Trofinetide (NNZ-2566) is a synthetic analogue of the endogenous N-terminal tripeptide Glycine Proline-Glutamate (GPE) with neuroprotective effects [1]. Trofinetide can cross the blood-brain barrier and improve synaptic function, repair synaptic structure, reduce neuroinflammatory substances in the brain, and enhance antioxidant response[2]. Trofinetide has been widely used in Fmr1 knockout mice to correct learning and memory deficits, abnormal hyperactivity, and social interaction impairments [3].
In vitro, Trofinetide pretreatment at 1μM for 2 hours effectively reversed the cytotoxicity of Aβ42 (10µM; 24h) on BV2 cells and increased cell viability[4]. Treatment with 10μM Trofinetide for 24h reversed okadaic acid-induced cell death in isolated embryonic striatal neurons[5].
In vivo, Trofinetide treatment via continuous intravenous infusion at a rate of 3mg/kg/h for 12 hours inhibited neuroinflammation and proinflammatory cytokine expression induced by experimental penetrating ballistic-like brain injury in rats[6]. Intravenous infusion of Trofinetide (10mg/kg/h) for 4 hours significantly reduced infarct size in rats caused by middle cerebral artery occlusion (MCAO) and attenuated weight loss[7].
References:
[1] Neul J L, Percy A K, Benke T A, et al. Trofinetide for the treatment of Rett syndrome: a randomized phase 3 study[J]. Nature Medicine, 2023, 29(6): 1468-1475.
[2] Hudu S A, Elmigdadi F, Qtaitat A A, et al. Trofinetide for Rett syndrome: highlights on the development and related inventions of the first USFDA-approved treatment for rare pediatric unmet medical need[J]. Journal of Clinical Medicine, 2023, 12(15): 5114.
[3] Deacon R M J, Glass L, Snape M, et al. NNZ-2566, a novel analog of (1–3) IGF-1, as a potential therapeutic agent for fragile X syndrome[J]. Neuromolecular medicine, 2015, 17(1): 71-82.
[4] Chen M, Ning Y, Yang H, et al. Trofinetide Improves Cognitive Function in APP/PS1 Mice by Suppressing Inflammation and Apoptosis[J]. Molecular Neurobiology, 2026, 63(1): 129.
[5] Bickerdike M J, Thomas G B, Batchelor D C, et al. NNZ-2566: A Gly–Pro–Glu analogue with neuroprotective efficacy in a rat model of acute focal stroke[J]. Journal of the neurological sciences, 2009, 278(1-2): 85-90.
[6] Wei H H, Lu X C M, Shear D A, et al. NNZ-2566 treatment inhibits neuroinflammation and pro-inflammatory cytokine expression induced by experimental penetrating ballistic-like brain injury in rats[J]. Journal of neuroinflammation, 2009, 6(1): 19.
[7] Bickerdike M J, Thomas G B, Batchelor D C, et al. NNZ-2566: A Gly–Pro–Glu analogue with neuroprotective efficacy in a rat model of acute focal stroke[J]. Journal of the neurological sciences, 2009, 278(1-2): 85-90.
















