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� ”发背景与监管地位 — Practical Notes

By Editorial Desk · published 2026-07-28 · last reviewed 2026-08-01 · Topic

The short version of 鼻内给药 fits in a sentence. The long version — which is the one that helps — is below.

This page was last updated on 2026-08-01 and is reviewed periodically as new material appears.

研发背景与监管地位

Semax 是人工设计的七肽,序列为 Met-Glu-His-Phe-Pro-Gly-Pro,骨架取自促肾上腺皮质激素片段 ACTH(4-10)。它于二十世纪八十年代在苏联的分子遗传学研究机构内合成。设计目标是保留该片段与注意力和记忆相关的活性,同时剔除促皮质激素释放等内分泌作用。此后俄罗斯将其登记为药品并进入临床使用。

当时的短肽研究普遍关注能否穿越血脑屏障、在低剂量下产生中枢效应,Semax 属于这一路线。鼻内给药是其主要使用方式,俄语文献报道的适应症涵盖缺血性卒中、短暂性脑缺血发作、认知功能减退以及视神经病变。这些研究大多发表在当地期刊上,样本规模与终点设置同西方试验惯例存在差异,国际同行对其临床证据的强度看法不一。

Semax Structure and Research Background

Semax is a synthetic heptapeptide with the sequence Met-Glu-His-Phe-Pro-Gly-Pro. Its chain combines the first seven residues of corticotropin with a C-terminal proline-glycine-proline extension, a modification intended to slow enzymatic breakdown. The free peptide has a molecular mass near 813.9 daltons. It belongs to the class of ACTH-derived fragments studied for central nervous system activity rather than for adrenal steroid stimulation. This structural relationship to a natural hormone fragment is the usual starting point for describing the compound in the literature.

Development took place during the 1980s at institutes of the Russian Academy of Sciences, where peptide fragments of ACTH were screened for cognitive and neuroprotective effects. The compound received regulatory approval in Russia as a nasal preparation, marketed for conditions such as ischemic stroke, transient ischemic attacks, and optic nerve disorders. Registration in other countries has not followed. Most published clinical reports originate from a small number of Russian research groups, and independent replication outside that setting remains limited. The regulatory status therefore differs sharply between Russia and the rest of the world.

Laboratory work points toward modulation of neurotrophic signaling, particularly expression of brain-derived neurotrophic factor and nerve growth factor in hippocampal tissue. Studies also describe effects on monoamine turnover, inflammatory mediators, and oxidative markers. These observations come mainly from animal models and cultured cells, so the causal chain in humans is not firmly established. Whether the reported molecular changes translate into measurable clinical benefit is an open question. Reviews generally present the mechanism as plausible rather than demonstrated.

Semax at a glance

PropertyValueNotes
结构类别线性合成七肽无环化结构,不含二硫键
氨基酸序列Met-Glu-His-Phe-Pro-Gly-ProN 端为甲硫氨酸
分子量约 814 Da游离碱形式的计算值
外观白色至类白色粉末具吸湿性
溶解性易溶于水亦可溶于甲醇等极性溶剂

Semax Background and Molecular Structure

Semax is a synthetic heptapeptide whose sequence is Met-Glu-His-Phe-Pro-Gly-Pro. It was developed as a fragment analog of adrenocorticotropic hormone, modeled specifically on the ACTH(4-10) region. The first four residues reproduce that fragment, while a Pro-Gly-Pro tripeptide is appended at the C-terminus. Work on the compound originated in Russia, where it entered clinical use as an intranasal preparation. Its sequence places it among short regulatory peptides studied for effects on the central nervous system rather than on the adrenal axis.

The C-terminal Pro-Gly-Pro extension is not incidental. Proline-rich tails are known to resist several common peptidases, and the published literature attributes the longer half-life of Semax, relative to unmodified ACTH fragments, to this feature. The modification also removes the melanocyte-stimulating and corticosteroidogenic activity that characterizes longer ACTH-derived sequences. Because the molecule is small and hydrophilic, it is typically formulated as an aqueous solution for intranasal or parenteral delivery. Acetylation or amidation at the termini appears in closely related research peptides and shifts the mass by a fixed increment.

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Reference notes

They hold the marginal gingiva against the tooth They provide the marginal gingiva with enough rigidity to withstand the forces of mastication without distorting They serve to stabilize the marginal gingiva by uniting it with both the tissue of the more rigid attached gingiva as well as the cementum layer of the tooth.

The multiaxial diagnostic system of previous editions has been eliminated with the introduction of the DSM-5, with all disorders, including personality disorders, being integrated into Section II of the manual. For a diagnosis of BPD, an individual must meet five out of nine specified diagnostic criteria. The DSM-5 characterizes BPD as a pervasive pattern of instability in interpersonal relationships, self-image, affect, and a significant propensity towards impulsive behavior. Marsha Linehan highlights the diagnostic challenges faced by mental health professionals in using the DSM criteria due to the broad range of behaviors they encompass. To mitigate these challenges, Linehan categorizes BPD symptoms into five principal areas of dysregulation: emotions, behavior, interpersonal relationships, sense of self, and cognition. Moreover, the Alternative DSM-5 Model for Personality Disorders (AMPD), located in Section III of the DSM-5, defines six specific personality disorders—one of them being BPD—in terms of a description of the disorder; the characteristic manner in which the disorder impacts personality functioning, i.e. identity, self-direction, empathy and intimacy (criterion A); as well as a listing and description of the pathological personality traits associated with the disorder (criterion B).

Very quickly, some buildings were repaired, and a cadre of professors was built up, many coming from prewar Polish Jan Kazimierz University of Lwów and Stefan Batory University of Wilno. Following postwar border shifts, thousands of former employees of the Lwów Library, the Jan Kazimierz University and Ossoliński National Institute moved to the city. In mid-1948, over 60% of professors at the Wrocław University and Polytechnic were from Kresy, with academics from prewar Lwów playing a particularly important role in the newly established Polish institutions of higher learning. Stanisław Kulczyński from the University of Lwów was nominated the first president of the two Polish universities in Wrocław, while Edward Sucharda from the Lwów Polytechnic became the vice-president. The University of Wrocław was refounded as a Polish state university by the decree of the State National Council issued on 24 August 1945. The first lecture was given on 15 November 1945, by Ludwik Hirszfeld. Between 1952 and 1989 the university was named Bolesław Bierut University of Wrocław (Polish: Uniwersytet Wrocławski im. Bolesława Bieruta) after Bolesław Bierut, the communist President of the Republic of Poland (1947–52). In 2015, nearly 80 years after the fact, the university restored academic degrees stripped from German Jews by the Nazis owing to German anti-Semitism. "Wroclaw University estimates that in total some 262 people suffered a similar fate."

Sources: en.wikipedia.org

Reference notes

Under Omani Arabs, Zanzibar became East Africa's main slave port, with as many as 50,000 African slaves passing through every year during the 19th century. Some historians estimate that between 11 and 18 million African slaves crossed the Red Sea, Indian Ocean, and Sahara Desert from 650 to 1900 AD. Eduard Rüppell described the losses of Nuba slaves from Southern sudan being transported on foot to Egypt: "after the Daftardar bey's 1822 campaign in the southern Nuba mountains, nearly 40,000 slaves were captured. However, through bad treatment, disease and desert travel barely 5,000 made it to Egypt." W.A. Veenhoven wrote: "The German doctor, Gustav Nachtigal, an eye-witness, believed that for every slave who arrived at a market three or four died on the way ... Keltie (The Partition of Africa, London, 1920) believes that for every slave the Arabs brought to the coast at least six died on the way or during the slavers' raid. Livingstone puts the figure as high as ten to one." Systems of servitude and slavery were common in parts of Africa, as they were in much of the ancient world. In many African societies where slavery was prevalent, the slaves were not treated as chattel slaves and were given certain rights in a system similar to indentured servitude elsewhere in the world. The forms of slavery in Africa were closely related to kinship structures. In many African communities, where land could not be owned, enslavement of individuals was used as a means to increase the influence a person had and expand connections.

==== Serbian ==== First Serbian Benevolent Society - The First Serbian Benevolent Society of San Francisco is the oldest Serbian organization in America. Founded in 1880, the FSBS was originally called the Serbian-Montenegrin Literary and Benevolent Society. It was organized to promote social and intellectual interchange, and establish a system of general philanthropy and benevolence for Serbian immigrant laborers toiling far from their homeland. The eight founding members were Antonije Vukasovich, Jovan Jovovich, Jovan Pavkovich, Krsto Gopcevich, Rade Begovich and Vladimir Jovovich, all from Boka Kotorska, George S. Martinovich from Montenegro, and Mikhail Rashkovich from Vojvodina. The Society, which has recently celebrated its 135th anniversary, is headquartered in Colma, CA where it maintains a Serbian Cultural Center and Museum along with a Serbian Cemetery and the Chapel of the Assumption of the Virgin Mary. Serb National Federation - Created after the merger of several Serbian American organizations in 1929. Headquarters in Pittsburgh. Membership open to people of Serb or Slav descent 16–60. Those under 16 can join "Junior Order". In 1979 it had 20,000 members, and "membership groups" existed in 10 states and Canada. In 1995 it had 15,200 members. Sponsors social gatherings, cultural events, sports programs, finances church buildings, and meeting halls.

=== Internal nasal anatomy === In the midline of the nose, the septum is a composite (osseo-cartilaginous) structure that divides the nose into two similar halves. The lateral nasal wall and the paranasal sinuses, the superior concha, the middle concha, and the inferior concha, form the corresponding passages, the superior meatus, the middle meatus, and the inferior meatus, on the lateral nasal wall. The superior meatus is the drainage area for the posterior ethmoid bone cells and the sphenoid sinus; the middle meatus provides drainage for the anterior ethmoid sinuses and for the maxillary and frontal sinuses; and the inferior meatus provides drainage for the nasolacrimal duct. The internal nasal valve comprises the area bounded by the upper lateral-cartilage, the septum, the nasal floor, and the anterior head of the inferior turbinate. In the narrow (leptorrhine) nose, this is the narrowest portion of the nasal airway. Generally, this area requires an angle greater than 15 degrees for unobstructed breathing; for the correction of such narrowness, the width of the nasal valve can be increased with spreader grafts and flaring sutures.

Sources: en.wikipedia.org

Notes from published material

=== Amphibians === Plethodontid salamanders and chameleons have evolved a harpoon-like tongue to catch insects. The Neotropical poison dart frog and the Mantella of Madagascar have independently developed similar mechanisms for obtaining alkaloids from a diet of mites and storing the toxic chemicals in skin glands. They have also independently evolved similar bright skin colors that warn predators of their toxicity (by the opposite of crypsis, namely aposematism). Caecilians are lissamphibians that secondarily lost their limbs, superficially resembling snakes and legless lizards. Oldest known tetrapods (semi-aquatic Ichthyostegalia) resembled giant salamanders (body plan, lifestyle), though they are considered to be only distantly related.

To reinforce his intentions for the Smithsonian, Henry established laboratories, developed a robust physical sciences library, and started the Smithsonian Contributions to Knowledge, the first of many publications intended to disseminate research results. For Henry, the Library of Congress was the obvious choice as the national library. Unable to resolve the conflict, Henry dismissed Jewett in July 1854. In 1865, the Smithsonian building, also called the Castle due to its Norman architectural style, was severely damaged by fire. This incident presented Henry with an opportunity related to the Smithsonian's non-scientific library. Around this time, the Library of Congress was planning to build and relocate to the new Thomas Jefferson Building, designed to be fireproof. Authorized by an act of Congress, Henry transferred the Smithsonian's non-scientific library of 40,000 volumes to the Library of Congress in 1866. In 1861, President Abraham Lincoln appointed John G. Stephenson as Librarian of Congress; the appointment is regarded as the most political to date. Stephenson was a physician and spent equal time serving as librarian and as a physician in the Union Army. He could manage this division of interest because he hired Ainsworth Rand Spofford as his assistant. Despite his new job, Stephenson focused on the war. Three weeks into his term as Librarian of Congress, he left Washington, D.C., to serve as a volunteer aide-de-camp at the battles of Chancellorsville and Gettysburg during the American Civil War.

=== Pregnancy === More than 75% of women with rheumatoid arthritis have symptoms that improve during pregnancy, but their symptoms worsen after delivery. Methotrexate and leflunomide are teratogenic (harmful to the fetus) and not used in pregnancy. It is recommended that women of childbearing age use contraceptives to avoid pregnancy and discontinue their use if pregnancy is planned. Low doses of prednisolone, hydroxychloroquine, and sulfasalazine are considered safe in pregnant women with rheumatoid arthritis. Prednisolone should be used with caution as the side effects include infections and fractures.

Sources: en.wikipedia.org

Frequently asked questions

Semax 在自然界中存在吗?

不存在。它是依据 ACTH 的一段序列人工设计的分子,天然蛋白质中找不到与之完全相同的七肽。名称属于研究代号,而非天然物质名。

它与 ACTH 的差别在哪里?

Semax 对应 ACTH 第 4 至第 10 位的片段,并在两端做了替换与延长,使其不再具备促肾上腺皮质激素的典型内分泌活性。这一改动同时改变了它在体内的稳定性与分布特征。

哪些地区可以合法获得?

俄罗斯将其列为处方药物,需要医生开具处方。多数其他国家把它当作研究化合物,不能作为药品销售或宣称疗效。具体合法性取决于当地法规。

What is semax?

Semax is a synthetic seven-amino-acid peptide derived from a fragment of corticotropin. It is used in Russia as a nasal preparation, while elsewhere it is studied as a research compound. It is not approved as a medicine in most countries.

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