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Cortistatin

Also known as: CST-14, Cortistatin-14, CST-17, Cortistatin-17

โœ“Reviewed byDr. Research Team(MD (composite credential representing medical review team), PhD in Pharmacology)
๐Ÿ“…Updated February 12, 2026
Verified by Dr. Research Team on February 12, 2026
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๐Ÿ“ŒTL;DR

  • โ€ขSelectively promotes deep slow-wave sleep in preclinical models (de Lecea et al., Nature 1996)
  • โ€ขPotent anti-inflammatory effects: reduces IBD severity, septic shock lethality, and arthritis in animal models
  • โ€ขUnique dual receptor profile: binds somatostatin receptors (sst1-5) and ghrelin receptor (GHSR-1a)
  • โ€ขAnticonvulsant activity: reduces cortical excitability by antagonizing acetylcholine
  • โ€ขEndogenous neuropeptide with established expression in cortical and hippocampal interneurons
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Protocol Quick-Reference

Sleep regulation and anti-inflammatory research

Dosing

Amount

0.1-1.0 nmol (preclinical ICV doses)

Frequency

Single or daily dosing (preclinical)

Duration

Acute single-dose to 10 days

Administration

Route

IV

Timing

Preclinical routes only (ICV and IP in animal models). No clinically applicable route has been established for human use.

Cycle

Duration

Study-dependent (acute to 10 days)

Repeatable

Single cycle

โš—๏ธ Suggested Bloodwork (3 tests)

CBC with differential

When: Baseline

Why: Baseline blood cell counts before research use

CMP (Comprehensive Metabolic Panel)

When: Baseline

Why: Liver and kidney function baseline

Growth hormone and IGF-1 levels

When: Baseline

Why: Cortistatin shares somatostatin receptor binding which affects GH regulation

๐Ÿ’ก Key Considerations
  • โ†’Preclinical only: no human clinical trials have been conducted with cortistatin
  • โ†’All dosing data from animal models using ICV or IP routes not applicable to human use
  • โ†’Short half-life in vivo limits direct clinical application without structural modification

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Mechanism of action for Cortistatin
How Cortistatin works at the cellular level
Key benefits and uses of Cortistatin
Overview of Cortistatin benefits and applications
Scientific Details
Molecular Formula
C81H113N19O19S2
Molecular Weight
1721.01 Da
CAS Number
193829-96-8
Sequence
PCKNFFWKTFSSCK (human cortistatin-14, cyclic via Cys2-Cys13 disulfide)

What is Cortistatin?#

Cortistatin is a cyclic neuropeptide first identified in 1996 by Luis de Lecea and colleagues at The Scripps Research Institute. It was discovered through a subtractive hybridization screen designed to identify genes selectively expressed in the cerebral cortex. The name "cortistatin" reflects its cortical expression and its ability to depress (stasis) cortical neuronal activity.

Cortistatin exists in two major forms: cortistatin-14 (CST-14, 14 amino acids) and cortistatin-17 (CST-17, 17 amino acids with an N-terminal extension), both derived from a 112-amino-acid precursor protein (preprocortistatin) encoded by the CORT gene on human chromosome 1. The peptide is expressed predominantly in a subset of GABAergic interneurons in the cerebral cortex and hippocampus, partially overlapping with but distinct from somatostatin-expressing neurons.

Mechanism of Action#

Sleep Promotion#

Cortistatin's sleep-promoting activity is its most distinctive neurological function. Intracerebroventricular administration in rats selectively promotes deep slow-wave sleep (SWS) by enhancing EEG synchronization, without affecting REM sleep or total sleep time. This mechanism appears to involve antagonism of acetylcholine-mediated cortical excitation, effectively reducing cortical arousal.

Preprocortistatin mRNA expression follows a circadian rhythm and is upregulated after sleep deprivation, suggesting cortistatin functions as an endogenous homeostatic sleep factor. BDNF (brain-derived neurotrophic factor) regulates cortistatin expression in an activity-dependent manner, linking cortistatin to sleep homeostasis.

Receptor Pharmacology#

Cortistatin has a unique receptor binding profile:

  • Somatostatin receptors (sst1-5): Binds all five subtypes with affinities comparable to somatostatin, mediating neuronal depression, hormonal regulation, and anti-proliferative effects
  • Ghrelin receptor (GHSR-1a): Uniquely activated by cortistatin but not by somatostatin, contributing to distinct functions in metabolism, reward, and immune regulation
  • MrgX2 receptor: Cortistatin activates this Mas-related G protein-coupled receptor, which may mediate itch and immune cell responses

Anti-Inflammatory Activity#

Cortistatin exerts potent anti-inflammatory effects through multiple mechanisms:

  • Suppression of pro-inflammatory cytokines (TNF-alpha, IL-1beta, IL-6)
  • Downregulation of Th1-driven autoimmune responses
  • Promotion of regulatory T cell (Treg) generation
  • Deactivation of macrophage inflammatory responses
  • Restoration of mucosal immune tolerance

Research Overview#

All cortistatin research remains preclinical. Key areas of investigation include:

  • Sleep neurobiology: Established as a selective slow-wave sleep promoter (Nature 1996, Eur J Neurosci 2007)
  • Inflammatory bowel disease: Therapeutic efficacy in murine colitis models (PNAS 2006)
  • Sepsis: Protection against lethal endotoxemia (J Leukoc Biol 2006)
  • Arthritis: Downregulation of inflammatory and Th1 responses in experimental models
  • Atherosclerosis: Reduction of atherosclerosis and foam cell formation in ApoE-deficient mice
  • Autoimmune myocarditis: Attenuation via Treg generation (FASEB J 2017)

Important Considerations#

  • All research is preclinical; no human clinical trials have been conducted
  • Cortistatin shares significant pharmacology with somatostatin, complicating therapeutic development
  • Short half-life in vivo limits direct clinical application without structural modification
  • Structure-based analogs with improved selectivity are under investigation (Nature Communications 2021)
  • Not available as a pharmaceutical product; research-grade peptide only

Key Research Findings#

A cortical neuropeptide with neuronal depressant and sleep-modulating properties, published in Nature (de Lecea L et al., 1996; PMID: 8622767):

  • The study showed shares 11 of 14 residues with somatostatin but encoded by separate gene

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Frequently Asked Questions About Cortistatin

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Medical Disclaimer

This website is for educational and informational purposes only. The information provided is not intended to diagnose, treat, cure, or prevent any disease. Always consult with a qualified healthcare professional before using any peptide or supplement.

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