Preprotachykinin-1, (abbreviated PPT-1, PPT-I, or PPT-A), is a protein that in humans is encoded by the TAC1 gene. It is a precursor protein that can be cut into a number of smaller peptide hormones including substance P and neurokinin A.
The hormones derived from PPT-1 function as neurotransmitters which interact with nerve receptors and smooth muscle cells. They are known to induce behavioral responses and function as vasodilators and secretagogues.
The protein has four isoforms—alpha-, beta-, gamma-, and delta-PPT—which can variably undergo post-translational modification to produce neurokinin A (formerly known as substance K) and substance P. Alpha- and delta-PPT can only be modified to substance P, whereas beta- and gamma-PPT can produce both substance P and neurokinin A. Other produced derivates include neurokinin K and neuropeptide gamma.

Substance P is a hormone corresponding to positions 58-68 of preprotachykinin-1. It is released from certain sensory nerves and promotes an inflammatory response that can sensitize pain receptors. It functions through its activation of the receptors TACR1 (Gq- and Gs-type effects) and MRGPRX2. It can also activate TACR3, though it has low affinity.
Neurokinin A (also called substance K) is a signaling molecule corresponding to positions 98-107 of Preprotachykinin-1. It activates the TACR2 receptor, which causes a Gq-type response.
Neuropeptide K (not to be confused with substance K) is a neurokinin A-like peptide which comes from the beta isoform of PPT-1, and corresponds to positions 72-107 of the (canonical) PPT-1 sequence. In rats, neuropeptide K may interact synergistically with substance P to stimulate saliva release. However, unlike in rats, the main human saliva glands are not innervated by substance P nerves.
Neuropeptide gamma is a neurokinin A-like peptide coming from cleavage of the gamma isoform of PPT-1. It corresponds to positions 72-73 and 89-107 of the (canonical) PPT-1 sequence.
The nature and distribution of PPT-1 has been studied in the human basal ganglia. The protein is expressed evenly throughout the caudate and putamen, and 80 to 85% of it exists in the beta-PPT isoform. 15-20% of the protein is in the gamma-PPT isoform, while no alpha-PPT was detected at all.
In humans, beta-PPT is the dominant isoform in the brain, which contrasts with rats (predominantly gamma-PPT) and cows (alpha-PPT).
While both human and rat PPT-1 produce substance P and neurokinin A, humans produce more neuropeptide K, whereas rats produce more neuropeptide gamma. In cow brains, PPT-1 primarily encodes substance P, but not other neurokinin A-derived peptides.