Apelin
aka APLN · apelin-13 · apelin-36 · APJ ligand
A peptide ligand for the APJ receptor (APLNR) with potent cardiovascular, metabolic, and anti-aging effects. Apelin levels decline with aging and are reduced in cardiovascular disease.
Sequence
QRPRLSHKGPMPF
Gln-Arg-Pro-Arg-Leu-Ser-His-Lys-Gly-Pro-Met-Pro-Phe
Mechanism of action
Apelin binds to the APJ receptor (a G-protein coupled receptor) and activates multiple downstream pathways including PI3K/Akt, AMPK, and eNOS. In the cardiovascular system, apelin is a potent vasodilator, positive inotrope (increases cardiac contractility without increasing heart rate), and reduces blood pressure. It also enhances glucose uptake in muscle, reduces insulin resistance, promotes angiogenesis, and has anti-fibrotic properties. Apelin/APJ signaling declines with age.
What the evidence actually shows
Strong preclinical evidence for cardiovascular protection and metabolic benefits. Human observational studies confirm apelin decline in heart failure and aging. Limited interventional human data. APJ receptor agonists are in pharmaceutical development.
Regulatory status
Pharmacokinetics
Dosing — what backs each figure
Apelin has been given to humans only as an acute intravenous infusion in cardiovascular and renal physiology studies — typically [Pyr1]apelin-13 at 1-300 nmol/min, with the longest exposure being a single 6-hour infusion. Its plasma half-life is a few minutes, so there is no repeat-dose, self-administered or take-home regimen for apelin in any published source, and no therapeutic dose has been established.
[Pyr1]apelin-13 at 1 nmol/min and 30 nmol/min by systemic intravenous infusion, single crossover sessions
24 subjects: 12 with chronic kidney disease and 12 matched healthy controls · intravenous infusion
Randomised, double-blind, placebo-controlled crossover study, Nature Communications 2024 ↗
Local intra-arterial [Pyr1]apelin-13 0.3-3.0 nmol/min and systemic intravenous 30-300 nmol/min; plus a prolonged 6-hour systemic infusion at 30 nmol/min
48 healthy volunteers and 12 patients with chronic stable heart failure · intra-brachial and intravenous infusion
Intravenous [Pyr1]apelin-13 10-100 nmol/min during right heart catheterisation, versus saline placebo
19 patients with pulmonary arterial hypertension · intravenous infusion
Double-blind randomised crossover study (Brash/Wilkins et al.) ↗
Local intravenous infusion of apelin-36 and [Pyr1]apelin-13 at 0.1-30 nmol/min into the forearm/hand vein circulation
24 healthy volunteers · intra-arterial / local intravenous
[Pyr1]apelin-13 infused at 135 nmol/min for 120 minutes (metabolite PK study)
6 healthy volunteers · intravenous infusion
Continuous infusion of apelin at 0.01 mcg/min for 20 minutes; increased Pmax and max dP/dt in native and failing hearts
rat (native and post-LAD-ligation heart failure) · intravenous infusion · PMID 15364861
Animal doses do not convert to human doses by body weight alone. Route matters too — a compound dosed intraperitoneally in mice tells you little about subcutaneous use.
Handling and storage
Safety
References (3)
- Japp AG, et al. (2010) Acute cardiovascular effects of apelin in humans: potential role in patients with chronic heart failure. ↗CirculationPMID 20385929DOI
In 18 chronic heart failure patients and 26 healthy volunteers, intrabrachial [Pyr1]apelin-13 caused forearm vasodilatation; intracoronary apelin-36 increased coronary blood flow and LV dP/dt; systemic [Pyr1]apelin-13 infusions of 30-300 nmol/min raised cardiac index and lowered mean arterial pressure and peripheral vascular resistance.
- Brash L, et al. (2018) Short-Term Hemodynamic Effects of Apelin in Patients With Pulmonary Arterial Hypertension. ↗JACC: Basic to Translational SciencePMID 29876530DOI
Double-blind randomised crossover study in 19 patients with pulmonary arterial hypertension: intravenous [Pyr1]apelin-13 during right heart catheterisation reduced pulmonary vascular resistance and increased cardiac output versus saline placebo.
- Nyimanu D, et al. (2019) Development and validation of an LC-MS/MS method for detection and quantification of in vivo derived metabolites of [Pyr(1)]apelin-13 in humans. ↗Scientific ReportsPMID 31882594DOI
Established and validated an LC-MS/MS assay identifying the in vivo human metabolites of [Pyr1]apelin-13, characterising its rapid proteolytic breakdown.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage.lyophilized, storage.reconstituted, storage.lightSensitive, reconstitution.solvent, regulatory.wada