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How Dihexa Works: Mechanism and Pharmacology

How Dihexa works: its target and mechanism as the sources state them, how long it acts, and what is still unknown.

Medical review pendingHGF/c-Met nootropicUpdated
Class
HGF/c-Met nootropic
FDA status
Not approved
Off Category 2, 15 Apr 2026
Routes studied
oral; local, systemic or intramuscular
Half-life
[pending]
by route, with source

How long it acts

No published half-life found for Dihexa (PubMed search, 11 Oct 2026)

Proposed target: the HGF system

A zebrafish study describes dihexa as a synthetic HGF mimetic that forms a functional ligand by dimerizing with endogenous HGF to activate the HGF receptor.[5]

The protective effect was attenuated by an HGF antagonist (6-AH), which the authors take as evidence that HGF activation is a component of the effect.[5]

The same authors found that adding an amino group to the N-terminal of dihexa weakened the effect, so small changes alter its specificity for its target. This is zebrafish data.[5]

Origin as an angiotensin IV analog

The molecule was built by chemically modifying the three N-terminal amino acids of an angiotensin IV analog to improve stability and barrier permeability.[6]

In APP/PS1 mice, tissue AngIV levels rose after dihexa administration.[7]

What is unknown

Drugs@FDA returned no match for dihexa on 2026-10-02, so there is no human-use label with a mechanism section.[8]

The Huntington's-like rat study notes that a compound with this mechanism had shown success in other neurodegenerative models and then tested it in a new one, where it failed to protect.[9]

Common questions

How long does Dihexa act in the body?

We found no published half-life for Dihexa (PubMed search, 11 Oct 2026), so how long it acts is unknown.

More on Dihexa

Sources

  1. 1PubMed search: dihexa[tiab] OR "N-hexanoic-Tyr-Ile-(6) aminohexanoic amide"[tiab] (17 results)PubMed · 2026pubmed.ncbi.nlm.nih.govAccessed 2 Oct 2026
  2. 2PubMed search: "N-hexanoic-Tyr-Ile-(6) aminohexanoic amide"[tiab] OR "Nle1-angiotensin IV"[tiab] OR "angiotensin IV analog"[tiab] OR "AngIV analog"[tiab] (14 results)PubMed · 2026pubmed.ncbi.nlm.nih.govAccessed 2 Oct 2026
  3. 3PubMed search: (dihexa[tiab] OR "hepatocyte growth factor"[tiab]) AND (mimetic[tiab] OR "angiotensin IV"[tiab] OR Nle[tiab]) AND (memory[tiab] OR cognit*[tiab]) (7 results)PubMed · 2026pubmed.ncbi.nlm.nih.govAccessed 2 Oct 2026
  4. 4PubMed search: (dihexa[tiab] OR "angiotensin IV analog"[tiab]) AND (adverse[tiab] OR "side effect*"[tiab] OR safety[tiab] OR tolerab*[tiab] OR toxicity[tiab] OR "case report"[pt]) (2 results)PubMed · 2026pubmed.ncbi.nlm.nih.govAccessed 11 Oct 2026
  5. 5Hepatocyte growth factor mimetic protects lateral line hair cells from aminoglycoside exposure.Frontiers in cellular neuroscience · 2015PMID 25674052Accessed 2 Oct 2026
  6. 6Evaluation of metabolically stabilized angiotensin IV analogs as procognitive/antidementia agents.The Journal of pharmacology and experimental therapeutics · 2013PMID 23055539Accessed 2 Oct 2026
  7. 7AngIV-Analog Dihexa Rescues Cognitive Impairment and Recovers Memory in the APP/PS1 Mouse via the PI3K/AKT Signaling Pathway.Brain sciences · 2021PMID 34827486Accessed 2 Oct 2026
  8. 8Drugs@FDA (openFDA) search: active ingredient "dihexa"U.S. Food and Drug Administration · 2026api.fda.govAccessed 2 Oct 2026
  9. 9Effects of an Angiotensin IV Analog on 3-Nitropropionic Acid-Induced Huntington's Disease-Like Symptoms in Rats.Journal of Huntington's disease · 2024PMID 38489193Accessed 2 Oct 2026

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