Overview

Ac-SDKP (N-acetyl-seryl-aspartyl-lysyl-proline) is a naturally occurring tetrapeptide released from thymosin beta-4 by prolyl oligopeptidase and ACE2 cleavage. It is a powerful regulator of hematopoietic stem cell proliferation, inhibiting entry of pluripotent hematopoietic stem cells into the S-phase of the cell cycle—protecting them from cycle-dependent cytotoxic damage during chemotherapy. Ac-SDKP also exerts significant antifibrotic effects in the heart, kidneys, and lungs, and is hydrolyzed by ACE (angiotensin-converting enzyme), explaining why ACE inhibitors elevate plasma Ac-SDKP levels.

Mechanism of Action

Ac-SDKP acts through multiple mechanisms: (1) Hematopoietic stem cell cycle arrest—inhibits G0-S transition via BMP4/SMAD pathway suppression, protecting stem cells from S-phase cytotoxic chemotherapy; (2) Antifibrotic—suppresses TGF-β1-induced myofibroblast differentiation and collagen synthesis in cardiac and renal fibroblasts; (3) Anti-inflammatory—reduces macrophage activation and TNF-α/IL-6 production; (4) Angiogenic—promotes endothelial cell migration and tube formation. Its ACE-mediated hydrolysis links it to the renin-angiotensin system.

Potential Benefits

  • Bone marrow stem cell protection during chemotherapy
  • Cardiac and renal antifibrotic activity
  • Anti-inflammatory via macrophage and cytokine modulation
  • Elevates naturally with ACE inhibitor use
  • Potential in heart failure, kidney disease, and lung fibrosis

Research Dosage Notes

The following reflects doses used in published research studies. This is not medical advice.

Clinical myeloprotection: 1–5 mg/kg IV prior to chemotherapy cycles in trials. No established standard dosing.

Amino Acid Sequence

Ac-Ser-Asp-Lys-Pro

Side Effects & Safety

  • Well-tolerated in clinical studies
  • Potential excess stem cell cycle suppression at very high doses

Synergistic Compounds

The following compounds have been studied alongside Thymosin Beta-4 Fragment (Ac-SDKP) for potential complementary or synergistic effects:

ACE inhibitorsTB-500 (Thymosin Beta-4)G-CSF

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References & Further Reading

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