. That discount is the whole reason a compound with such an attractive mechanism still lands in caution rather than higher.
Efficacy (2.5/5.0): Efficacy is moderate-to-low because the antidepressant effect is real but lives entirely in animals. In rodents, PE-22-28 and spadin reduced immobility in the forced-swim test, cut latency in novelty-suppressed feeding, and reversed depressive behavior faster than fluoxetine, per Djillani 2017 and Qi 2018. Those are genuine, reproducible effects from a coherent research program. What pins the score down is that no human-translatable effect size exists, and many fast-acting antidepressant mechanisms that worked in rodents have never reached human trials. A confirmed mouse effect cannot score as effective for the human uses people actually buy this for, so efficacy lands in the middle, carried by mechanism rather than proof.
Breadth of Benefits (2.5/5.0): Breadth is moderate because the proposed benefits cluster tightly around mood, neuroprotection, and neuroplasticity rather than spanning many systems. In animals, the same TREK-1 blockade that drives the antidepressant effect also boosts hippocampal neurogenesis and synaptogenesis, raises BDNF, and supports stroke recovery, per Devader 2015 and Djillani 2019. That is real mechanistic breadth within the nervous system. The boundary is that none of it is proven in humans, and the breadth is narrow in scope: this is a neuro peptide, not a whole-body tool, so the score reflects a focused, animal-only set of plausible benefits.
Evidence Quality (1.5/5.0): Evidence is the weakest dimension and the reason this sits in caution, because there are zero human trials. Every result, including the discovery work and the PE-22-28 design paper, comes from mice, rats, or cells, per Mazella 2010 and Djillani 2017. ClinicalTrials.gov returns no registered studies for PE-22-28 or spadin, there is no human safety data, and there is no human pharmacokinetics. The data that does exist is coherent and reproducible, mostly from one primary lab with a few replications, which is why this is not a zero. But a single primary lab and an entirely preclinical record cannot support a higher score, and translation risk for fast-acting antidepressant mechanisms is high. This dimension anchors the low score.
Speed of Onset (3.0/5.0): Speed is a relative bright spot, with the same caveat as everything else. The whole reason TREK-1 blockers are interesting is that they act fast: in rodents the antidepressant-like effect appears within about 4 days, versus the 3 to 4 weeks a classic SSRI needs, per Djillani 2019. PE-22-28 specifically induced neurogenesis after only a 4-day treatment, per Djillani 2017. So the speed story is genuine at the mechanism level and is the most attractive thing about this class. It scores in the middle rather than higher only because the fast onset is measured in animals, and no one has timed a response in a person.
Durability (2.2/5.0): Durability is low and frankly unknown in humans. In animals, native spadin's action fades within about 7 hours, and PE-22-28 was specifically engineered to extend that to roughly 23 hours, per Djillani 2017. Whether any antidepressant benefit persists after stopping is unstudied even in animals beyond the short 4-day treatment windows, and there is no tolerance, dependence, or washout data in any species. The neurogenesis signal hints that some structural change could last, but that is inference, not evidence. So durability scores low: the effect is short-acting by nature, and nothing shows it sticks.
Bioindividuality Upside (2.5/5.0): Bioindividuality is moderate because TREK-1 biology plausibly varies between people, but we have no human data to map it. In animals, TREK-1 expression rises in the hippocampus under chronic stress, and knockdown helps more in stressed animals, per Wang 2021, which suggests baseline stress state could shape the response. That is a reasonable prediction of variability, and it lifts the score above the floor. The limit is that no human work exists to identify responders, and the biphasic dose response adds a second axis of unpredictability, so the practical takeaway is that response is plausibly variable and entirely uncharted in people.
What are the risks & downsides of PE-22-28?
Downside contribution: 1.90 (safety risks weighted extra)
| Dimension | Weight | Score | Visual | Weighted |
|---|---|---|---|---|
| Safety | 30% | 2.8 | 0.840 | |
| Side effects | 15% | 2.6 | 0.390 | |
| Cost | 5% | 3.0 | 0.150 | |
| Effort | 5% | 2.8 | 0.140 | |
| Opportunity | 5% | 3.0 | 0.150 | |
| Dependency | 15% | 1.8 | 0.270 | |
| Reversibility | 25% | 2.0 | 0.500 | |
| Total | 2.440 | |||
| Harm subtotal × 1.4 | 2.800 | |||
| Opportunity subtotal × 1.0 | 0.440 | |||
| Combined downside | 3.240 | |||
| Baseline offset (constant) | −1.340 | |||
| Effective downside penalty | 1.900 |
Downside Rationale
The downside is dominated by uncertainty rather than a documented catastrophe. PE-22-28 has no human safety signal because no human has ever been studied, which is its own kind of risk, and that blank is compounded by the biphasic-dosing trap and by off-target exposure in tissues that have nothing to do with mood. Cost and effort are typical grey-market peptide burdens, neither extreme on its own. Dependency is low and reversibility is mediocre, both inferred from the short rodent half-life rather than measured in a person. The heaviest weights come from safety, opportunity cost, and the practical effort of running an unvalidated injectable with no settled protocol. Worth saying plainly: the downside here is not that PE-22-28 has shown harm, it is that nobody has looked, and looking is the only thing that would tell us whether the off-target footprint and the dose-direction trap translate into real problems in people. Scoring an unknown as moderate rather than safe is the honest call, because absence of evidence is not evidence of safety.
Safety Risk (2.8/5.0): Safety risk is moderate, driven by unknowns rather than a confirmed catastrophic signal. There is no human safety data at all, no human pharmacokinetics, and no documented adverse-event profile, so everything here is theoretical or extrapolated from animals. Two concrete concerns stand out. The dose response is biphasic, where a low dose activates TREK-1 and a higher dose inhibits it, so a naive dose escalation can reverse the intended effect, per Djillani 2019. And TREK-1 is expressed well beyond the brain, including pancreatic beta cells where blockade acts as an insulin secretagogue in animals, per Hivelin 2016, plus heart, vasculature, and gut. None of that is a proven human harm, which is why the score is moderate rather than high, but the uncharacterized breadth on a multi-tissue target is exactly what makes self-injection a gamble.
Side Effect Profile (2.6/5.0): Side effects are moderate and almost entirely undocumented, because there is no human study to document them. In practice that means nobody can tell you what to expect, which is a downside in itself. The animal off-target work flags the likely watch areas: blood sugar shifts from the insulin-secretagogue effect, per Hivelin 2016, and theoretical cardiovascular effects from TREK-1 in heart and vascular tissue. Grey-market sourcing adds injection-site reactions, contamination, and dosing errors on top of the peptide itself. The score sits in the middle because absence of documented side effects is not the same as safety; it is just absence of data.
Financial Cost (3.0/5.0): Cost is moderate. Research-chemical peptides like this are not especially expensive per vial, and the dose is small, so the raw spend is manageable. What erodes the value is that you are paying for a compound with zero human proof, so even a modest cost buys an uncertain outcome. There is no pharmaceutical-grade option to pay up for, which keeps the price low but also means you cannot buy your way to verified quality. The score reflects a fair material cost paired with poor value given the evidence gap.
Time/Effort Burden (2.8/5.0): Effort is meaningful. PE-22-28 is an injectable that arrives as lyophilized powder, so it needs reconstitution with bacteriostatic water, subcutaneous injection, cold-chain storage, and careful handling of an unvalidated dose. The biphasic pharmacology makes the effort worse, because there is no settled protocol to follow and getting the dose direction right actually matters here. Compared with an oral supplement, that is a real daily logistics load, and the lack of any reference dose means more guesswork than a typical peptide. The score reflects standard injectable friction plus the extra cognitive load of an undefined dose.
Opportunity Cost (3.0/5.0): Opportunity cost is genuine, because better-supported options exist for the same goals. If the aim is mood, focus, or neuroprotection, peptides like Semax and Bromantane at least have human use behind them, and Dihexa sits in the same preclinical neuro-peptide space for comparison. Money, effort, and self-experimentation risk spent on a compound with zero human data could go toward those, or toward the sleep, training, and stress basics that move mood with far more certainty. The score reflects a real and avoidable trade-off rather than a forced choice.
Dependency/Withdrawal (1.8/5.0): Dependency risk is low, inferred from the pharmacology rather than measured. PE-22-28 is not known to suppress a hormonal axis or to act on classic reward circuits, and its short rodent half-life means it clears quickly, so functional reliance would mean simply losing a benefit when you stop rather than experiencing withdrawal. There is no documented addiction or withdrawal syndrome in any species. The score is low because the mechanism does not predict dependence, with the honest caveat that no human has been observed over time, so this is a reasonable inference, not a guarantee.
Reversibility (2.0/5.0): Reversibility is mediocre and, like everything here, unstudied in humans. The short rodent half-life suggests acute effects wash out within roughly a day, which mildly favors reversibility for a bad reaction. But the neurogenesis and synaptogenesis effects in animals raise the possibility of structural changes that would not reverse on the same timescale, and there is no human washout, tolerance, or long-term follow-up data to confirm either way. On a multi-tissue target with no human safety profile, an effect you cannot quickly undo is a real concern, so the score lands below the midpoint.
The design thesis is also the dosing trap: a low dose of a spadin-class peptide activates TREK-1 for neuroprotection while a higher dose inhibits it for the antidepressant effect, so assuming more is better can flip the result you are chasing.Djillani 2019, Neuropharmacology
Is PE-22-28 worth it?
PE-22-28 sits in caution because it pairs one of the cleaner mechanisms in the grey-market peptide world with a completely empty human file. The TREK-1 to depression link is real and well-characterized, the rodent antidepressant and neurogenesis data is genuine, and the speed of onset is the kind of thing that makes the whole class exciting, per Mazella 2010 and Djillani 2017. But there are zero human trials, the dose response is biphasic in a way that can reverse the effect, and TREK-1 is expressed in the heart, pancreas, and gut, so a systemic blocker carries uncharacterized off-target risk, per Hivelin 2016. Promising mechanism, no human proof, grey-market.
✅ Best for: Researchers and very experienced self-experimenters who fully understand that this is preclinical and act accordingly. People who grasp the biphasic-dosing trap and would not assume a higher dose is better. Anyone tracking the TREK-1 antidepressant story for its scientific interest rather than treating it as a ready tool. Users who accept that grey-market sourcing means unverified purity, sterility, and identity on top of an already unvalidated compound.
❌ Avoid if: You want an evidence-backed mood or antidepressant tool, since none of the human proof exists, and options like Semax at least have human use behind them. You have any cardiovascular condition, diabetes or blood-sugar issues, or gut conditions, since TREK-1 sits in all those tissues and human safety is unknown. You would be tempted to push the dose upward, since that can flip the effect. You cannot verify source quality, since contamination risk may exceed the intrinsic pharmacological risk. You expect a settled protocol, since there is no validated human dose.
Frequently Asked Questions
What is PE-22-28 and how does it work?
PE-22-28 is a 7-amino-acid synthetic peptide built from spadin, and it blocks the TREK-1 potassium channel, per Djillani 2017. TREK-1 sets baseline neuron excitability, so blocking it raises the firing of serotonin neurons and is tied to fast antidepressant effects in animals, per Mazella 2010. Deleting the TREK-1 gene in mice makes them depression-resistant, which first nominated this target. It is a clean, specific mechanism, but the depression link is animal data, not human proof.
Does PE-22-28 work in humans?
No. There are zero human trials for PE-22-28 or spadin, ClinicalTrials.gov returns no registered studies, and there is no human safety or pharmacokinetic data, per the rodent-only literature, per Mazella 2010. Every result, including the fast antidepressant effect and the neurogenesis findings, comes from mice or rats. A promising mouse antidepressant is a weak basis for self-injection, and many rodent fast-acting antidepressant mechanisms have never reached human trials, so treat the human case as unproven.
What is the biphasic-dosing risk with PE-22-28?
Spadin-class peptides show a biphasic dose response, which is the main dosing trap. In mice, a low dose, around 0.03 micrograms per kilogram, activates TREK-1 for neuroprotection, while a higher dose, around 3 micrograms per kilogram, inhibits it for the antidepressant effect, per Djillani 2019. That means a more-is-better assumption can flip the result, so naive dosing could do the opposite of what someone intends. There is no validated human dose to steady this, which makes the trap worse.
What are the off-target tissue concerns with PE-22-28?
TREK-1 is not brain-only, which is the core off-target worry. It is expressed in the heart and vasculature, in pancreatic beta cells where blockade potentiates insulin secretion in animals, per Hivelin 2016, and in immune and gut tissue. A systemic TREK-1 blocker could therefore plausibly touch cardiovascular tone, blood sugar, and immune signaling. None of this has been characterized in humans, so the risk is theoretical but real, and that uncharacterized breadth is exactly the problem.
How is PE-22-28 different from spadin?
PE-22-28 is a shorter, optimized version of spadin built to be stronger and more stable. Spadin is the 17-amino-acid parent with about 40 to 60 nanomolar affinity for TREK-1 and an in-body action under 7 hours, while PE-22-28 is a 7-amino-acid fragment with about 0.12 nanomolar affinity and roughly 23 hours of action in mice, per Djillani 2017. So it is spadin done better: same target, same mechanism, higher potency, longer action, but still rodent-only.
What is the dose of PE-22-28?
There is no validated human dose, and PE-22-28 is not an approved drug. Rodent work used microgram-per-kilogram injections with a biphasic pattern, per Djillani 2019, and grey-market users describe low-microgram to low-milligram injections reconstituted from powder, but none of those figures come from a human study. Because the dose response can reverse the effect and there is no human safety basis to guide it, any human dosing is unapproved extrapolation and anecdotal.
Where do people get PE-22-28 and is it legal?
PE-22-28 is not approved anywhere and is sold strictly as a research chemical labeled not for human consumption, a regulatory grey area. There is no pharmaceutical-grade supply chain and no third-party identity or purity standard, so buyers carry all the sterility, purity, and identity risk. Reconstitution and self-injection add infection and dosing-error risk on top of a compound with no human safety data, per the rodent-only record, per Mazella 2010.
Who is PE-22-28 for and who should avoid it?
PE-22-28 is realistically for researchers and very experienced self-experimenters who accept zero human evidence, the biphasic-dosing trap, and off-target risk in heart, pancreas, and gut tissue, per Hivelin 2016. Anyone wanting an evidence-backed mood or cognitive tool should look at better-studied peptides like Semax or Bromantane, which at least have human use behind them. PE-22-28 is a promising mechanism with no human proof.
What could change PE-22-28's score?
BioHarmony scores are living assessments. New research, regulatory changes, or personal context can shift the score up or down. These are the most likely scenarios that would change this intervention's rating.
The fastest path up is human data, and the fastest path down is a documented safety signal once anyone actually studies this in people. Because the current score rests on an empty human file, even modest real evidence in either direction would move it more than usual, far more than for a compound that already has a thick human record to dilute any single new finding. A first-in-human safety and pharmacokinetic study is the single biggest lever, since it would lift evidence, establish a real dose reference, and start to characterize the off-target risk all at once. Until something like that exists, the score is a placeholder for genuine uncertainty rather than a settled judgment, and it should be read that way.
| Scenario | Dimension shifts | New Score |
|---|---|---|
| A registered Phase 1 human safety and pharmacokinetic trial is published | Evidence 1.5 to 2.6, Safety 2.8 to 2.4 | 4.8 / 10 ⚖️ Neutral |
| A human study shows a real antidepressant effect | Efficacy 2.5 to 3.6, Evidence 1.5 to 2.8 | 5.0 / 10 ⚖️ Neutral |
| Pharmaceutical-grade supply with verified purity becomes available | Cost 3.0 to 2.4, Effort 2.8 to 2.4 | 4.5 / 10 ⚖️ Neutral |
| A credible cardiovascular or metabolic off-target harm signal emerges | Safety 2.8 to 4.2, Side Effects 2.6 to 3.6 | 3.7 / 10 ⚠️ Caution |
| Independent testing keeps finding mislabeled or contaminated product | Safety 2.8 to 3.4, Side Effects 2.6 to 3.2 | 4.1 / 10 ⚠️ Caution |
| A human trial fails to beat placebo for mood | Efficacy 2.5 to 1.9, Evidence 1.5 to 1.4 | 4.2 / 10 ⚠️ Caution |
Key Evidence Sources
- Mazella 2010, PLoS Biology: spadin, a sortilin-derived peptide, blocks TREK-1 with about 10 nanomolar affinity, raises serotonin neuron firing, and produces antidepressant responses across 5 behavioral tests with increased hippocampal neurogenesis in mice.. Discovery paper: spadin and the TREK-1 to depression link, the mechanistic foundation, mouse 2010 study
- Djillani 2017, Front Pharmacol: PE-22-28 inhibits human TREK-1 at about 0.12 nanomolar versus 40 to 60 nanomolar for spadin, reduced immobility in the forced-swim test, induced neurogenesis after 4 days, and extended action to about 23 hours in mice.. PE-22-28 design paper: potency, stability, neurogenesis, mouse and hTREK-1 cell 2017 study
- Djillani 2019, Pharmacol Ther review: spadin acts within about 4 days versus 3 to 4 weeks for fluoxetine, with native spadin stability under 7 hours, reviewing the shortening strategy that produced PE-22-28.. Review of the spadin and TREK-1 antidepressant program, 2019
- Djillani 2019, Neuropharmacology: mini-spadin shows a biphasic dose-dependent action on TREK-1, where a low dose activates the channel for neuroprotection and a higher dose inhibits it for the antidepressant effect, improving stroke recovery and preventing post-stroke depression in mice.. Biphasic dosing and stroke-recovery evidence, the dosing-trap source, mouse 2019 study
- Hivelin 2016, J Diabetes Res: the specific TREK-1 blocker spadin potentiates calcium influx and insulin secretion in pancreatic beta cells in mice, a documented metabolic off-target.. Off-target safety: TREK-1 blockade as an insulin secretagogue, mouse 2016 study
- Qi 2018, ACS Chem Neurosci: TREK-1 blockers reversed depressive-like behavior in chronically stressed rats at least one week earlier than fluoxetine, with a more rapid and more pronounced effect and restored hippocampal neurogenesis.. Head-to-head TREK-1 blocker versus fluoxetine effect size, rat 2018 study
- Ye 2015, Eur Neuropsychopharmacol: TREK-1 blockade induced antidepressant-like responses in chronically stressed rats and substantially increased serotonin neuron firing in the dorsal raphe, synergizing with 5-HT1A signaling.. Serotonergic mechanism and 5-HT firing, rat 2015 study
- Devader 2015, Br J Pharmacol: spadin activated MAPK and PI3K, protected neurons against apoptosis, raised PSD-95 and synapsin, increased mature spines, and raised BDNF after injection in mice.. Synaptogenesis, BDNF, and PSD-95 mechanism, mouse 2015 study
- Wang 2021, CNS Neurosci Ther: hippocampal TREK-1 was upregulated by chronic stress in mice, and genetic or pharmacological inhibition altered depression-related behavior and rescued synaptic proteins.. Hippocampal plasticity and stress-related TREK-1 upregulation, mouse 2021 study
What does the evidence say about PE-22-28?
Evidence on this intervention is summarized across three complementary streams: contemporary clinical research, pre-RCT-era pharmacology and observational use, and the traditional medical systems that documented it first. Convergence across streams signals higher confidence; divergence is surfaced honestly.
Modern Clinical Research
Confidence: Low
Citations: Mazella 2010, Djillani 2017, Djillani 2019, Hivelin 2016
What to Track If You Try This
These are the data points that matter most while running a 30-day Experiment with this intervention.
How to read this section
- Pre
- Test or score before starting the protocol. Anchors a baseline.
- During
- Track while running the protocol so you can see if anything is changing.
- Post
- Re-test after a full cycle to confirm the change held.
- Up
- The marker should rise. For most positive outcomes, that is a good sign.
- Down
- The marker should fall. For most positive outcomes, that is a good sign.
- Stable
- The marker should hold steady. Big swings in either direction are a yellow flag.
- Watch
- Direction depends on dose, timing, and your baseline. Pay close attention to the trend.
- N/A
- No expected direction. The entry is there to anchor a baseline reading.
- Primary
- The Pulse dimension most likely to shift. Track this first.
- Secondary
- Also relevant, but a smaller or less consistent shift. Track if Primary is unclear.
Bloodwork to Order
Open These Markers In Your Dashboard
- Fasting Glucose During | Expected Watch
- Resting Heart Rate During | Expected Watch
Pulse Dimensions to Watch
- Calm During | Expected Up | Primary
- Drive During | Expected Up | Secondary
Subjective Signals (Daily Voice Card)
- Mood, anhedonia, and motivation Scale 1-5 | During | Expected Up
- Any flushing, lightheadedness, palpitations, or gut upset after injection Scale 1-5 | During | Expected Watch
Red Flags: Stop and Consult
- Palpitations, chest tightness, or blood-pressure swings: stop immediately, since TREK-1 is expressed in heart and vascular tissue and human cardiovascular safety is unknown.
- Unexplained low blood sugar or shakiness: stop, since TREK-1 blockade acts as an insulin secretagogue in animals.
- Worsening mood, agitation, or suicidal thinking: stop and seek help, since no human safety or dose-response data exists to guide use.
- Any sign of contamination, fever, or injection-site infection from grey-market material: stop and seek care.
Other interventions for Depression
See all ratings →📊 How BioHarmony scoring works
BioHarmony translates a weighted expected-value calculation into a reader-facing 0–10 score. Tier bands: Skip 0–3.6, Caution 3.7–4.7, Neutral 4.8–5.7, Worth Trying 5.8–6.9, Strong Recommend 7.0–7.9, Top-tier 8.0+.
Harm-type downsides (safety risk, side effects, reversibility, dependency) carry a 1.4× precautionary multiplier. Harm weighs more than benefit. Opportunity-type downsides (financial cost, time/effort, opportunity cost) are subtracted at face value.
Use case subratings are independent assessments of how well the intervention addresses specific health goals. They are not components of the overall score. Each subrating reflects the scorer's judgment based on use-case-specific evidence, safety, and effect sizes.
Every dimension is evaluated on a 1–5 scale, and the baseline (1) is subtracted before weighting. A perfect intervention with zero downsides contributes zero penalty rather than a residual floor, so top-tier scores are actually reachable.
EV = Upside − Downside
EV = 1.270 − 1.900 = -0.630
Formula v0.5 maps EV = 0 to score 5.0. Above neutral, 1 EV point equals 1 score point. Below neutral, 1 EV point equals about 0.71 score points, so EV = −7 reaches 0.0 while EV = +5 reaches 10.0. Both sides use the full 5-point half-scale.
Score = 5 + (-0.630 / 7) × 5 = 4.6 / 10
