Peptide field guide
MK-12
A 12-amino-acid midkine-derived peptide (KARYNAQCQETI) studied as a potential vital pulp therapy agent to promote reparative dentine formation.
What it is
MK‑12 is a 12‑amino‑acid peptide derived from the human midkine (MK) protein sequence.
Sequence (reported): KARYNAQCQETI.
In the initial paper that introduced MK‑12 as a candidate, it was selected from a panel of midkine fragments based on mineralization/odontogenic differentiation screening.
Why people care
The motivating clinical use case is vital pulp therapy (VPT), including pulp capping, where a material is placed to protect exposed pulp and encourage formation of reparative dentine.
Using short peptides instead of full-length recombinant proteins is attractive because peptides can be:
- easier to manufacture consistently
- simpler to formulate into biomaterials
- potentially cheaper
That said, “easier to make” does not automatically translate into “works in humans.”
Evidence landscape
As of March 2026, evidence we’ve indexed for MK‑12 is preclinical:
- in vitro assays in dental pulp-related cell systems
- an in vivo rat pulp capping model
Latest updates
- 2026-03-25: A paper in International Endodontic Journal reports that MK‑12 promoted reparative dentine formation in rats and was associated with DDIT4/mTOR pathway changes and autophagy signaling in mechanistic experiments.
- PubMed: https://pubmed.ncbi.nlm.nih.gov/41877659/
- DOI: 10.1111/iej.70149
Safety reality
There is no established human safety database for MK‑12 as a therapeutic. Safety and feasibility will depend heavily on:
- local delivery and formulation
- dose and exposure duration
- immune and off-target effects
References
- Qiao S, et al. Novel Midkine‑Derived Peptide Promotes Reparative Dentine Formation via DDIT4/mTOR Pathway‑Mediated Activation of Autophagy. Int Endod J. (2026).
- PubMed: https://pubmed.ncbi.nlm.nih.gov/41877659/
- DOI: 10.1111/iej.70149