BNP (B-type Natriuretic Peptide) vs SS-31 (Elamipretide)

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

BNP (B-type Natriuretic Peptide)

BNP is a cardiac neurohormone released primarily by ventricles in response to volume/pressure overload. It's a major biomarker for heart failure and has therapeutic applications as nesiritide.

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SS-31 (Elamipretide)

SS-31, also known as Elamipretide or Bendavia, is a mitochondria-targeted tetrapeptide. It has been studied extensively for mitochondrial diseases, heart failure, and age-related decline in mitochondrial function.

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Side-by-Side Comparison

AspectBNP (B-type Natriuretic Peptide)SS-31 (Elamipretide)
MechanismSimilar to ANP - activates NPR-A receptors to produce vasodilation, natriuresis, and RAAS suppression. Released in response to ventricular wall stress.Concentrates in the inner mitochondrial membrane where it binds to cardiolipin, stabilizing electron transport chain function, reducing reactive oxygen species, and improving ATP production efficiency.
Typical DosageNesiritide (recombinant BNP): 2mcg/kg IV bolus followed by 0.01mcg/kg/min continuous infusion for acute decompensated heart failure.Clinical trials have used IV infusions of 0.25mg/kg for acute conditions. Subcutaneous dosing protocols for research use typically range from 1-5mg daily.
AdministrationIntravenous administration only. Used in acute care settings for heart failure. BNP levels also used diagnostically.Can be administered IV or subcutaneously. Most clinical research has used IV administration for cardiac conditions.
Side EffectsHypotension (common and dose-limiting), headache, nausea, and potential renal function worsening in some patients.Generally well-tolerated. Clinical trials reported injection site reactions and occasional headache.
Best For

What They Have in Common

Both BNP (B-type Natriuretic Peptide) and SS-31 (Elamipretide) are commonly used for:

Key Differences

Unique to SS-31 (Elamipretide):

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