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TB-500 (Thymosin β4 Fragment)
Healing & Body-Protection

TB-500 (Thymosin β4 Fragment)

Research-Grade

TB-500 is the name used for a synthetic peptide based on the active region of Thymosin β4 (Tβ4) — a 43-amino-acid, actin-regulating protein present in most tissues. Equine doping-control research identified the key ingredient of a veterinary TB-500 preparation as N-acetylated LKKTETQ, the 17–23 segment of Tβ4 responsible for actin binding, cell migration and wound healing. Products sold under the TB-500 name are not standardized, so the actual sequence varies by supplier. Almost all of the research behind TB-500 was done with full-length Tβ4, not the fragment. In animal studies Tβ4 accelerated skin wound re-epithelialization and angiogenesis, improved cardiac function after coronary ligation in mice, mobilized epicardial progenitor cells, and stimulated hair growth. In humans, intravenous Tβ4 was well tolerated in a phase 1 study of healthy volunteers, and Tβ4 eye drops (RGN-259) improved signs and symptoms in a small phase 2 dry-eye trial. The synthetic TB-500 fragment itself has no published human trials and is a research-only compound.

Specifications

Origin / ManufacturerSynthetic
Active Components
TB-500 fragmentBacteriostatic water
StorageLyophilized room-temp; reconstituted 2–8°C
Shelf LifeLyophilized 24+ months
Form FactorLyophilized powder (2 mg or 5 mg vial)

Frequently Asked Questions

Sources & References

Every clinical claim on this page traces to a primary peer-reviewed source.

  1. 1Crockford D. Development of thymosin beta4 for treatment of patients with ischemic heart disease. Annals of the New York Academy of Sciences. 2007;1112:385-95. doi:10.1196/annals.1415.051 PMID:17947592
  2. 2Goldstein AL, Hannappel E, Kleinman HK. Thymosin beta4: actin-sequestering protein moonlights to repair injured tissues. Trends in molecular medicine. 2005;11(9):421-9. doi:10.1016/j.molmed.2005.07.004 PMID:16099219
  3. 3Malinda KM, Sidhu GS, Mani H, et al.. Thymosin beta4 accelerates wound healing. The Journal of investigative dermatology. 1999;113(3):364-8. doi:10.1046/j.1523-1747.1999.00708.x PMID:10469335
  4. 4Bock-Marquette I, Saxena A, White MD, et al.. Thymosin beta4 activates integrin-linked kinase and promotes cardiac cell migration, survival and cardiac repair. Nature. 2004;432(7016):466-72. doi:10.1038/nature03000 PMID:15565145
  5. 5Smart N, Risebro CA, Melville AA, et al.. Thymosin beta4 induces adult epicardial progenitor mobilization and neovascularization. Nature. 2007;445(7124):177-82. doi:10.1038/nature05383 PMID:17108969
  6. 6Ruff D, Crockford D, Girardi G, et al.. A randomized, placebo-controlled, single and multiple dose study of intravenous thymosin beta4 in healthy volunteers. Annals of the New York Academy of Sciences. 2010;1194:223-9. doi:10.1111/j.1749-6632.2010.05474.x PMID:20536472
  7. 7Philp D, Nguyen M, Scheremeta B, et al.. Thymosin beta4 increases hair growth by activation of hair follicle stem cells. FASEB journal : official publication of the Federation of American Societies for Experimental Biology. 2004;18(2):385-7. doi:10.1096/fj.03-0244fje PMID:14657002
  8. 8Sosne G, Dunn SP, Kim C. Thymosin β4 significantly improves signs and symptoms of severe dry eye in a phase 2 randomized trial. Cornea. 2015;34(5):491-6. doi:10.1097/ICO.0000000000000379 PMID:25826322
  9. 9Sosne G. Thymosin beta 4 and the eye: the journey from bench to bedside. Expert opinion on biological therapy. 2018;18(sup1):99-104. doi:10.1080/14712598.2018.1486818 PMID:30063853
  10. 10Ho EN, Kwok WH, Lau MY, et al.. Doping control analysis of TB-500, a synthetic version of an active region of thymosin β₄, in equine urine and plasma by liquid chromatography-mass spectrometry. Journal of chromatography. A. 2012;1265:57-69. doi:10.1016/j.chroma.2012.09.043 PMID:23084823
  11. 11U.S. Food and Drug Administration. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks. FDA Human Drug Compounding. 2026.

Reviewed by

Clinical Research Review Board

Pharmacology & Endocrinology Review

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Reviewed by Clinical Research Review BoardPharmacology & Endocrinology Review

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