SS-31
(Elamipretide)

Szeto-Schiller Tetrapeptide  |  Mitochondrial Energy System
Technical card
  • System
    Mitochondrial Energy System
  • Type
    Synthetic tetrapeptide - Szeto-Schiller class
  • Synonyms
    Elamipretide, MTP-131, Bendavia
  • Sequence
    D-Arg-2’6’-Dmt-Lys-Phe-NH₂
  • Mol. weight
    639.8 Da
  • Form
    Lyophilized vial
  • Purity
    >98% by HPLC
  • Status
    Active
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SS-31 Overview

SS-31 is a synthetic tetrapeptide belonging to the Szeto-Schiller class — a family of aromatic-cationic peptides developed for their intrinsic mitochondrial selectivity. Also known as Elamipretide or MTP-131, the compound is classified within AXION's Mitochondrial Energy System based on its primary mechanism: selective interaction with cardiolipin, a phospholipid exclusive to the inner mitochondrial membrane.

The structural basis of SS-31's selectivity is its alternating aromatic and positively charged residues, which confer high affinity for the anionic cardiolipin surface — without requiring a carrier or conjugate.

This intrinsic targeting mechanism is a substantive distinction from conventional antioxidant strategies, which broadly distribute throughout the cell. SS-31 concentrates directly at the site of mitochondrial ROS production.

Among peptides studied in research contexts, SS-31 carries a notable distinction: it is the compound in AXION's Mitochondrial Energy System with the most advanced clinical stage — with Phase III trials underway under the name Elamipretide for heart failure with preserved ejection fraction (HFpEF). It is one of the mitochondrial peptides with the highest volume of peer-reviewed literature available, spanning from foundational mechanistic studies to Phase II clinical data.

SS-31 Research Directions

The published literature on SS-31 spans over two decades and multiple biological contexts centered on mitochondrial dysfunction. Below is an overview of the principal research areas documented in preclinical and clinical studies.

  • Cardiac ischemia-reperfusion — cardioprotection models, infarct size reduction, post-ischemic mitochondrial function
  • Heart failure with preserved ejection fraction (HFpEF) — Phase II and Phase III clinical trial contexts (Elamipretide)
  • Renal ischemia-reperfusion and acute kidney injury — cardiolipin interaction as the mechanistic anchor
  • Mitochondrial aging and sarcopenia — preservation of bioenergetic capacity in muscle tissue models
  • Neuroprotection and neurodegenerative models — oxidative stress reduction at the mitochondrial site
  • Barth syndrome (genetic cardiolipin disorder) — Phase II/III clinical context with highest mechanistic specificity
  • Metabolic dysfunction and mitochondrial disease — broader disease contexts where ETC impairment is central
Cardiolipin binding — structural stabilization

SS-31 selectively binds cardiolipin on the inner mitochondrial membrane, preventing ROS-induced peroxidation and preserving cristae architecture. Cardiolipin is essential for the structural organization and function of the respiratory chain complexes.

Electron Transport Chain (ETC) coupling — Complexes I, III, IV

By stabilizing cardiolipin, SS-31 improves the physical coupling between ETC complexes I, III, and IV, enhancing oxidative phosphorylation efficiency and ATP synthesis — without artificially driving the system.

Cardiolipin binding — structural stabilization

The aromatic residues of SS-31 directly scavenge superoxide and hydroxyl radicals at the inner membrane — at the precise site of production. Unlike systemic antioxidants, this action does not interfere with physiological redox signaling.

Electron Transport Chain (ETC) coupling — Complexes I, III, IV

By stabilizing cardiolipin, SS-31 improves the physical coupling between ETC complexes I, III, and IV, enhancing oxidative phosphorylation efficiency and ATP synthesis — without artificially driving the system.

The compound offered by AXION is a research-grade (RUO) version supplied exclusively for laboratory and research use. It is not related to, nor a substitute for, any investigational pharmaceutical product. No therapeutic claim is made or implied.

Related Compounds Compounds in the Mitochondrial Energy System

All compounds below belong to the same biological system as SS-31. Each is supplied as an RUO research compound.

MOTS-c

Peptide | Mitochondrial Energy System

Mitochondria-derived peptide (MDI). Investigated for systemic energy signaling via AMPK pathway activation and nuclear gene expression regulation. Research context overlaps with SS-31 in aging and metabolic models — complementary mechanisms: MOTS-c via systemic AMPK; SS-31 via inner membrane structural stabilization.

View molecule

MOTS-c

Peptide | Mitochondrial Energy System

Mitochondria-derived peptide (MDI). Investigated for systemic energy signaling via AMPK pathway activation and nuclear gene expression regulation. Research context overlaps with SS-31 in aging and metabolic models — complementary mechanisms: MOTS-c via systemic AMPK; SS-31 via inner membrane structural stabilization.

View molecule

MOTS-c

Peptide | Mitochondrial Energy System

Mitochondria-derived peptide (MDI). Investigated for systemic energy signaling via AMPK pathway activation and nuclear gene expression regulation. Research context overlaps with SS-31 in aging and metabolic models — complementary mechanisms: MOTS-c via systemic AMPK; SS-31 via inner membrane structural stabilization.

View molecule

MOTS-c

Peptide | Mitochondrial Energy System

Mitochondria-derived peptide (MDI). Investigated for systemic energy signaling via AMPK pathway activation and nuclear gene expression regulation. Research context overlaps with SS-31 in aging and metabolic models — complementary mechanisms: MOTS-c via systemic AMPK; SS-31 via inner membrane structural stabilization.

View molecule

Related Articles - Research Library Explore the Science Behind This System

The Research Library provides in-depth editorial coverage of the mechanisms, evidence, and investigative directions relevant to this system. Each article connects to one or more related compounds in the AXION catalog.

Part of the Mitochondrial Energy System
Explore the full system — its biological role, signaling pathways, and all related research compounds.