What KPV is
KPV is a short peptide consisting of just three amino acids — lysine (K), proline (P), and valine (V) — in that order. It corresponds to the C-terminal three residues of α-melanocyte-stimulating hormone (α-MSH), a 13-residue peptide hormone derived from proopiomelanocortin (POMC). In the scientific literature KPV is often written as "α-MSH(11-13)" to indicate its position within the parent hormone.[1][4]
Interest in KPV began in the 1990s, when researchers identified this C-terminal tripeptide as the minimal fragment of α-MSH that retains most of the anti-inflammatory activity of the full-length hormone. The finding was striking because KPV is far too small to engage the melanocortin G-protein-coupled receptors that α-MSH normally activates.[3][4]
Mechanism
KPV's anti-inflammatory activity is mediated not by receptor binding but by intracellular uptake and interference with inflammatory signaling:
- PepT1 transport. KPV is a substrate for PepT1 (SLC15A1), the proton-coupled di/tripeptide transporter expressed on intestinal epithelial cells and, notably, on activated immune cells. PepT1 transports KPV across the cell membrane without requiring a surface receptor.[2]
- NF-κB inhibition. Inside the cell, KPV inhibits the canonical NF-κB pathway by blocking nuclear translocation of the active p65/p50 heterodimer. NF-κB is a master regulator of pro-inflammatory gene expression, and blocking its nuclear entry damps down cytokine production.[3]
- MAP kinase inhibition. Nanomolar concentrations of KPV have been reported to inhibit the MAP kinase inflammatory signaling pathway in parallel, with resulting reductions in pro-inflammatory cytokine secretion.[2]
- No melanocortin receptor engagement. Biochemical work has confirmed that KPV does not bind or activate MC1R, MC3R, or MC5R, and does not compete with α-MSH at those receptors. This is why KPV's mechanism is described as non-melanocortin-receptor-mediated.[3]
Preclinical evidence
The most developed body of preclinical evidence for KPV is in inflammatory bowel disease (IBD) models:
- DSS- and TNBS-induced colitis. Oral administration of KPV reduces disease severity in chemically induced murine colitis models, with decreased pro-inflammatory cytokine expression.[2]
- Orally targeted nanoparticle delivery. KPV encapsulated in hyaluronic-acid-functionalized nanoparticles has been shown to deliver the peptide preferentially to inflamed colonic tissue and reduce disease activity in ulcerative colitis models.[6]
- Cytokine and immune cell effects. In cell-culture work, KPV reduces secretion of pro-inflammatory cytokines from activated immune cells in a concentration-dependent manner.[2][3]
No human Phase 2 or Phase 3 clinical trial data is available for KPV. Reviews of anti-inflammatory peptides for IBD identify human pharmacokinetic characterization as a critical barrier to clinical translation.[4]
Pharmacokinetics
- Plasma half-life. A specific peer-reviewed human elimination half-life for KPV is not established.
- Oral bioavailability. Because KPV is a PepT1 substrate, oral administration achieves cellular uptake via intestinal epithelium and on activated immune cells — a notable feature relative to larger peptides, which typically require injection.[2]
- Routes studied. Oral, intraperitoneal, and subcutaneous routes have been used in preclinical work. Research-vendor preparations are typically sold as lyophilized powder for reconstitution.
Storage and stability
- Lyophilized powder. Store sealed per the supplier's certificate of analysis — typically refrigerated at 2–8 °C or frozen at −20 °C.
- After reconstitution. Store refrigerated at 2–8 °C. Bacteriostatic water (0.9% benzyl alcohol) is commonly used when multi-draw use is planned; sterile water is used for single-draw preparations.
- Handling. Swirl to mix — do not shake vigorously. Avoid freeze–thaw cycles. Discard any solution that is cloudy, discolored, or contains particulates.
Reconstitution math
Math only — no dose recommendation. The concentration after reconstitution determines how many insulin-syringe units equal a given mcg or mg amount.
Example 1 · 10 mg vial + 2 mL bac water
concentration = 10 mg / 2 mL = 5 mg/mL = 5000 mcg/mL
1 unit = 0.01 mL = 50 mcg
→ 250 mcg = 5 units
→ 500 mcg = 10 units
→ 1 mg = 20 units
→ 5 mg = 100 units (full syringe)
Example 2 · 10 mg vial + 1 mL bac water
concentration = 10 mg / 1 mL = 10 mg/mL = 10,000 mcg/mL
1 unit = 0.01 mL = 100 mcg = 0.1 mg
→ 500 mcg = 5 units
→ 1 mg = 10 units
→ 5 mg = 50 units
→ 10 mg = 100 units (full syringe)
Example 3 · 5 mg vial + 2 mL bac water
concentration = 5 mg / 2 mL = 2.5 mg/mL = 2500 mcg/mL
1 unit = 0.01 mL = 25 mcg
→ 250 mcg = 10 units
→ 500 mcg = 20 units
→ 1 mg = 40 units
→ 2.5 mg = 100 units (full syringe)
Frequently asked questions
What is KPV?
A tripeptide of lysine, proline, and valine — the C-terminal fragment of α-MSH (residues 11–13). Identified in the 1990s as the minimal anti-inflammatory fragment of α-MSH. Not FDA-approved.[1][4]
How does it work?
Enters cells via the PepT1 di/tripeptide transporter (not via melanocortin receptors). Inhibits NF-κB and MAP kinase inflammatory signaling intracellularly, reducing pro-inflammatory cytokine secretion.[2][3]
What is the half-life?
Not established in peer-reviewed human pharmacokinetic work. Reviews identify human PK as a critical barrier to clinical translation.[4]
How do I reconstitute a 10 mg vial?
Typical: 10 mg + 2 mL bacteriostatic water = 5 mg/mL → 1 unit = 50 mcg; 1 mg = 20 units. Using 1 mL gives 10 mg/mL (100 mcg per unit).
Is it FDA-approved?
No. In the FDA's April 15, 2026 503A categories update, KPV was listed for removal from Category 2 after seven calendar days because the nomination was withdrawn; FDA will consult PCAC on KPV-related bulk drug substances on July 23, 2026. Removal from Category 2 does not itself permit compounding.[5]
Oral or injectable?
Both routes have preclinical data. KPV's PepT1 substrate status makes oral uptake feasible — a distinguishing feature relative to larger peptides that typically require injection. Oral nanoparticle delivery has been studied in ulcerative colitis models.[2][6]
Primary references
- Brzoska T, Luger TA, Maaser C, Abels C, Böhm M. α-MSH and related peptides: a new class of anti-inflammatory and immunomodulating drugs. Endocr Rev (2008 review in PMC). PMC2095288
- Kannengiesser K, Maaser C, Heidemann J, Luegering A, Ross M, Brzoska T, Bohm M, Luger TA, Domschke W, Kucharzik T. PepT1-mediated tripeptide KPV uptake reduces intestinal inflammation. Inflamm Bowel Dis / Gastroenterology 2008 (PubMed 18061177, PMC2431115). PubMed 18061177
- Mandrika I, Muceniece R, Wikberg JE. Dissection of the anti-inflammatory effect of the core and C-terminal (KPV) α-melanocyte-stimulating hormone peptides. Biochem Pharmacol 2003 (PubMed 12750433). PubMed 12750433
- Ghazvini S, et al. Anti-inflammatory peptides as promising therapeutics against inflammatory bowel diseases: a systematic review. JGH Open 2025. Wiley Online Library
- U.S. Food and Drug Administration. 503A Categories Update for April 2026 — notice that KPV was slated for removal from Category 2 after seven calendar days because the nomination was withdrawn, with PCAC consultation on KPV-related bulk drug substances scheduled for July 23, 2026. fda.gov/media/94155
- Xiao B, Xu Z, Viennois E, Zhang Y, Zhang Z, Zhang M, Han MK, Kang Y, Merlin D. Orally targeted delivery of tripeptide KPV via hyaluronic acid-functionalized nanoparticles efficiently alleviates ulcerative colitis. Mol Ther 2017 (PubMed 28143741, PMC5498804). PubMed 28143741