What Is BPC-157?
Published
BPC-157 is a synthetic peptide of 15 amino acids, GEPPPGKPADDAGLV, with a molecular weight of 1419. It is a partial sequence of body protection compound, a protein described as discovered in and isolated from human gastric juice. Almost all published work on it comes from rat and cell-culture models; a 2026 systematic review found only 3 studies in people, with 30 participants in total, and rated the certainty of that evidence as very low.
Where the BPC-157 sequence comes from
Laboratory papers describe BPC-157 as a pentadecapeptide, a chain of 15 amino acids, that reproduces part of the sequence of body protection compound (BPC), a protein the authors describe as discovered in and isolated from human gastric juice. The material used in research is made by chemical synthesis, and its sequence is the fragment rather than the full parent protein.In vitro · PMID 21030672In vitro · PMID 25415472
A 2003 rat study published the sequence as GEPPPGKPADDAGLV and the molecular weight as 1419. That paper also stated that the peptide was dissolved in saline with no carrier added, and it described the molecule as stable, which is why many papers call it the stable gastric pentadecapeptide. Code names such as PL 14736 and PLD-116 appear in the older literature for the same sequence.Animal study · PMID 14554208Animal study · PMID 20225319
A 2019 review of the musculoskeletal literature noted two structural facts about the field itself: the majority of studies had been performed on small rodent models, and over the previous two decades only a handful of research groups had carried out in-depth studies of the peptide. Both points shape how the findings below should be read.Review · PMID 30915550
What the tendon and ligament studies measured
In the 2003 rat study, the right Achilles tendon was transected and assessed on days 1, 4, 7, 10 and 14. The authors measured load of failure, load of failure per area, Young's modulus of elasticity and an Achilles functional index, and they examined the tissue under the microscope for fibroblasts, reticulin and collagen. They reported higher biomechanical values and higher functional index scores in the peptide group than in saline controls. In the cell-culture arm of the same paper, the peptide had no effect on the growth of cultured tendocytes on its own, but it opposed the growth-inhibiting effect of 4-hydroxynonenal.Animal study · PMID 14554208
A 2011 study used tendon fibroblasts taken from rat Achilles tendon. Proliferation, measured by MTT assay, was not directly affected by BPC-157. What changed was the outgrowth of fibroblasts from tendon explants, cell survival under hydrogen peroxide stress, migration in a transwell assay, and cell spreading. The authors measured rising phosphorylation of FAK and paxillin, with total protein amounts unaltered, and proposed the FAK-paxillin pathway as the mechanism.In vitro · PMID 21030672
A follow-up study from the same group ran a cDNA microarray on rat tendon fibroblasts and found the growth hormone receptor among the most up-regulated genes. Receptor mRNA and protein rose with time and peptide concentration. Adding growth hormone to the exposed cells raised proliferation by MTT assay and PCNA expression, and activated Janus kinase 2, the downstream signal of that receptor.In vitro · PMID 25415472
Not every tendon result was positive. In a 2026 rat study, 32 animals had the Achilles tendon transected and repaired, and were split into four groups of eight: control, BPC-157, TB-500 and the two combined. At four weeks, maximum load to failure was higher than control in both single-peptide groups, but the difference reached statistical significance only for TB-500. The BPC-157 group showed numerically lower Bonar and Movin histology scores without statistical significance for total scores, and the combination showed no additional effect over either peptide alone.Animal study · PMID 42542926
Blood vessels and nitric oxide signaling
The most frequently proposed mechanism involves blood-vessel formation. In a 2017 study, BPC-157 increased vessel density in the chick chorioallantoic membrane assay and in an endothelial tube-formation assay. In rats with hind limb ischemia, laser Doppler scanning recorded faster recovery of blood flow, and histology counted more vessels. In cultured human vascular endothelial cells, the peptide raised mRNA and protein for the receptor VEGFR2 but not for its ligand VEGF-A, and it activated the VEGFR2-Akt-eNOS pathway.Animal study · PMID 27847966
A 2020 study on isolated rat aorta measured a concentration-dependent widening of the vessel that depended on the endothelium and was blocked by L-NAME or hemoglobin, both of which interfere with nitric oxide. In endothelial cells, the peptide induced nitric oxide generation, increased phosphorylation of Src, Cav-1 and eNOS, and reduced the binding between Cav-1 and eNOS.In vitro · PMID 33051481
The cell-culture findings are not uniform across laboratories. A 2009 study that correlated angiogenesis with VEGF expression reported no direct angiogenic effect of BPC-157 on cell cultures. In the same work, immunohistochemistry for VEGF, CD34 and factor VIII in crushed and transected rat muscle and tendon showed modulated angiogenesis in the peptide groups, leading the authors to tie the vessel effect to the injured tissue in vivo rather than to cells in a dish.Animal study · PMID 20388964
Stomach and skin models
The gastric literature is where the compound's name comes from. In a 2020 study in Sprague Dawley rats, ulcers were first induced with acetic acid and then allowed to resolve before clopidogrel was given to provoke recurrence. The authors recorded ulcer recurrence, inflammation and endoplasmic reticulum stress-related apoptosis in the gastric lining after clopidogrel. In rats that also received BPC-157, those markers were attenuated, and blocking nitric oxide with L-NAME weakened the effect.Animal study · PMID 33376304
In a 2015 rat model of alkali burns to the skin, topical BPC-157 was associated with faster wound closure, and histology on the 18th day after wounding showed more granulation tissue, re-epithelialization and collagen deposition than in the model control group. In cultured human umbilical vein endothelial cells, the peptide raised proliferation, migration, VEGF-a expression and tube formation, and it altered phosphorylation of ERK1/2 and its downstream targets c-Fos, c-Jun and Egr-1.Animal study · PMID 25995620
What has been recorded in people
A PRISMA-compliant systematic review registered with PROSPERO searched Embase, PubMed, the Cochrane Library and ClinicalTrials.gov up to 1 June 2026. Three studies met its criteria, with 30 participants in total: a retrospective study of knee pain (n=16), a retrospective pilot study in interstitial cystitis (n=12) and a prospective pilot safety study (n=2). None had a control group. The reviewers judged all three to be of poor methodological quality and rated the overall certainty of evidence as very low because of serious risk of bias, indirectness and imprecision.Review · PMID 42885452
The smallest of those studies enrolled 2 adults, aged 58 and 68, and recorded blood work and vital signs at each visit across three days. The authors reported no measurable effects on the tested biomarkers of the heart, liver, kidneys or thyroid, or on blood glucose, and no side effects were reported. With two participants and no comparison group, the study cannot estimate how often adverse events occur.Human trial · PMID 40131143
An earlier systematic review, searching to June 2024, screened 544 articles and included 36 studies: 35 preclinical and 1 clinical. It found no clinical safety data and noted that the peptide lacked US Food and Drug Administration approval and was banned in professional sports.Review · PMID 40756949
How to read the BPC-157 evidence
Three features of this literature matter more than any single result. First, most data come from rats, and the 2019 review stressed that efficacy had not been confirmed in people. Second, a small number of research groups produced most of the work, so independent replication is thin. Third, the cell results disagree on whether the peptide acts directly on cultured cells or only in injured tissue, as the 2009 and 2017 vessel studies show.Review · PMID 30915550Animal study · PMID 20388964Animal study · PMID 27847966
The one independent rat tendon study published in 2026 found that BPC-157 did not reach statistical significance on its main biomechanical or total histology scores, while an older study from the originating group reported full recovery of the transected tendon. Differences in design, duration and laboratory may explain the gap, but until controlled studies in people exist, the 2026 review's verdict of very low certainty is the most accurate summary of what is known.Animal study · PMID 42542926Animal study · PMID 14554208Review · PMID 42885452
The studies at a glance
Key BPC-157 studies, by model. Results are as reported in each paper's abstract.
| Trial | Study type | n | Weeks | Result |
|---|---|---|---|---|
| Staresinic 2003 (rat Achilles transection + tendocyte culture) | Animal study | — | — | Higher load of failure, Young's modulus and functional index than controls over 14 days; no effect on tendocyte growth alone |
| Chang 2011 (rat tendon fibroblasts) | In vitro | — | — | Proliferation unchanged by MTT; explant outgrowth, survival under stress and migration increased via FAK-paxillin |
| Hsieh 2017 (CAM assay, rat hind limb ischemia, endothelial cells) | Animal study | — | — | Vessel density and blood-flow recovery increased; VEGFR2 up-regulated, VEGF-A unchanged |
| Brcic 2009 (cell culture + rat muscle and tendon) | Animal study | — | — | No direct angiogenic effect in cell culture; VEGF-linked vessel changes in injured tissue |
| Biçer 2026 (rat Achilles repair) | Animal study | 32 | 4 | BPC-157 group: numerically lower histology scores, not statistically significant; TB-500 significant on load to failure |
| Wu 2020 (rat clopidogrel ulcer recurrence) | Animal study | — | — | Ulcer recurrence, inflammation and apoptosis markers attenuated; effect weakened by nitric oxide blockade |
| Lee 2025 (pilot safety study, adults) | Human trial | 2 | — | No measurable change in tested heart, liver, kidney, thyroid or glucose biomarkers; no side effects reported |
| Poolton 2026 (systematic review of studies in people) | Review | 30 | — | 3 uncontrolled studies included; all poor methodological quality; certainty of evidence very low |
Frequently asked questions
What is BPC-157 made of?
It is made of 15 amino acids in the sequence GEPPPGKPADDAGLV, giving a molecular weight of 1419. Research material is produced by chemical synthesis, and papers describe the peptide as dissolved in saline with no carrier added.Animal study · PMID 14554208In vitro · PMID 21030672
What is BPC-157 derived from?
It is a partial sequence of body protection compound, a protein that laboratory papers describe as discovered in and isolated from human gastric juice. The peptide studied in the literature is the 15-amino-acid fragment, not the full parent protein.In vitro · PMID 21030672In vitro · PMID 25415472
Is BPC-157 a steroid?
No. BPC-157 is a peptide, a short chain of 15 amino acids, not a steroid. Its proposed mechanisms in the literature involve peptide signaling pathways such as FAK-paxillin in tendon fibroblasts and VEGFR2-Akt-eNOS in endothelial cells.In vitro · PMID 21030672Animal study · PMID 27847966
How many studies of BPC-157 in people have been published?
A 2026 systematic review found 3 studies with 30 participants in total (n=16, n=12 and n=2), none with a control group. It judged all three to be of poor methodological quality and rated the certainty of the evidence as very low.Review · PMID 42885452
Why do BPC-157 blood-vessel studies disagree?
A 2009 study found no direct angiogenic effect on cultured cells and linked vessel changes to injured rat tissue, while a 2017 study measured more tube formation and VEGFR2 in cultured endothelial cells. The two used different cell models and assays, and a 2019 review noted that only a handful of groups have studied the peptide in depth.Animal study · PMID 20388964Animal study · PMID 27847966Review · PMID 30915550
Cited literature
- Gastric pentadecapeptide BPC 157 accelerates healing of transected rat Achilles tendon and in vitro stimulates tendocytes growth.J Orthop Res · 2003PMID 14554208 ↗
- The promoting effect of pentadecapeptide BPC 157 on tendon healing involves tendon outgrowth, cell survival, and cell migration.J Appl Physiol (1985) · 2011PMID 21030672 ↗
- Pentadecapeptide BPC 157 enhances the growth hormone receptor expression in tendon fibroblasts.Molecules · 2014PMID 25415472 ↗
- Pentadecapeptide BPC 157 (PL 14736) improves ligament healing in the rat.J Orthop Res · 2010PMID 20225319 ↗
- Therapeutic potential of pro-angiogenic BPC157 is associated with VEGFR2 activation and up-regulation.J Mol Med (Berl) · 2017PMID 27847966 ↗
- Modulatory effects of BPC 157 on vasomotor tone and the activation of Src-Caveolin-1-endothelial nitric oxide synthase pathway.Sci Rep · 2020PMID 33051481 ↗
- Modulatory effect of gastric pentadecapeptide BPC 157 on angiogenesis in muscle and tendon healing.J Physiol Pharmacol · 2009PMID 20388964 ↗
- Clopidogrel-Induced Gastric Injury in Rats is Attenuated by Stable Gastric Pentadecapeptide BPC 157.Drug Des Devel Ther · 2020PMID 33376304 ↗
- Body protective compound-157 enhances alkali-burn wound healing in vivo and promotes proliferation, migration, and angiogenesis in vitro.Drug Des Devel Ther · 2015PMID 25995620 ↗
- Effects of BPC-157 and TB-500 on Achilles tendon healing in rats: A histopathological and biomechanical study.Jt Dis Relat Surg · 2026PMID 42542926 ↗
- Safety of Intravenous Infusion of BPC157 in Humans: A Pilot Study.Altern Ther Health Med · 2025PMID 40131143 ↗
- Human evidence for BPC-157 in orthopaedic and regenerative medicine: a systematic review of efficacy and safety.Acta Orthop Belg · 2026PMID 42885452 ↗
- Emerging Use of BPC-157 in Orthopaedic Sports Medicine: A Systematic Review.HSS J · 2025PMID 40756949 ↗
- Gastric pentadecapeptide body protection compound BPC 157 and its role in accelerating musculoskeletal soft tissue healing.Cell Tissue Res · 2019PMID 30915550 ↗
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