iOnco
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Tissue RepairModerate Evidence

TB-500

Also known as: Thymosin Beta-4, Tβ4, Tβ-4

Origin

Naturally occurring 43-amino-acid peptide present in virtually all human tissues

Half-life

~1 hour

Admin

Subcutaneous

Studies

3 PubMed

Thymosin Beta-4 (and its active fragment TB-500) is one of the most abundant intracellular peptides in the human body. It sequesters actin monomers, regulates cytoskeletal dynamics, and plays a central role in tissue repair, wound healing, and inflammation resolution. In cancer care it is used to accelerate surgical wound healing, repair radiation-damaged tissue, and reduce treatment-associated inflammation.

Properties

Wound healingTissue repairAnti-inflammatoryNerve repairRadiation damage repairActin regulationStem cell activation

Mechanism of Action

Sequesters G-actin (monomeric actin), promoting controlled cell migration and new vessel formation at wound sites. Activates stem/progenitor cells, particularly cardiac and neural stem cells. Downregulates pro-inflammatory cytokines (TNF-α, IL-1β). Promotes myosin expression and muscle repair. Also cross-talks with PI3K/AKT promoting cell survival in damaged tissue.

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Cancer Relevance

Cancer-specific applications: (1) Accelerating surgical wound and anastomosis healing post-tumour resection. (2) Reducing radiation fibrosis and radiation-induced tissue damage. (3) Peripheral neuropathy repair after platinum-based or taxane chemotherapy. (4) Managing post-treatment inflammation and tissue remodelling. IMPORTANT: Tβ4 also promotes angiogenesis — a theoretical concern in active cancer similar to BPC-157. Use during active disease requires oncologist input.

Dosage & Administration

Dose

2.0–2.5 mg subcutaneously, 2–3 times per week during healing phases.

Routes of Administration

Subcutaneous injectionIntramuscular injection

Cycle Protocol

Used for specific healing phases: typically 4–8 weeks post-surgery or during radiation treatment windows.

Cautions & Considerations

  • Promotes angiogenesis — discuss with oncologist if using during active solid tumour treatment
  • No completed human clinical trials for oncology applications
  • Research compound; not approved by FDA or EMA
  • May worsen oedema initially before resolution
  • Storage sensitive — keep refrigerated and avoid freeze-thaw cycles

Related Peptides

Informational only. Not medical advice. Consult your oncologist before using any peptide.