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Pyroglutamated apelin-13 ([Pyr1]apelin-13) is a naturally occurring, post-translationally modified peptide and the predominant circulating isoform of apelin in human plasma and cardiovascular tissues. It acts as a potent agonist of the apelin receptor (APJ), a G protein-coupled receptor that regulates cardiovascular homeostasis, vascular tone, and fluid balance. The N-terminal pyroglutamate modification enhances the peptide's stability and resistance to enzymatic degradation compared to unmodified apelin-13, though it still retains a short in vivo half-life of only a few minutes. Pyroglutamated apelin-13 has been investigated in early-phase clinical trials for its vasodilatory, inotropic, and aquaretic properties in conditions such as chronic kidney disease, heart failure, pulmonary arterial hypertension, and the syndrome of inappropriate antidiuresis (SIAD).
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