Thymosin Beta-4
Also known as: TB-4, TB4, Tβ4, Thymosin β-4
Thymosin Beta-4 is an endogenous 43-amino acid peptide that is the primary intracellular actin sequestering peptide. It promotes tissue repair, reduces inflammation, regenerates hair follicles, and protects cardiac tissue. Closely related to TB-500 (the active fragment), it is used for systemic tissue recovery and anti-aging.
Half-Life
Not well characterized; likely similar to TB-500 (~1–2 hours)
Route
SubQ, IM
Category
Recovery & Repair, Anti-Aging & Longevity
Studies
50 references
Key Benefits
- Systemic tissue repair and regeneration
- Promotes cardiac recovery after myocardial infarction
- Hair follicle regeneration and anti-hair-loss
- Anti-inflammatory (systemic)
- Wound healing acceleration
- Neuroprotection after brain injury
- Protects against ischemia-reperfusion injury
- Anti-aging at cellular level
- Synergizes powerfully with BPC-157
Mechanism of Action
TB-4 functions by sequestering G-actin monomers (via its LKKTET actin-binding motif, which is the TB-500 fragment), preventing cytoskeletal collapse during injury and allowing cell migration for wound healing. Beyond actin dynamics, TB-4 promotes endothelial cell migration, angiogenesis, and keratinocyte migration, driving tissue repair. It activates survival pathways (Akt/ILK) in cardiac and neural cells, reducing apoptosis after ischemia. TB-4 also promotes stem cell differentiation and has anti-inflammatory effects via NF-κB inhibition. Its hair follicle regeneration activity is mediated by activation of hair follicle stem cells.
Dosing Protocols
Recovery & Repair Protocol
- Dose
- 5–10 mg
- Frequency
- 2x per week (loading), then 1x per week (maintenance)
- Timing
- SC or IM injection
- Cycle
- Loading: 4–6 weeks; Maintenance: ongoing monthly
Stack with BPC-157 for comprehensive tissue healing; loading phase accelerates repair in acute injury
Anti-Aging / Longevity Protocol
- Dose
- 2–5 mg
- Frequency
- Weekly to biweekly
- Timing
- SC injection
- Cycle
- Ongoing with periodic breaks (3 months on, 1 month off)
Lower maintenance doses for systemic anti-aging effects
Calculate your draw volume
Enter your vial size and BAC water to get exact injection volumes
Side Effects
- Generally very well tolerated
- Injection site reactions
- Mild fatigue at initiation (repair signaling)
- Rare: mild inflammatory response
- Potential hair darkening with chronic use
Contraindications
Limited long-term human safety data. Use with caution in hormone-sensitive conditions. Not for use in cancer treatment without oncology supervision (angiogenic properties). Avoid in pregnancy.
Storage
Lyophilized: -20°C. Reconstituted: 4°C, use within 14 days. Protect from light. More stable than most peptides if stored correctly.
Featured In Stacks
Alcohol Use Disorder Recovery & Liver Healing Protocol
A peptide protocol supporting recovery from alcohol use disorder and alcoholic liver disease. Targets liver fibrosis reversal, neurochemical normalization, anxiety and craving reduction, and immune restoration — the core biological drivers of alcohol dependence and withdrawal sequelae.
Alcohol Use Disorder Recovery & Liver Restoration Protocol
Comprehensive recovery protocol for alcohol use disorder targeting hepatic repair, neurochemical rebalancing, dopamine system restoration, gut microbiome repair, and craving reduction.
Alopecia & Hair Loss Reversal Protocol
A peptide protocol targeting androgenetic alopecia, alopecia areata, and age-related hair thinning. Combines follicle-stimulating, anti-fibrotic, and angiogenic peptides to reactivate dormant follicles, extend the anagen phase, and restore scalp microvasculature — the key determinants of hair density.
Anti-Aging Skin & Cosmetic Protocol
A comprehensive skin rejuvenation protocol combining injectable and topical peptides to stimulate collagen synthesis, reverse expression lines, and accelerate skin regeneration — attacking aging from both systemic and topical angles simultaneously.
Clinical Research
- 1.Comparative Proteomic Analysis of the Secretome of Control and BRAF/MEK Inhibitor-Resistant Melanoma Cells
Simiczyjew A, Surman M, Kot M, Przybyło ME, Nowak D · Journal of proteome research · 2026PubMed Verified
- 2.Thymosin beta 4: An emerging therapeutic candidate for kidney diseases
Di H, Huang J, Zhang D, Ni F, Zheng R, Geng H · Peptides · 2026ReviewPubMed Verified
- 3.A revised model of nuclear actin import: Importin 9 competes with cofilin, profilin, and RanGTP for actin binding
Keplinger AJ, Srinivasan PA, Christensen SM, Suarez C, Ruthenburg AJ · The Journal of biological chemistry · 2026PubMed Verified
- 4.Thymosin β4-derived peptides alleviate neuroinflammation and neurite atrophy in both in vitro models and in vivo 5 × FAD mice: A potential therapy for memory improvement in Alzheimer's disease
Ou H, Chen R, Zhou L, Zhang Y, Zhao S, Yang Z · International immunopharmacology · 2026PubMed Verified
- 5.Thymosin β4 stabilizes hypoxia induced brain microvascular endothelial cell dysfunction through S1PR1 dependent mechanisms
Stewart WG, Hejl CD, Guleria RS, Gupta S · Scientific reports · 2025PubMed Verified
- 6.Thymosin β4 released by mast cells under stress conditions impairs intestinal epithelial barrier via IL22RA1/JAK1/STAT3 signaling in irritable bowel syndrome
Sun YS, Bai XQ, Sun KD, Li J, Liu L, Chen YY et al. · World journal of gastroenterology · 2025PubMed Verified
- 7.Engineered Tandem Thymosin Peptide Promotes Corneal Wound Healing
Nguyen J, Verma S, Vuong VT, Queener H, Coulson-Thomas VJ, Gesteira TF · Investigative ophthalmology & visual science · 2025PubMed Verified
- 8.Recombinant human thymosin beta 4 improves ischemic cardiac dysfunction in mice and patients with acute ST-segment elevation myocardial infarction after reperfusion
Zhang Y, Dong Q, Bian X, Qiao Z, Cui C, Yang N et al. · Cardiovascular research · 2025PubMed Verified
- 9.Tβ4-17 peptide enhances the chemo-sensitivity of ovarian cancer cells to DDP by affecting NF-κB signaling pathway
Guo L, Wang H, Li N, Wang J, Yu M, Li Y et al. · Medical oncology (Northwood, London, England) · 2025PubMed Verified
- 10.Mechanistic study of the Tβ4/SLC7A11 signaling pathway regulating breast cancer evolution
Jin Z, Li H, Li J, Chang Y, Piao Z, Jin Q et al. · Cellular signalling · 2025PubMed Verified
- 11.Electron Capture Dissociation for Discovery Top-Down Proteomics of Peptides and Small Proteins on Chromatographic Time Scales
Manly LS, Roberts AM, Beckman JS, Roberts BR · Journal of the American Society for Mass Spectrometry · 2025PubMed Verified
- 12.Thymosin beta 4 as an Alzheimer disease intervention target identified using human brain organoids
Zeng PM, Sun XY, Li Y, Wu WD, Huang J, Cao DD et al. · Stem cell reports · 2025PubMed Verified
- 13.Injectable Thymosin β4-Modified Hyaluronic Acid Hydrogel with Exosomes for Stem Cell Homing and Neuronic-Angiogenic-Osteogenic Coupled Cranial Repair
Xi Y, Zhang Z, Zhao Z, Qiu B, Wang W, Xu G et al. · ACS nano · 2025PubMed Verified
- 14.The Prognostic Significance of TMSB4X in Glioma Patients
Li S, Fan T, Hao Z, Zhang Z, Han X, Li J et al. · International journal of general medicine · 2025PubMed Verified
- 15.Thymosin Beta-4 Modulates Cardiac Remodeling by Regulating ROCK1 Expression in Adult Mammals
Maar K, Thatcher JE, Karpov E, Rendeki S, Gallyas F Jr, Bock-Marquette I · International journal of molecular sciences · 2025PubMed Verified
- 16.Thymosin β4 Regulates Tissue Inflammatory Response in Mouse Nonalcoholic Fatty Liver Disease by Promoting Macrophage M2-Type Polarization
Zhu Z, Liao Y, Mou Q, Liu H, Shen Y, Zhu L et al. · Journal of inflammation research · 2025PubMed Verified
- 17.Tβ4-Engineered ADSC Extracellular Vesicles Rescue Cell Senescence Through Separable Microneedle Patches for Diabetic Wound Healing
Ding Y, Wang J, Li J, Cheng Y, Zhou S, Zhang Y et al. · Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025PubMed Verified
- 18.Living myocardial slices as a model for testing cardiac pro-reparative gene therapies
Caliandro R, Husetić A, Ligtermoet ML, Boender AR, Zentilin L, Boink GJJ et al. · Molecular therapy : the journal of the American Society of Gene Therapy · 2025PubMed Verified
- 19.Study of Intracellular Peptides of the Central Nervous System of Zebrafish (Danio rerio) in a Parkinson's Disease Model
Fiametti LO, Franco CA, Nunes LOC, de Castro LM, Santos-Filho NA · International journal of molecular sciences · 2025PubMed Verified
- 20.Retraction: The role of thymosin beta 4 on odontogenic differentiation in human dental pulp cells
PLOS One Editors · PloS one · 2025PubMed Verified
- 21.Plasmacytoid dendritic cells alleviate allergic asthma via airway epithelial cell-dependent thymosin β4 expression
Li Y, Chen Z, Han M, Duan Z, Li R, Cui X et al. · The Journal of allergy and clinical immunology · 2025PubMed Verified
- 22.Exploring the Relationship Between Thymosin β4 Protein and First Myocardial Infarction on the Basis of Proteomics
Lu Z, Liu Q, Fan Y, Xiao Q, Yin D, Li Y · Journal of the American Heart Association · 2025PubMed Verified
- 23.CCN5 suppresses injury-induced vascular restenosis by inhibiting smooth muscle cell proliferation and facilitating endothelial repair via thymosin β4 and Cd9 pathway
Zhang Q, Li H, Zhuang T, Xu L, Wu W, Pi J et al. · European heart journal · 2025PubMed Verified
- 24.Identification of glutamine as a potential therapeutic target in dry eye disease
Chen X, Zhang C, Peng F, Wu L, Zhuo D, Wang L et al. · Signal transduction and targeted therapy · 2025PubMed Verified
- 25.Enhancing fat graft survival: thymosin beta-4 facilitates mitochondrial transfer from ADSCs via tunneling nanotubes by upregulating the Rac/F-actin pathway
Zhang X, Lin Y, Li H, Wang Q, Mu D · Free radical biology & medicine · 2025PubMed Verified
- 26.Inhaled exogenous thymosin beta 4 suppresses bleomycin-induced pulmonary fibrosis in mice via TGF-β1 signalling pathway
Yu R, Li S, Chen L, Hu E, Chai D, Liu Z et al. · The Journal of pharmacy and pharmacology · 2025PubMed Verified
- 27.TMSB4X is a regulator of inflammation-associated ferroptosis, and promotes the proliferation, migration and invasion of hepatocellular carcinoma cells
Tang L, Jin Y, Wang J, Lu X, Xu M, Xiang M · Discover oncology · 2024PubMed Verified
- 28.Proteomic analysis of the human amniotic mesenchymal stromal cell secretome by integrated approaches via filter-aided sample preparation
Muntiu A, Papait A, Vincenzoni F, Rossetti DV, Romele P, Cargnoni A et al. · Journal of proteomics · 2025PubMed Verified
- 29.Thymosin β4 promotes zebrafish Mauthner axon regeneration by facilitating actin polymerization through binding to G-actin
Song Z, Han A, Hu B · BMC biology · 2024PubMed Verified
- 30.Activation of pro-resolving pathways mediate the therapeutic effects of thymosin beta-4 during Pseudomonas aeruginosa-induced keratitis
Wang Y, Banga L, Ebrahim AS, Carion TW, Sosne G, Berger EA · Frontiers in immunology · 2024PubMed Verified
- 31.Equine Doping Controls of Thymosin β 4: A Population Study and Strategy for Misuse Detection
Delcourt V, Garcia P, Chabot B, Aber N, Pescher M, Cacault M et al. · Drug testing and analysis · 2025PubMed Verified
- 32.Thymosin β(4) and β(10) Expression in Human Organs during Development: A Review
Faa G, Messana I, Coni P, Piras M, Pichiri G, Piludu M et al. · Cells · 2024ReviewPubMed Verified
- 33.Therapeutic potential of thymosin beta 4 in a variety of diseases
Ye C, Dai Q, Deng L, Huang H · Asian journal of surgery · 2024PubMed Verified
- 34.The subcommissural organ regulates brain development via secreted peptides
Zhang T, Ai D, Wei P, Xu Y, Bi Z, Ma F et al. · Nature neuroscience · 2024PubMed Verified
- 35.Small Spleen Peptides (SSPs) Shape Dendritic Cell Differentiation through Modulation of Extracellular ATP Synthesis Profile
Wixler V, Leite Dantas R, Varga G, Boergeling Y, Ludwig S · Biomolecules · 2024PubMed Verified
- 36.The subcommissural organ regulates brain development via secreted peptides
Zhang T, Ai D, Wei P, Xu Y, Bi Z, Ma F et al. · bioRxiv : the preprint server for biology · 2024PubMed Verified
- 37.The fascinating theory of fetal programming of adult diseases: A review of the fundamentals of the Barker hypothesis
Faa G, Fanos V, Manchia M, Van Eyken P, Suri JS, Saba L · Journal of public health research · 2024PubMed Verified
- 38.In Vitro Study of Thymosin Beta 4 Promoting Transplanted Fat Survival by Regulating Adipose-Derived Stem Cells
Li W, Yang Y, Lin Y, Mu D · Aesthetic plastic surgery · 2024PubMed Verified
- 39.Thymosin β4 Regulates the Differentiation of Thymocytes by Controlling the Cytoskeletal Rearrangement and Mitochondrial Transfer of Thymus Epithelial Cells
Ying Y, Tao N, Zhang F, Wen X, Zhou M, Gao J · International journal of molecular sciences · 2024PubMed Verified
- 40.Upregulated Tβ4 expression in inflammatory bowel disease impairs the intestinal mucus barrier by inhibiting autophagy in mice
Hao M, Zhong K, Bai X, Wu S, Li L, He Y et al. · Experimental cell research · 2024PubMed Verified
- 41.TMSB4X: A novel prognostic marker for non-small cell lung cancer
Yang Z, Luo J, Zhang M, Zhan M, Bai Y, Yang Y et al. · Heliyon · 2023PubMed Verified
- 42.A Novel Combination Therapy Tβ4/VIP Protects against Hyperglycemia-Induced Changes in Human Corneal Epithelial Cells
Ebrahim AS, Carion TW, Ebrahim T, Win J, Kani H, Wang Y et al. · Biosensors · 2023PubMed Verified
- 43.Antioxioxidant and antiapoptotic effects of Thymosin β4 in Aβ-induced SH-SY5Y cells via the 5-HTR1A/ERK axis
Zhang GH, Chin KL, Yan SY, Pare R · PloS one · 2023PubMed Verified
- 44.Thymosin β4 preserves vascular smooth muscle phenotype in atherosclerosis via regulation of low density lipoprotein related protein 1 (LRP1)
Munshaw S, Redpath AN, Pike BT, Smart N · International immunopharmacology · 2023PubMed Verified
- 45.Deficiency of endothelial sirtuin1 in mice stimulates skeletal muscle insulin sensitivity by modifying the secretome
Li Q, Zhang Q, Kim YR, Gaddam RR, Jacobs JS, Bachschmid MM et al. · Nature communications · 2023PubMed Verified
- 46.Thymosin beta-4 participate in antibacterial immunity and wound healing in black tiger shrimp, Penaeus monodon
Lin C, Qiu L, Wang P, Zhang B, Yan L, Zhao C · Fish & shellfish immunology · 2023PubMed Verified
- 47.Targeted heart repair by Tβ4-loaded cardiac-resident macrophage-derived extracellular vesicles modified with monocyte membranes
Chen P, Pan Y, Ning X, Shi X, Zhong J, Fan X et al. · Acta biomaterialia · 2023PubMed Verified
- 48.Thymosin β4 Alleviates Autoimmune Dacryoadenitis via Suppressing Th17 Cell Response
Zhao X, Li N, Yang N, Mi B, Dang W, Sun D et al. · Investigative ophthalmology & visual science · 2023PubMed Verified
- 49.Detection and quantification of the metabolite Ac-Tβ(1-14) in in vitro experiments and urine of rats treated with Ac-Tβ4: A potential biomarker of Ac-Tβ4 for doping tests
Rahaman KA, Muresan AR, Hasan ML, Joung YK, Min H, Son J et al. · Drug testing and analysis · 2023PubMed Verified
- 50.Targeted Deletion of Thymosin Beta 4 in Hepatic Stellate Cells Ameliorates Liver Fibrosis in a Transgenic Mouse Model
Kim J, Lee C, Han J, Jeong H, Wang S, Choi YH et al. · Cells · 2023PubMed Verified
Medical disclaimer: This information is for educational purposes only and does not constitute medical advice. Many compounds listed are research chemicals not approved for human use. Always consult a qualified healthcare professional before starting any protocol.
Was this page helpful?
Launching soon
Build and track your protocol in Staqk
Log doses, track timing, monitor biomarkers, and manage every compound in your stack — all in one place.