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New oral peptide therapy offers hope for chronic abdominal pain

A research team at the University of Vienna, led by medicinal chemist Markus Muttenthaler, has developed a new class of oral peptide therapeutic leads for treating chronic abdominal pain. This groundbreaking innovation offers a safe, non-opioid-based solution

Written by Peptide Therapy Guide Editorial Team
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This guide cannot diagnose a condition or recommend a personal treatment plan. Discuss medical questions with a qualified professional.

A research team at the University of Vienna, led by medicinal chemist Markus Muttenthaler, has developed a new class of oral peptide therapeutic leads for treating chronic abdominal pain. This groundbreaking innovation offers a safe, non-opioid-based solution for conditions such as irritable bowel syndrome (IBS) and inflammatory bowel diseases (IBD), which affect millions of people worldwide. The research results were recently published in the international edition of the renowned journal Angewandte Chemie.

An innovative approach to pain management

Current medications used to treat chronic abdominal pain often rely on opioids. However, opioids can cause severe side effects such as addiction, nausea, and constipation. Additionally, they affect the central nervous system, often leading to fatigue and drowsiness, which impairs the quality of life of those affected. The addiction risk is particularly problematic and has contributed to the ongoing global opioid crisis. Therefore, there is an urgent need for alternatives that minimise these risks.

This new therapeutic approach targets oxytocin receptors in the gut. Oxytocin is commonly known as the 'love hormone' because of its role in social bonding. Less well-known is that oxytocin can also affect pain perception. When the peptide hormone oxytocin binds to these receptors, it triggers a signal that reduces pain signals in the gut. The advantage of this approach is that the effect is gut-specific, thus having a lower risk of side effects due to its non-systemic, gut-restricted action.

Oxytocin itself cannot be taken orally because it is rapidly broken down in the gastrointestinal tract. However, Prof. Muttenthaler's team has successfully created oxytocin compounds that are fully gut-stable yet can still potently and selectively activate the oxytocin receptor. This means these newly developed oxytocin-like peptides can be taken orally, allowing for convenient treatment for patients. This approach is especially innovative since most peptide drugs (such as insulin, GLP1 analogues) need to be injected as they are also quickly degraded in the gut.

Our research highlights the therapeutic potential of gut-specific peptides and offers a new, safe alternative to existing pain medications, particularly for those suffering from chronic gut disorders and abdominal pain." Markus Muttenthaler, medicinal chemist

Next steps and future outlook

With support from the European Research Council, the scientists are now working to translate their research findings into practice. The goal is to bring these new peptides to market as an effective and safe treatment for chronic abdominal pain. Moreover, the general approach of oral, stable, and gut-specific peptide therapeutics could revolutionise the treatment of gastrointestinal diseases, as the therapeutic potential of peptides in this area has not yet been fully explored.

The team has already secured a patent for the developed drug leads and is now actively seeking investors and industrial partners to advance the drug leads towards the clinic.

Kremsmayr, T., et al. (2024). Oxytocin Analogues for the Oral Treatment of Abdominal Pain. Angewandte Chemie International Edition. doi.org/10.1002/anie.202415333.

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Related questions

01What if I travel frequently? Can I continue peptide therapy?

Most injectable peptides travel reasonably well with proper handling. Your clinic should provide guidance on traveling with peptides, including storage requirements and TSA considerations. Understanding peptide stability at room temperature helps plan for travel situations.

Source: seekpeptides.com ↗
02What Recent Research Adds

Recent studies have refined rather than fundamentally changed the current understanding of monogamy. A 2025 study showed that monogamy influences reproductive investment in animal models, supporting the concept that mating systems leave measurable evolutionary signatures. Earlier studies published in 2024 identified epigenetic changes associated with pair bonding instead of a single biological mechanism underlying monogamy. A study published in Scientific Reports used seed beetles to show that monogamy influences investment in reproductive tissues under intense sexual selection, providing further insight into the evolutionary costs and benefits of monogamy across species. Together, these animal studies help researchers identify the evolutionary pressures that shape pair-bonding systems, while highlighting that such findings cannot be directly applied to humans. Rather, they provide insights into how pair bonding evolves across species.

Source: www.medscape.com ↗
03What is oxytocin, and what is it used for?

Oxytocin used as medication is a synthetic form of the natural human hormone oxytocin produced by the hypothalamus region in the brain and secreted into the bloodstream by the pituitary gland. Oxytocin is used to induce or improve uterine contractions during delivery and to prevent uncontrolled bleeding (hemorrhage) after the delivery. Oxytocin may also be used to eliminate the uterine contents after a spontaneous or induced termination of pregnancy. Oxytocin is naturally secreted by the body to produce uterine contractions during childbirth, and synthetic oxytocin works likewise. Oxytocin works on positive feedback. The release of oxytocin causes uterine contractions, which in turn, cause more oxytocin to be released, increasing the intensity and frequency of contractions, enabling a vaginal delivery. Oxytocin binds to oxytocin receptors in the uterine muscle wall (myometrium) and stimulates contraction by increasing influx of calcium ions in the uterine muscle cells. Oxytocin receptor concentration normally increases during pregnancy, with levels peaking at term when labor starts. The response to oxytocin varies between individuals depending on the concentration of oxytocin receptors in the uterus. Oxytocin also causes contraction of the myoepithelial cells in the breasts, which helps eject the milk out. The baby’s attempt to suck sends positive feedback, which in turn stimulates oxytocin release and milk output. Oxytocin also has antidiuretic and vasodilatory effects, increasing fluid balance and improving blood flow. In the brain, oxytocin acts as a neurotransmitter and plays an important role in human behaviors including romantic attachment, sexual arousal, trust, mother-child and other relationship bonding. Oxytocin is approved for use in induction of labor in pregnant women at term or near term in certain circumstances:

Source: www.medicinenet.com ↗
04What roles does the system play?

The endogenous opioids and their receptors are widely distributed throughout the central and peripheral nervous systems, particularly the parts of these systems that regulate pain, emotion, reward, stress responses, motivation, drug addiction, and autonomic control. The differential expression and location of the various receptor subtypes across different neurons account for the wide range of opioid-related behaviors. The activation of µ-opioid receptors is mainly known for playing a role in pain relief. Still, research has also indicated it may be involved in behaviors related to survival, such as appetite and reproduction. The activity of µ-opioid receptors is also known to play a critical role in responses to social stimuli by modulating responses to social rejection or social acceptance, for example. Activation of the δ-opioid receptors and κ-opioid receptors is also known to be involved in pain modulation. Also, studies have shown that NOP activation is involved in pain mechanisms and several behaviors related to psychological stress. Alterations in the endogenous opioid system are suspected to be involved in Parkinson's disease, seizures, neuroprotective mechanisms, and depression.

Source: www.news-medical.net ↗
05A peptide identified in a fungus found in northern European pine forests possesses as much power as penicillin as well as vancomycin, according to an international team of researchers.

Reporting in the October 13 issue of Nature, a team from Denmark-based biotech company Novozymes, and researchers from Georgetown University Medical Center and the David Geffen School of Medicine at UCLA, say they have isolated "plectasin," the first defensin ever found in fungi. The research was performed at Novozymes laboratories in Denmark. Defensins are peptides, miniature protein molecules that are produced by a wide range of animals to protect themselves against infection. Humans have defensins in their white blood cells and in their skin, for example, but it is believed that this new fungal defensin, plectasin, is more potent and targets certain bacteria more specifically. Indeed, when plectasin was tested in the laboratory and in animals, it proved to be highly effective against the bacteria Streptococcus pneumoniae, and Streptococcus pyogenes, including strains that are now resistant to conventional antibiotics. These bacteria are responsible for such diseases as meningitis, community-acquired pneumonia, strep throat, life-threatening sepsis, and flesh destroying skin infections. The discovery of plectasin has implications for the development of defensins as a treatment against many common, and deadly, infections, and may initiate a new era of antibiotic discovery and development, said study co-author Michael Zasloff, M.D., Ph.D., Professor in the Departments of Surgery and Pediatrics at Georgetown University Medical Center. Zasloff says that the field of antibiotic development has not changed much since 1929 when Alexander Fleming realized that the fungal "bread mold" Penicillium, which had landed by chance in a Petri dish produced a substance that eliminated colonies of staphylococcal bacteria. "Most antibiotics used by humans are produced by fungi and certain soil bacteria," he said. "Using our existing tools of discovery, we have failed to uncover any new classes of antibiotics from these sources over the past decade. However, by utilizing a new genetic approach that allowed the team to discover plectasin, we now know that a whole class of antibiotics has been overlooked." "This finding (plectasin), and the existence of about 200,000 additional species of fungi, opens up a vast universe to explore for novel peptide antibiotics," said co-author Robert Lehrer, M.D., Distinguished Professor of Medicine at the David Geffen School of Medicine at UCLA. Plectasin, if proven safe and effective in humans, could be on the market by 2012, said Lehrer. Zasloff and Lehrer are known internationally as experts in antimicrobial peptides - the class of antibiotics that plectasin falls within - and in this study they collaborated with Novozymes, a Danish biotech company that led the research. Zasloff and Lehrer are the only two scientists from U.S. universities on the team of 20 researchers who co-authored the research paper. All life forms have to defend themselves against microbial invaders - bacteria, fungi, viruses - and to do this, they produce antimicrobial defensin peptides. In humans, defensins are made by specific white blood cells and immune cells that later engulf foreign invaders, and by the skin and mucous membranes, in order to kill microbes before they invade protective barriers. Researchers believe that fungi have a similar system of defense, especially since these plant-like organisms live off rotting matter, said Zasloff. "They must compete with other organisms, like bacteria and viruses, which also want to consume the same meal. In addition, they need to defend themselves from being eaten by the microbes which surround them." But he said no one had been able to find defensins in fungi using traditional research techniques, which involved growing fungi in liquid cultures and then testing the culture to see if it contained any antibiotic molecule. The research team instead used the latest genetic science to search for the defensins they thought fungi must have. Selecting the Pseudoplectania nigrella species of fungus may have been serendipitous, Lehrer said, but the Novozymes team used state-of-the-art biotechnology to intercept ,and interpret its genetic messages and exhibited tremendous skill in producing plectasin efficiently, economically, and in large amounts." "I started working on antimicrobial peptides over three decades ago, said Lehrer, and my laboratory first described human defensins in 1985. So, the discovery of plectasin makes me feel like a grandfather." Further examination revealed that this defensin, plectasin, resembles defensins found in spiders, scorpions, dragonflies and mussels - thus suggesting that the defensins found in insects, molluscs and fungi arose from a common ancestral gene, the researchers say. Based on this information, the scientists now believe that defensins appeared in living things more than a billion years ago. The investigators then turned to the National Center for Antimicrobials and Infection Control, the Danish equivalent of the U.S. Centers for Disease Control, to test plectasin in the laboratory for antimicrobial activity against a broad spectrum of bacteria. It showed potent activity against several species of Gram-positive bacteria, and was especially active against S. pneumoniae (the leading cause of pneumonia), including all known clinical strains and those that are now resistant to conventional antibiotics. "That is important because increasing bacterial resistance to conventional antibiotics threatens the future of many antibiotics in current use," Zasloff said. "In mouse studies, plectasin showed extremely low toxicity, and was as effective as vancomycin and penicillin in curing the animals of experimental peritonitis (inflammation of the lining of the abdominal cavity, which can be deadly) and pneumonia caused by S. pneumoniae, the researchers report. "Although the precise mechanism by which plectasin exerts its antimicrobial activity is still under investigation, it may work by a mechanism that is very different from traditional antibiotics, Zasloff said. "As a group, defensins exhibit activity against many types of bacteria, fungi, protozoa, and even viruses. It is entirely possible that fungal defensins will be discovered that could be developed against all of these human pathogens," Zasloff added.

Source: www.news-medical.net ↗
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Comparisons

Side-by-side pages for commonly compared peptides and research compounds.

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Research context

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Hope or Hype? Evaluating the Evidence

The excitement around peptide therapy reflects a desire for safer, more targeted treatments. Early studies suggest peptides can modulate immune responses, promote tissue repair, and improve gut integrity. However, most evidence comes from animal models or small human trials. There is a lack of large randomized clinical studies evaluating the effectiveness in autoimmune diseases. Without robust data, it is hard to distinguish hope from hype. Peptides are not magic bullets. They may provide incremental benefits when used appropriately and under supervision. Overblown claims and self‑administration can lead to disappointment or harm. When evaluating peptides, consider the quality of evidence, personal health history, and your healthcare provider’s guidance. Ask whether there are published studies, what outcomes were measured, and whether results apply to your condition. Remain cautious of marketing that promises cures or uses pseudoscience. Balanced optimism will help you navigate the emerging field of peptide therapy.

Source: livvnatural.com ↗

Off-Label, Yet Evidence-Based Use

"Off-label" means a drug is used for a purpose not specifically approved by the FDA. Some peptides fall into this category with growing evidence: BPC-157• Studied for tendon and ligament healing in animal models• Human data still limited—some sports medicine doctors use it off-label for injury recovery Thymosin Beta-4• Examined for wound healing and tissue repair• Early small studies suggest potential, but larger trials are needed Physicians who prescribe off-label peptides typically: Review up-to-date clinical literature Monitor patients closely for side effects Obtain informed consent explaining uncertainties

Source: ubiehealth.com ↗
Practical and safety references

These excerpts are educational, not personalised medical instructions.

Dosage reference

Tesamorelin Protocols, Dosages and Administration

Tesamorelin is approved by the FDA and comes in powder form that must be mixed with water before administration. Like other peptides, you need a prescription from your doctor to purchase Tesamorelin. It is administered subcutaneously under the skin in the stomach or abdomen. The best time to take this peptide is in the evening, or as advised by your doctor. Dosage may vary from person to person, but the most common dose is 2mg in a day.

Source: livvnatural.com ↗
Potential benefits

What Are the Benefits of Peptide Therapy in Surprise, AZ?

Peptide therapy offers a multitude of benefits, making it a versatile treatment option for various health and wellness goals. Here’s how peptide therapy can benefit you:

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Peptide Therapy Guide Editorial Team

Editorial team for Peptide Therapy Guide.

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