A genome-wide gene expression study in rats with focal stroke found that Semax primarily amplifies the brain's immune response after ischemia rather than suppressing it. The peptide strongly upregulated genes encoding immune proteins — including immunoglobulins and chemokines — and also influenced genes supporting blood vessel repair and growth. These findings shift earlier thinking about Semax's mechanism, suggesting it works largely by orchestrating an immune-mediated healing response rather than simply blocking inflammation.
Medvedeva, Ekaterina V; Dmitrieva, Veronika G; Povarova, Oksana V; Limborska, Svetlana A; Skvortsova, Veronika I; Myasoedov, Nikolay F; Dergunova, Lyudmila V