Vergelijking
Afamelanotide vs. Sincalide
Twee peptiden naast elkaar — identiteit, bewijsbasis, juridische status en bekende bijwerkingen.
Identiteit
Categorie
Onderzoek (overig)
Onderzoek (overig)
CAS-nr.
75921-69-6
25126-32-3
Molecuulmassa
1646.87 g/mol
1143.29 g/mol
Halfwaardetijd
12 h
geen gegevens
Sequentie
Ac-Ser-Tyr-Ser-Nle-Glu-His-D-Phe-Arg-Trp-Gly-Lys-Pro-Val-NH2Asp-Tyr(SO3H)-Met-Gly-Trp-Met-Asp-Phe-NH2Werkingsmechanisme
Afamelanotide
Afamelanotide is a synthetic analogue of α-melanocyte-stimulating hormone. It differs from native α-MSH by two substitutions — norleucine at position 4 and D-phenylalanine at position 7 — which make it metabolically more stable and more potent. As an agonist at the melanocortin-1 receptor (MC1R) on melanocytes, it activates adenylate cyclase, raises cAMP and increases tyrosinase activity via the transcription factor MITF. This shifts pigment synthesis toward eumelanin, which absorbs UV and visible light and has antioxidant properties — the presumed mechanism of photoprotection in EPP.
Sincalide
Sincalide activates CCK receptors, triggering gallbladder contraction and pancreatic enzyme secretion. This effect is used diagnostically to measure the gallbladder ejection fraction (e.g. in HIDA scintigraphy).
Bewijsbasis
Hoogste bewijs
Humane RCT
Humane studie
Studies
4
0
waarvan bij mensen
4
0
Geregistreerde effecten
4
1
Openstaande tegenstrijdigheden
1
0
Gedocumenteerde bijwerkingen
4
1
Juridische status
Volledige vermeldingen
Frequently asked questions
- What is the difference between Afamelanotide and Sincalide?
- Afamelanotide is classified as "Onderzoek (overig)", while Sincalide is classified as "Onderzoek (overig)". Afamelanotide: Afamelanotide (brand name Scenesse) is a synthetic 13-amino-acid analogue of α-melanocyte-stimulating hormone (α-MSH) and a melanocortin-1 receptor agonist. Unlike most peptides covered here, it is a regularly approved medicine: EMA approval in 2014/2015, FDA approval in 2019, in each case as a subcutaneous implant for the prevention of phototoxicity in adults with erythropoietic protoporphyria (EPP). It promotes eumelanin formation in the skin. Sincalide: Sincalide is the synthetic C-terminal octapeptide of the hormone cholecystokinin (CCK-8). As Kinevac it is FDA-approved to stimulate gallbladder contraction for diagnostic imaging. This page contrasts both neutrally and source-based — with no usage or dosing recommendation.
- Which peptide is better supported by science, Afamelanotide or Sincalide?
- The highest available evidence level is "Humane RCT" for Afamelanotide and "Humane studie" for Sincalide. A higher evidence level means more robust data, but says nothing about suitability for an individual. The full body of evidence is on each peptide's own page.
- What is the legal status of Afamelanotide and Sincalide in Germany and the United States?
- Duitsland: Afamelanotide — Op recept, Sincalide — Onduidelijk. Verenigde Staten: Afamelanotide — Op recept, Sincalide — Op recept. These are factual summaries with source and review date on the individual pages.