SS-31 (Szeto-Schiller 31, generic name Elamipretide) is a synthetic tetrapeptide that readily crosses cell membranes and selectively accumulates in the inner mitochondrial membrane. By electrostatically and hydrophobically associating with cardiolipin, SS-31 stabilizes mitochondrial cristae architecture, prevents cytochrome c detachment, and dramatically reduces pathological reactive oxygen species (ROS) production.
