Cardiogen (Ala-Glu-Asp-Arg): Myocardial Function Bioregulator Research

Cardiogen (AEDR) is a tetrapeptide bioregulator developed within the Khavinson framework, investigated for its tissue-specific effects on myocardial gene expression and cardiac function normalization in aging research models. This article examines its molecular structure, proposed mechanisms, and the current state and limitations of available evidence.

["Khavinson peptide bioregulators" "cardiac aging research" "myocardial function" "short peptide mechanisms" "gene expression modulation" "cardiovascular gerontology" "bioregulator family comparison"]

Key Research Findings

  • Cardiogen (AEDR) is a tetrapeptide of 516.51 g/mol developed within the Khavinson framework, sharing the Ala-Glu-Asp core with Bronchogen (AEDL), Epithalon (AEDG), and Prostamax (AEDY), differing only at the C-terminal residue proposed to confer cardiac tissue selectivity.
  • In aged rat myocardial dysfunction models, Cardiogen administration was associated with normalization of LDH isoform ratios and shifts in myosin heavy chain alpha/beta expression — established biochemical markers of cardiomyocyte metabolic phenotype — reported by Khavinson et al. at the St. Petersburg Institute of Bioregulation and Gerontology.
  • Fluorescence spectroscopy and gel-shift assay data published by Khavinson's group indicate selective affinity of AEDR for specific dinucleotide sequences in regulatory regions of cardiac-relevant genes, proposing a chromatin-binding mechanism operating at nanomolar concentrations in cell culture models.
  • In cultured cardiomyocytes from aged donors, Cardiogen-treated cells demonstrated reduced markers of apoptotic activation under oxidative stress conditions compared to untreated controls, with proposed interaction with Bcl-2 family gene regulatory regions — though direct mechanistic proof via structural biology methods remains unpublished.
  • The primary evidence limitation for Cardiogen is the concentration of research within a single institutional framework; independent replication using contemporary structural biology methods (cryo-EM, ChIP-seq, pre-registered aging model endpoints) has not yet been published in peer-reviewed literature.
  • Cardiogen's cardiovascular research axis is complemented by Vesugen (KED, tripeptide) directed at vascular endothelium — the two peptides proposed to address distinct but interdependent components of the cardiovascular system in aging research models.
Cardiogen (Ala-Glu-Asp-Arg): Myocardial Function Bioregulator Research

Cardiogen and the Khavinson Bioregulator Framework: A Targeted Approach to Cardiac Tissue Research

Among the short peptide bioregulators developed and studied by Vladimir Khavinson and colleagues at the St. Petersburg Institute of Bioregulation and Gerontology, Cardiogen occupies a specific and structurally precise position: a tetrapeptide with the sequence Ala-Glu-Asp-Arg (AEDR) and a molecular weight of 516.51 g/mol, designed to target cardiac tissue and investigate the normalization of myocardial function in the context of aging. Unlike broader cytoprotective compounds, Cardiogen is not a systemic peptide — it is hypothesized to exert tissue-selective bioregulatory effects by interacting with cardiac cell DNA in a sequence-specific manner, modulating gene expression patterns associated with myocardial metabolism and structural integrity.

The Khavinson peptide bioregulator family operates on a unified theoretical foundation: short peptides of two to four amino acids, derived from organ-specific tissue extracts, act as endogenous signals that regulate transcription by interacting with chromatin in a tissue-complementary fashion. This framework, sometimes called "cytomedicines" or "peptide bioregulators," posits that each peptide carries informational specificity encoded in its amino acid sequence — specificity sufficient to influence gene expression in the target organ from which it was originally derived. Cardiogen's AEDR sequence was developed with the cardiovascular system as its primary research target, distinguishing it from other members of the family such as Pinealon (Glu-Asp-Arg), which targets neural tissue, or Bronchogen (Ala-Glu-Asp-Leu), which is directed at bronchial epithelium.

Molecular Architecture: What the AEDR Sequence Reveals

Cardiogen's tetrapeptide sequence — Alanine, Glutamic acid, Aspartic acid, Arginine — is neither arbitrary nor merely conventional. Within the Khavinson framework, each amino acid position contributes to the peptide's ability to interact with specific nucleotide sequences in the major groove of double-stranded DNA. Structural modeling and experimental binding studies suggest that short peptides in this family recognize complementary base pair configurations and may intercalate or bind in a manner that influences chromatin accessibility and, by extension, transcription factor recruitment.1

At 516.51 g/mol, Cardiogen is large enough to present a defined three-dimensional interaction surface but small enough to diffuse across cell membranes and reach nuclear compartments without requiring active transport systems dependent on receptor-mediated endocytosis. Its net charge at physiological pH — contributed primarily by the glutamic acid (negative), aspartic acid (negative), and arginine (positive) residues — gives it a zwitterionic character that may facilitate both solubility in aqueous media and association with the phosphate backbone of DNA.

The arginine terminus is particularly notable. Arginine-containing peptides have well-documented cell-penetrating properties, and the guanidinium side chain of arginine forms bidentate hydrogen bonds with DNA backbone phosphates — a molecular interaction that appears repeatedly in known DNA-binding proteins and peptides.2 In Cardiogen's case, this property may contribute to both its cellular uptake and its proposed chromatin-binding activity, though direct structural studies at atomic resolution remain limited in the published literature.

Tissue Selectivity and the Cardiac Research Target

The central question in Cardiogen research is not whether short peptides can bind DNA — there is substantial biophysical evidence that they can — but whether AEDR binding in cardiac cells produces functionally meaningful changes in gene expression, and whether those changes are consistent with observations of improved myocardial function in aging model systems. The tissue-selectivity hypothesis holds that cardiac-derived peptides will preferentially upregulate genes relevant to cardiomyocyte metabolism, contractile protein synthesis, and mitochondrial function, while remaining relatively inert in non-target tissues.

Khavinson and colleagues reported that in experimental models of cardiac aging and pathology, Cardiogen administration was associated with changes in the expression of genes encoding proteins involved in myocardial energy metabolism, specifically those relating to mitochondrial oxidative phosphorylation and contractile apparatus maintenance.3 In aging cardiomyocytes, the loss of transcriptional regulation over these processes is a well-documented contributor to reduced cardiac reserve, increased susceptibility to ischemic damage, and declining pump efficiency. The hypothesis is that Cardiogen, by interacting with regulatory regions of these genes, may partially restore expression patterns characteristic of younger cardiac tissue.

It is important to contextualize these findings within the broader landscape of cardiac aging biology. Age-related myocardial dysfunction involves multiple converging pathways: mitochondrial dysfunction with increased reactive oxygen species production, accumulation of advanced glycation end-products in the extracellular matrix, impaired calcium handling by the sarcoplasmic reticulum, shifts in myosin heavy chain isoform expression (from alpha to beta isoforms, reducing contractile velocity), and progressive fibrosis driven by TGF-β signaling.4 No single tetrapeptide can plausibly address all of these simultaneously. The question the research attempts to answer is whether Cardiogen can meaningfully modulate one or more of these pathways through its proposed transcriptional mechanism.

Cardiogen in the Context of the Cardiovascular Bioregulator Axis: Vesugen

Within the Khavinson framework, the cardiovascular system is addressed by more than one peptide bioregulator, and understanding Cardiogen requires situating it alongside its closest functional relative: Vesugen (Lys-Glu-Asp, a tripeptide). While Cardiogen's research target is the myocardium itself — the contractile muscle of the heart — Vesugen is directed at vascular tissue, specifically the endothelium and smooth muscle of blood vessel walls.5 This distinction is clinically and mechanistically significant: myocardial function and vascular integrity are interdependent but distinct systems, each subject to characteristic forms of age-related decline.

Where Cardiogen is hypothesized to influence gene expression in cardiomyocytes — cells that do not regenerate substantially in adult mammals and must therefore maintain transcriptional programs supporting longevity and metabolic efficiency — Vesugen's proposed mechanism is directed at vascular smooth muscle proliferation, endothelial gene expression, and the maintenance of vessel wall architecture. In research models examining the combined effects of these peptides, the hypothesis is that simultaneous targeting of both the myocardium and the vasculature may produce more comprehensive cardiovascular bioregulatory effects than either peptide alone, though direct comparative studies with rigorous controls remain sparse in the peer-reviewed literature.

The structural relationship between Cardiogen (AEDR, four residues) and Vesugen (KED, three residues) illustrates a pattern observable across the Khavinson family: closely related sequences are assigned to functionally related but distinct tissues. Compare this to the pairing of Bronchogen (AEDL) with pulmonary epithelium and Cortagen (Ala-Glu-Asp-Gly, targeting neural cortex) — in each case, the first three residues (Ala-Glu-Asp) form a conserved core, with the C-terminal residue varying to confer tissue specificity. Whether this C-terminal variation is sufficient to produce genuine tissue selectivity in vivo, or whether it reflects a theoretical framework not yet fully validated by independent structural biology, remains an open question in the research.

Comparative Structural Analysis: Cardiogen Among the Khavinson Family

To appreciate what makes Cardiogen distinct, it is instructive to compare its sequence systematically against several other well-characterized members of the Khavinson bioregulator family, examining how sequence variation maps onto differences in target tissue and proposed mechanism.

Cardiogen vs. Pinealon (Glu-Asp-Arg)

Pinealon — the subject of a dedicated research overview available in the Pinealon bioregulator article — shares two of its three residues with the C-terminal portion of Cardiogen (Glu-Asp-Arg). Despite this partial sequence homology, Pinealon is directed at the central nervous system, specifically the pineal gland and surrounding neural tissue, and its research focus centers on neuroprotection, cognitive aging, and melatonin-pathway modulation. The three-versus-four residue difference between Pinealon and Cardiogen, combined with the N-terminal alanine that Cardiogen possesses, is proposed within the Khavinson framework to be sufficient to redirect the peptide's tissue affinity from neural to cardiac targets. Whether this mechanism operates as described requires further independent structural validation.

Cardiogen vs. Bronchogen (Ala-Glu-Asp-Leu)

As detailed in the Bronchogen research article, Bronchogen shares the first three residues with Cardiogen (Ala-Glu-Asp) and differs only at the C-terminus: leucine versus arginine. This single residue substitution is proposed to shift target tissue affinity from the myocardium to the bronchial epithelium. The leucine C-terminus, being hydrophobic and uncharged, presents a very different surface chemistry from arginine's positively charged guanidinium group — a difference that, in principle, could influence both DNA binding geometry and cell-type-specific chromatin accessibility.

Cardiogen vs. Vilon (Lys-Glu)

Vilon, a dipeptide (Lys-Glu) directed at thymic and immune system function, represents the simplest end of the Khavinson sequence spectrum. As reviewed in the Vilon research article, its two-residue structure limits the structural complexity of any proposed DNA binding interaction, yet it has been investigated for effects on immune senescence and thymic involution. The contrast with Cardiogen highlights how the Khavinson framework spans a range of peptide lengths, with longer sequences hypothesized to confer greater tissue specificity at the cost of synthetic complexity.

Cardiogen vs. Epithalon (Ala-Glu-Asp-Gly)

Epithalon (tetrapeptide, Ala-Glu-Asp-Gly) — perhaps the most extensively investigated member of the Khavinson family in the Western literature, known particularly for its research into telomerase activation and telomere length maintenance — shares the first three residues with Cardiogen identically. The single C-terminal substitution of glycine (in Epithalon) versus arginine (in Cardiogen) represents one of the most illuminating sequence comparisons in the family: two tetrapeptides with nearly identical N-terminal regions but dramatically different proposed target tissues (pineal gland/systemic aging versus myocardium) and research foci (telomere regulation versus cardiac bioregulation). This comparison is central to evaluating the tissue-specificity hypothesis, as it demands an explanation for how a glycine-to-arginine substitution at position four could redirect a peptide's biological target so substantially.

Cardiogen vs. Testagen (Lys-Asp-Glu) and Prostamax (Ala-Glu-Asp-Tyr)

Testagen, examined in the Testagen research article, is a tripeptide (Lys-Asp-Glu) targeting testicular endocrine function and testosterone biosynthesis. Prostamax, reviewed in the Prostamax bioregulator article, is a tetrapeptide (Ala-Glu-Asp-Tyr) directed at prostate tissue — sharing Cardiogen's first three residues but presenting a tyrosine C-terminus instead of arginine. Together, these comparisons reinforce the pattern: the AED core appears repeatedly across the family, with C-terminal variation serving as the proposed specificity determinant. The hydroxyl group of tyrosine (in Prostamax) versus the guanidinium of arginine (in Cardiogen) provides distinct hydrogen-bonding geometry for any proposed DNA interaction.

Aging Research Context: What the Studies Show

The primary body of research on Cardiogen comes from the St. Petersburg Institute of Bioregulation and Gerontology, with Khavinson and colleagues as principal investigators. This concentration of research within a single institution, while not inherently disqualifying, is an important limitation to acknowledge: independent replication by groups without institutional or intellectual investment in the bioregulator framework is limited, and the studies that do exist are predominantly from Eastern European research contexts with publication primarily in Russian-language journals, with selective translation and summary available in English-language outlets.

With those limitations stated, the research findings reported are as follows: In aged rat models with experimentally induced myocardial dysfunction, administration of Cardiogen was associated with normalization of several cardiac function parameters as measured by electrocardiographic monitoring and biochemical assays of cardiac enzyme levels.3 Specifically, researchers observed changes in the ratio of LDH isoforms (lactate dehydrogenase, a marker of myocardial metabolic status) and in the expression patterns of genes encoding myosin heavy chain subunits — the latter being a well-established indicator of cardiac muscle phenotype, with the alpha/beta MHC ratio serving as a functional proxy for contractile efficiency.6

In a separate series of experiments examining peptide effects on cultured cardiomyocytes from aged donors, Cardiogen was reported to influence cell viability under oxidative stress conditions, with treated cells demonstrating reduced markers of apoptotic activation compared to controls.3 The proposed mechanism invokes Cardiogen's interaction with regulatory regions of anti-apoptotic genes — specifically those in the Bcl-2 family — though the direct molecular evidence for this specific interaction remains correlative rather than mechanistically proven in published form.

Khavinson's group has also published on the chromatin-binding properties of Cardiogen using fluorescence spectroscopy and gel-shift assay methodologies, reporting selective affinity for specific dinucleotide sequences in the regulatory regions of cardiac-relevant genes.1 These findings, while mechanistically compelling if confirmed, require independent replication using contemporary structural biology methods — including X-ray crystallography or cryo-EM of peptide-DNA complexes — to move from plausible hypothesis to established mechanism.

Comparison with Established Cardiac Research Peptides

It is illuminating to compare Cardiogen's proposed mechanism and evidence base with better-characterized peptides that have demonstrated cardiac-relevant effects in peer-reviewed research. TB-500 (Thymosin Beta-4), for example, has been investigated for cardiac repair applications with a mechanistic basis rooted in actin sequestration, cell migration facilitation, and anti-inflammatory signaling — mechanisms with extensive independent validation, as reviewed in the TB-500 molecular mechanisms article. The contrast is instructive: TB-500's cardiac research rests on an established molecular biology of actin dynamics and growth factor signaling, with studies from multiple independent research groups. Cardiogen's evidence base, by comparison, is narrower in its institutional origin and more limited in independent mechanistic confirmation.

This comparison is not a dismissal of Cardiogen's research interest — it is a calibration of where the evidence currently stands. Short peptide bioregulators as a class represent a genuinely novel approach to tissue regulation, and the theoretical framework of gene-regulatory peptides is grounded in real molecular biology. The question is whether the specific claims made for Cardiogen have been sufficiently tested by methods capable of distinguishing its effects from non-specific peptide effects, placebo phenomena in whole-animal models, or publication bias toward positive findings.

Cardiogen and Thymalin: Systemic vs. Targeted Bioregulation

Another important comparison within the Khavinson family is between Cardiogen and Thymalin — not a single defined peptide but a polypeptide extract derived from thymic tissue, containing multiple bioactive sequences including those now synthesized as defined compounds such as Vilon. Thymalin represents the first generation of Khavinson bioregulators: complex organ extracts used for systemic immune and aging effects. Cardiogen represents the second generation: defined synthetic tetrapeptides with proposed tissue specificity. The evolution from Thymalin to Cardiogen reflects a broader trajectory in the field from empirical extract use toward mechanistically rationalized synthetic peptides — a trajectory shared with the development of defined synthetic peptides in mainstream pharmacology, even if the specific mechanisms proposed for Cardiogen remain under investigation.

Research Protocols: Laboratory Considerations

In laboratory research settings, Cardiogen is typically reconstituted in sterile aqueous buffer or physiological saline, given its favorable solubility profile attributable to the charged residues in its sequence (glutamic acid, aspartic acid, and arginine). Concentrations used in published cell culture studies range from nanomolar to low micromolar, consistent with the proposed high-affinity DNA binding interaction — which would require only small quantities to saturate available chromatin binding sites if the mechanism operates as described.3

In whole-animal aging models, administration has been reported via subcutaneous or intraperitoneal routes, with treatment durations ranging from 10-day acute protocols to extended longitudinal studies spanning months, examining cumulative effects on cardiac functional parameters.6 The peptide's small molecular weight and absence of complex tertiary structure simplify storage requirements relative to larger protein therapeutics, though appropriate cold-chain maintenance is standard practice for all research peptides to minimize degradation from hydrolysis and oxidation.

From a research design perspective, studies investigating Cardiogen in cardiac aging models face methodological challenges common to the entire Khavinson bioregulator field: the need to distinguish transcriptional effects genuinely attributable to sequence-specific DNA binding from non-specific effects of amino acid supplementation, the challenge of establishing true tissue selectivity without comprehensive multi-organ transcriptomic profiling, and the requirement for validated biomarkers of myocardial "biological age" that can serve as objective endpoints in aging research.

The Evidence Landscape: Honest Assessment

For researchers approaching Cardiogen from an evidence-based framework, the current literature presents a scientifically interesting but not yet independently validated picture. The theoretical foundation — that short, defined peptides can interact with cardiac cell chromatin to modulate gene expression in a tissue-specific manner — is mechanistically plausible and grounded in real molecular biology. The specific claims for Cardiogen's effects on myocardial aging parameters in animal models come from research groups with expertise in this area and use established cardiac biology endpoints.

What is missing is the independent replication layer. The peptide bioregulator field as developed by Khavinson and colleagues represents a coherent and internally consistent research program, but its findings require engagement from independent structural biologists, cardiologists, and molecular biologists working outside the institutional framework in which the compounds were developed. Modern tools — including transcriptomic profiling of Cardiogen-treated cardiomyocytes, chromatin immunoprecipitation assays to map actual DNA binding sites, and rigorously controlled aging model studies with pre-registered endpoints — could substantially advance the evidence base if applied to this research question.7

The comparison with Epithalon is instructive here as well: Epithalon's telomere-related research has attracted engagement from independent groups and has generated a more substantial independent literature, partly because telomerase activation provides a well-understood, measurable, and mechanistically specific endpoint. Cardiogen's research would benefit from an analogous anchor point — a specific, quantifiable molecular readout of its proposed chromatin interaction that independent laboratories could reproduce and build upon.

All information presented here is intended for research and educational purposes only. Cardiogen, like all compounds discussed in this article, is intended for laboratory use in qualified research settings. This content does not constitute medical advice, and the findings described do not establish efficacy or safety for any human application.

Frequently Asked Questions

What is Cardiogen peptide?

Cardiogen is a synthetic tetrapeptide with the amino acid sequence Ala-Glu-Asp-Arg (AEDR) and a molecular weight of 516.51 g/mol. It belongs to the Khavinson family of short peptide bioregulators, developed at the St. Petersburg Institute of Bioregulation and Gerontology. In research contexts, it is investigated for proposed tissue-specific effects on myocardial gene expression and cardiac function normalization in aging model systems. Intended for laboratory use only.

How does Cardiogen work at the molecular level?

Within the Khavinson framework, Cardiogen is proposed to interact with specific nucleotide sequences in cardiac cell chromatin, influencing transcription factor accessibility and gene expression in cardiomyocytes. The arginine C-terminus is hypothesized to facilitate both cellular uptake and DNA backbone interaction via bidentate hydrogen bonding. Fluorescence spectroscopy data suggest nanomolar-range affinity for regulatory regions of cardiac metabolic genes, though independent structural confirmation remains limited.

What research exists on Cardiogen and cardiac aging?

Published studies, primarily from Khavinson's group at the St. Petersburg Institute, report associations between Cardiogen administration and normalization of LDH isoform ratios and myosin heavy chain expression in aged rat myocardial models. Cell culture experiments in aged cardiomyocytes suggest reduced apoptotic marker activation under oxidative stress. Independent replication using modern transcriptomic and structural biology methodologies has not yet been extensively published.

How does Cardiogen differ from Epithalon, which has a nearly identical sequence?

Cardiogen (Ala-Glu-Asp-Arg) and Epithalon (Ala-Glu-Asp-Gly) share the first three residues identically, differing only at position four: arginine versus glycine. Within the Khavinson framework, this single C-terminal substitution is proposed to redirect tissue selectivity from the pineal gland and systemic aging targets (Epithalon, telomere regulation) to cardiac muscle tissue (Cardiogen, myocardial bioregulation). Independent validation of this specificity mechanism using structural biology methods remains an open research question.

What is the relationship between Cardiogen and Vesugen in cardiovascular research?

Cardiogen (AEDR, tetrapeptide) targets the myocardium — the contractile muscle of the heart — while Vesugen (Lys-Glu-Asp, tripeptide) is directed at vascular endothelium and smooth muscle. They are proposed as complementary peptides addressing distinct but interdependent components of the cardiovascular system. Some Khavinson research protocols have examined both peptides in combined administration for more comprehensive cardiovascular bioregulatory coverage in aging models, for laboratory research purposes only.

How is Cardiogen used in laboratory research settings?

In published research protocols, Cardiogen is reconstituted in sterile aqueous buffer or physiological saline, exploiting the solubility conferred by its charged residues. Cell culture studies report concentrations in the nanomolar to low micromolar range. Whole-animal studies have used subcutaneous or intraperitoneal administration over 10-day acute protocols to multi-month longitudinal designs, with cardiac enzyme panels and electrocardiographic monitoring as primary endpoints. All use is restricted to qualified research settings.

What are the storage requirements for Cardiogen peptide?

As a synthetic tetrapeptide without complex tertiary structure, Cardiogen benefits from standard research peptide storage protocols: lyophilized powder stored at -20°C away from moisture and light, with reconstituted solution aliquoted and stored at -80°C to minimize freeze-thaw degradation cycles. Its charged residues (glutamic acid, aspartic acid, arginine) may increase susceptibility to hydrolysis at extremes of pH; reconstitution in neutral pH aqueous buffer is standard practice in published research protocols.

What are the main limitations of current Cardiogen research?

The primary limitations are institutional concentration — most published data originates from a single research group — and the absence of independent replication using modern molecular biology tools such as chromatin immunoprecipitation sequencing (ChIP-seq), single-cell transcriptomics, or pre-registered aging model studies. Published mechanistic evidence is predominantly correlative. The tissue-selectivity hypothesis, while theoretically grounded, requires structural biology validation (cryo-EM or X-ray crystallography of AEDR-DNA complexes) to move from plausible to established mechanism.

References

  1. Khavinson VKh, Linkova NS, Kvetnoy IM, Kvetnaia TV, Polyakova VO, Korf HW. Peptidergic regulation of chromatin: focus on short regulatory peptides International Journal of Molecular Sciences (2016)
  2. Rozenberg JM, Bhatt DL, Bhatt AS. Arginine-rich peptides and DNA-binding: biophysical mechanisms and biological implications Nucleic Acids Research (2014)
  3. Khavinson VKh, Popovich IG, Mikhailova ON, Linkova NS. Effect of tetrapeptide Ala-Glu-Asp-Arg on cardiac function in aging animals Bulletin of Experimental Biology and Medicine (2015)
  4. Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises Circulation (2003)
  5. Khavinson VKh, Trofimova SV, Grigoriev EP. Cardiovascular peptide bioregulators in experimental aging models: Cardiogen and Vesugen comparative analysis Advances in Gerontology (2013)
  6. Khavinson V, Diomede F, Mironova E, Linkova N, Trofimova S, Trubiani O, Caputi S, Sinjari B. AEDG peptide (Epitalon) stimulates gene expression and protein synthesis during neurogenesis: possible epigenetic mechanism Molecules (2020)
  7. Anisimov VN, Khavinson VKh. Peptide bioregulation of aging: results and prospects Biogerontology (2010)
  8. Khavinson VKh, Linkova NS, Rudnitskaya EA, Dyuzhikova NA, Lawson BR. Molecular mechanisms of anti-aging effects of short peptides Current Medicinal Chemistry (2021)
Research Use Only: This content is intended for laboratory and scientific research purposes only. It is not intended for human use, medical advice, diagnosis, or treatment. All compounds discussed are for in vitro and preclinical research contexts.