A fast-onset antidepressant idea
PE-22-28 traces back to a 2010 PLoS Biology paper (Mazella and colleagues, IPMC/CNRS, France) that identified spadin — a 17-amino-acid fragment cleaved from the propeptide of sortilin (the SORT1 gene product) during its processing. Spadin's key property: it selectively blocks the TREK-1 potassium channel and produced fast-onset antidepressant-like effects in mouse behavioural tests, a striking contrast to the multi-week delay of conventional antidepressants.
Spadin's problem was pharmacokinetic — its activity faded beyond about seven hours. To fix that, the same group screened spadin's blood-degradation products and engineered a seven-amino-acid peptide, PE-22-28 (residues 22–28 of spadin), reported in Djillani et al., 2017. The shortened peptide blocked TREK-1 far more potently than the parent (IC50 ≈ 0.12 nM vs 40–60 nM) and stayed active roughly three times as long (~23 h).
The appeal is the mechanism: if blocking TREK-1 relieves depressive behaviour quickly in animals, a stable, potent TREK-1 blocker is an attractive research tool for a fast-acting antidepressant. The unresolved question is whether any of that translates to humans — which has not been tested.
Important caveat: Every claim above is from rodent behavioural models (forced swim, tail suspension) and in vitro channel assays. These are validated screening tools, not evidence of a human antidepressant effect. "Antidepressant-like in mice" is not "antidepressant in people," and the potency figures describe channel binding, not clinical benefit.
TREK-1 blockade — a different antidepressant target
How PE-22-28 Works
Because TREK-1 is expressed in tissues beyond the brain — including cardiovascular and gastrointestinal systems — systemic blockade raises the possibility of off-target effects that short rodent behavioural studies are not designed to detect. This is theoretical rather than observed, precisely because no human data exists.