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SS-31

Elamipretide (SS-31)

Published: February 24, 2026 Last updated: February 24, 2026 Reviewed by MVP Peptides Editorial Team

SS-31, clinically known as Elamipretide, forces us to rethink how we handle cellular aging. Discovered by researchers Hazel Szeto and Peter Schiller (hence the 'SS' designation), this tetrapeptide physically localizes to the inner mitochondrial membrane. Most longevity compounds try to boost mitochondrial function indirectly through signaling pathways. SS-31 ignores the middleman and acts as a targeted structural reinforcement exactly where the cell generates energy.

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Purity

99%+

Molecular Weight

639.8 g/mol

Administration

Subcutaneous injection

Storage

Store lyophilized powder at -20°C

Mechanism of Action

The primary target here is cardiolipin. That is a unique lipid found almost exclusively in the inner mitochondrial membrane, and it acts as the anchor for the electron transport chain. Under severe stress or during aging, cardiolipin degrades, causing cytochrome c to act as a peroxidase that floods the cell with reactive oxygen species. SS-31 binds directly to cardiolipin to protect its structural integrity. You prevent the peroxidase activity, keep ATP production online, and stop the oxidative cascade before it triggers cell death.

Sequence:

D-Arg-Dmt-Lys-Phe-NH2

Chemical Structure

Chemical structure of SS-31

Research Areas

  • Age-related sarcopenia
  • Ischemia-reperfusion injury
  • Heart failure pathology
  • Neurodegenerative disease models
  • Primary mitochondrial myopathies

Potential Benefits

  • Restores cellular ATP production
  • Reverses age-related muscle decline
  • Protects against ischemic tissue damage
  • Prevents cardiolipin degradation
  • Reduces localized mitochondrial oxidative stress

Research Dosing Guidelines

For research purposes only. Not for human consumption.

Typical Dose

2-4 mg

Frequency

Once daily

Duration

4-8 weeks

Administration

Subcutaneous injection

Let's be blunt—this is an expensive compound to research because the effective dose is measured in full milligrams, not micrograms. Most researchers run a 4-to-8 week protocol to evaluate mitochondrial recovery. Expect a sharp, noticeable sting at the injection site. This is universally reported and simply part of working with the compound.

Reconstitution Calculator

mg
mcg
2.0 ml
0.5 ml5 ml

U-100 Insulin Syringe

0102030405060708090100

0.1 units

Concentration

2500 mcg/ml

Inject Volume

0.0008 ml

Syringe Units

0.1 IU

Doses Per Vial

2500

For research and educational purposes only. Always follow proper reconstitution and sterile handling protocols.

Targeting Mitochondria: SS-31's Unique Mechanism

SS-31 is fundamentally different from other mitochondrial supplements because it physically integrates into the inner mitochondrial membrane rather than working through signaling pathways.

Mitochondrial Support Comparison

ApproachMechanismTargetEvidence Level
SS-31 (Elamipretide)Cardiolipin stabilizationInner mitochondrial membranePhase II/III trials
CoQ10Electron transport chain supportComplex I-IIIModerate clinical
NAD+ precursors (NMN/NR)Cofactor replenishmentSirtuin activationEarly clinical
MOTS-cAMPK activationMetabolic gene expressionAnimal studies
PQQMitochondrial biogenesisPGC-1α pathwayLimited clinical

SS-31's structural approach addresses the root cause of age-related mitochondrial decline: cardiolipin degradation. When cardiolipin breaks down, the electron transport chain literally falls apart. No amount of CoQ10 or NAD+ can fix a structurally compromised membrane.

Potential Side Effects

  • Injection site pain and redness (nearly universal)
  • Mild transient headache
  • Temporary lethargy upon initial dosing

Storage Requirements

Store lyophilized powder at -20°C. Once reconstituted, keep refrigerated at 2-8°C and use within 14 days.

Research References

Frequently Asked Questions

What is SS-31?

SS-31 (Elamipretide) is a synthetic tetrapeptide engineered to target and protect mitochondria. It was originally developed by researchers Hazel Szeto and Peter Schiller to directly address mitochondrial dysfunction at the structural level rather than through secondary signaling.

What are the potential research benefits of SS-31?

Animal and early clinical research shows SS-31 can restore ATP production and significantly reduce oxidative stress. We see particularly strong data around its ability to reverse age-related muscle decline (sarcopenia) and protect vital organs from ischemic damage.

How is SS-31 typically dosed in research?

Research protocols require unusually high dosages for a peptide, typically landing between 2 and 4 mg administered once daily via subcutaneous injection. Most experimental cycles span 4 to 8 weeks to allow adequate time for mitochondrial structural repair.

What are the side effects of SS-31?

The most universally reported side effect is a sharp, distinct stinging sensation at the injection site that lasts for several minutes. Other less frequent effects include mild headaches and temporary fatigue during the first week of a protocol.

How should SS-31 be stored?

Keep the lyophilized peptide in a freezer at -20°C for long-term stability. After reconstitution with bacteriostatic water, store the vial in the refrigerator at 2-8°C away from direct light.

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