Healing & RecoveryPhase II

Thymosin Beta-4

TB-500

A 43-amino acid regenerative peptide that promotes wound healing, tissue repair, and cardioprotection through actin sequestration and stem cell activation. TB-500 is a synthetic fragment containing the active region of this naturally occurring peptide.

Overview

Thymosin Beta-4 (Tβ4) is a 43-amino acid, water-soluble peptide originally isolated from thymus tissue. It is the most abundant member of the beta-thymosin family, accounting for 70-80% of all beta-thymosins in mammalian cells. This highly conserved peptide plays fundamental roles in cell migration, tissue repair, and regeneration.

TB-500 is the synthetic version of the active region (amino acids 17-23) of Thymosin Beta-4. While TB-500 and Thymosin Beta-4 are often used interchangeably, full-length Thymosin Beta-4 produces a more robust response in research compared to the fragment, though both share similar mechanisms and applications.

Molecular Structure

PropertyValue
Amino Acids43
Molecular Weight4,921 Da
Molecular FormulaC₂₁₂H₃₅₀N₅₆O₇₈S
Isoelectric Point5.1
CAS Number77591-33-4

Active Region: The biological activity of Thymosin Beta-4 is determined by specific encoded gene fragments:

  • Amino acids 1-4 (SDKP): Regulate anti-inflammatory and antifibrotic effects
  • Amino acids 1-15: Inhibit apoptosis and reduce cellular toxicity
  • Amino acids 17-23 (LKKTETQ): Core actin-binding domain (basis of TB-500)

Mechanism of Action

G-Actin Sequestration

Thymosin Beta-4 is the major monomeric actin-sequestering molecule in eukaryotic cells. It binds to G-actin (globular actin) in a 1:1 ratio, maintaining a pool of unpolymerized actin monomers available for rapid cytoskeletal reorganization.

This mechanism is critical for:

  • Cell Migration: Enables rapid cytoskeletal changes needed for cell movement
  • Tissue Repair: Mobilizes stem/progenitor cells to injury sites
  • Angiogenesis: Supports endothelial cell migration and new vessel formation

Wound Healing Cascade

After injury, Thymosin Beta-4 is released by platelets, macrophages, and various other cell types:

  1. Protection Phase: Prevents further damage and reduces apoptosis
  2. Anti-inflammatory Phase: Decreases inflammatory mediator expression
  3. Migration Phase: Mobilizes stem cells and progenitor cells
  4. Regeneration Phase: Promotes tissue-specific regeneration
  5. Remodeling Phase: Regulates matrix metalloproteinase (MMP) expression

Signaling Pathways

Research has identified several downstream mechanisms:

  • PINCH-1/ILK Pathway: Promotes cardiomyocyte survival
  • Akt/eNOS Pathway: Stimulates angiogenesis
  • HIF-1α Activation: Supports hypoxic tissue survival
  • NF-κB Modulation: Reduces inflammatory signaling

Research Applications

Dermal Wound Healing

In rat full-thickness wound models, topical or intraperitoneal Tβ4 administration:

  • Increased re-epithelialization by 42% at 4 days and 61% at 7 days
  • Improved wound contraction by 11% by day 7
  • Enhanced collagen deposition and angiogenesis
  • Reduced healing time by approximately one day compared to controls
  • Particularly pronounced effects in diabetic wound models

Corneal Wound Healing

Extensive research has established Thymosin Beta-4's effects in corneal injury:

  • Rapid corneal re-epithelialization
  • Reduced polymorphonuclear leukocyte infiltration
  • Decreased inflammatory mediator expression
  • Prevention of corneal scarring

Cardiac Research

A 2025 publication by Maar, K., et al. demonstrated Thymosin Beta-4's effects on cardiac remodeling:

  • Regulates ROCK1 expression in adult mammals
  • Promotes cardiomyocyte survival after ischemic injury
  • Enhances cardiac function recovery
  • May protect against ischemia-reperfusion damage

Anti-Aging and Regeneration

Research focuses on Thymosin Beta-4's potential for:

  • Tissue regeneration and repair of age-related damage
  • Neuroregeneration and CNS repair
  • Maintenance of tissue homeostasis
  • Stem cell activation in aging tissues

Clinical Development

IndicationStatusKey Findings
Dermal WoundsPhase 2Accelerated healing in chronic wounds
Corneal InjuriesPhase 2 completedImproved healing, reduced inflammation
Cardiac RepairPhase 2Ongoing trials for MI patients
Epidermolysis BullosaPhase 2/3RegeneRx trials ongoing

NCT00832091: A study of Thymosin Beta 4 in patients with venous stasis ulcers demonstrated promising results for chronic wound healing.

Comparison: TB-500 vs Full-Length Thymosin Beta-4

ParameterTB-500 (Fragment)Thymosin Beta-4 (Full)
Amino Acids7 (core region)43 (complete)
Magnitude of EffectModerateHigher
Research FocusMost studiesSome studies
CostLowerHigher
ActivityRetained wound healingFull spectrum activity

Most research has focused on full-length Thymosin Beta-4 due to its larger magnitude of effect, though TB-500 retains the core wound-healing properties.

Safety Profile

Based on clinical trials and research:

  • Well-tolerated in studies up to therapeutic doses
  • No significant adverse effects reported in Phase 2 trials
  • Local injection site reactions occasionally reported
  • Long-term safety data being collected in ongoing trials

Current Research Directions

  • Development of stable formulations for various delivery routes
  • Combination therapies with growth factors
  • Applications in neurodegenerative conditions
  • Optimization of dosing protocols for specific indications

Regulatory Status

Thymosin Beta-4 is currently in clinical development for specific indications. It is not approved for general use and remains a research compound for most applications. All use should be within appropriate clinical trial or research contexts.

References

Key sources include studies published in the Journal of Molecular Endocrinology, Journal of Biological Chemistry, and RegeneRx Biopharmaceuticals clinical trial data.

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