Quick Comparison
| Cortagen | Klotho | |
|---|---|---|
| Half-Life | 1-3 hours | Recombinant alpha-Klotho: approximately 10-15 hours (estimated from primate studies) |
| Typical Dosage | Oral/sublingual: 10-20 mg once daily. Injectable: 1-10 mg subcutaneous once daily. Typical course: 10-20 days, repeated two or three times yearly. Available in capsule form in some markets. | Currently no established human therapeutic dose. Phase 1 clinical trials of recombinant alpha-Klotho are exploring intravenous and subcutaneous dose-escalation protocols. Animal studies have used 10-50 mcg/kg subcutaneous several times per week. |
| Administration | Oral, sublingual, or subcutaneous injection | Recombinant alpha-Klotho: subcutaneous or intravenous injection (clinical trial settings only) |
| Research Papers | 1 papers | 5 papers |
| Categories |
Mechanism of Action
Cortagen
Cortagen (Ala-Glu-Asp-Pro) is a synthetic tetrapeptide belonging to the Khavinson family of peptide bioregulators — short peptides proposed to regulate gene expression in a tissue-specific manner. The bioregulator hypothesis, developed by Professor Vladimir Khavinson over decades of research at the St. Petersburg Institute of Bioregulation and Gerontology, proposes that short peptides (2-4 amino acids) can penetrate cell membranes and nuclear envelopes, interact directly with DNA in a sequence-specific manner, and modulate transcription of tissue-relevant genes.
Cortagen is specifically designed to target neurons of the cerebral cortex. According to the Khavinson model, the AEDP tetrapeptide sequence has complementarity to specific DNA sequences in gene promoter regions active in cortical neurons. Upon binding to these regulatory elements, Cortagen is proposed to modulate chromatin structure and transcription factor access, influencing the expression of genes involved in neuronal function, synaptic transmission, antioxidant defense, and protein synthesis. The tissue specificity — cortex rather than other brain regions or body tissues — is attributed to the unique chromatin accessibility and transcription factor environment in cortical neurons that determines which genes are available for regulation.
Preclinical studies from Russian research programs have reported that Cortagen treatment improves cognitive function, enhances learning and memory, and provides neuroprotection in models of cerebral ischemia and age-related cognitive decline. The proposed mechanism involves restoration of age-related declines in protein synthesis in cortical neurons, enhancement of antioxidant enzyme expression (SOD, catalase, GPx), and improved synaptic function through upregulation of synaptophysin and other synaptic proteins. It should be noted that the peptide bioregulator field remains controversial in Western pharmacology — while the Russian research program is extensive, the proposed direct DNA-binding mechanism has not been independently validated through the standard molecular biology methods expected in Western peer-reviewed literature.
Klotho
Klotho is a single-pass transmembrane protein primarily expressed in the kidney, parathyroid gland, and choroid plexus, with a soluble form (s-Klotho) cleaved from the membrane and circulating systemically as an endocrine factor. It exists in three forms — alpha-Klotho (the most studied, anti-ageing form), beta-Klotho (which partners with FGF21), and gamma-Klotho — each with distinct receptor partnerships and tissue effects.
At the receptor level, alpha-Klotho is the obligate co-receptor for fibroblast growth factor 23 (FGF23), enabling FGF23 to bind and activate FGFR1 receptors in the kidney to regulate phosphate excretion. This makes Klotho a central node in mineral metabolism. Beyond this canonical role, soluble Klotho exerts numerous endocrine effects: it inhibits the IGF-1/insulin signalling pathway (a conserved longevity mechanism shared with caloric restriction), enhances expression of antioxidant enzymes via FoxO transcription factor activation, suppresses Wnt signalling (reducing stem cell exhaustion), inhibits TGF-beta signalling (preventing fibrosis), and blocks NF-kB and NLRP3 inflammasome activation (reducing inflammaging).
The ageing phenotype connection is striking: mice lacking Klotho develop multi-organ ageing — atherosclerosis, osteoporosis, skin atrophy, cognitive decline — within weeks of birth, while mice with elevated Klotho expression live up to 30% longer than controls. In humans, circulating Klotho levels decline with age, and lower levels associate with increased mortality and chronic disease risk in observational studies. Recombinant alpha-Klotho is in early clinical development as a potential therapy for chronic kidney disease, cognitive decline, and broader age-related diseases. The 2026 research wave around Klotho has positioned it as one of the most promising single-protein interventions in the longevity field, though no therapeutic Klotho product is yet approved for human use.
Risks & Safety
Cortagen
Common
mild headache, temporary fatigue during initial use.
Serious
limited Western safety data, most evidence comes from Russian-language literature, no long-term data on repeated use.
Rare
allergic reactions.
Klotho
Common
limited human safety data. Animal studies show generally good tolerability.
Serious
theoretical risk of altering phosphate and calcium homeostasis (Klotho is a critical regulator of FGF23 signalling); unknown effects on cancer biology in long-term use.
Rare
allergic reactions to recombinant protein. Quality and authenticity of any product sold as Klotho outside formal clinical trials should be considered highly uncertain.
Full Profiles
Cortagen →
A short synthetic peptide (Ala-Glu-Asp-Pro) developed by the Khavinson Institute in Russia. Designed to support brain cortex function by modulating gene expression in brain cells. Part of the Khavinson peptide bioregulator family alongside Epithalon and Vilon. One of the few peptides specifically formulated for brain function optimization, available in both injectable and oral/sublingual forms.
Klotho →
A natural anti-ageing protein your body produces, named after the Greek goddess who spun the thread of life. Mice without it age extremely rapidly; mice with extra Klotho live up to 30% longer. Recent research shows it counters the majority of the 12 hallmarks of ageing — reducing cellular senescence, oxidative damage, fibrosis, and inflammation. Recombinant human Klotho is in early clinical trials. Currently more of a research target than a usable therapeutic.