Peptide Record

Thymosin beta-4 · Metabolic · graded 2026-07-30

Lipid & cardiovascular markers

This grade describes how much evidence exists for Thymosin beta-4 against lipid & cardiovascular markers — not whether it works, and not whether it is safe. It is computed from the inputs below by a fixed rule with no editorial adjustment.

Why this grade

Not hidden behind a control — showing the work is the point
Score decomposition — every input and its contribution
ComponentPointsScale
Best study type
The strongest design that produced evidence for this outcome, not the average design.
+2Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
0n ≥ 200 → 3 · 50–199 → 2 · < 50 → 1 · no human study → 0
Independent replication
Distinct research groups at the best study tier above, resolved through author and institution records.
+3≥ 3 groups → 3 · 2 → 2 · 1 → 1 · 0 → 0
Directional consistency
Share of studies at the best study tier reporting effect in the same direction — the same studies the replication row counts, not every record on the pair.
Measured over 6 stated directions across 11 studies at the best tier. A ratio over three readings and the same ratio over ninety are the same number and are not the same evidence.
+2≥ 90% concordant → 3 · ≥ 70% → 2 · ≥ 50% → 1 · below → 0 · fewer than 3 readings → 0
Bias risk
A deduction, never a bonus. A flag is counted only where a record states one; silence is not a pass and is not a flag.
0−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total7Sum of the rows above, floored at 0.
What the bias row had to work with — how many of this pair’s records disclosed each field at all
FieldFlag statedStated the oppositeNot statedSilent
industry_funded
industry-funded deducts a point; declared non-commercial does not; silence does neither.
0024100%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
0024100%
blinded
not blinded deducts a point; blinded does not; silence does neither.
0024100%

Grade A additionally requires a total of at least 11 and replication of at least 2: a high score carried by one research group is not replicated evidence, however large the trial.

Doses administered in studies

Sourced figures, not a protocol

Studied doses — not yet collected

Dose, route and n are extracted from study full text, and full text is paywalled for most records in this corpus. No dose has been extracted for this pair yet. Read that as an extraction gap, not as evidence that the studies below administered nothing.

This is a gap in our collection, not a finding about studied doses. Read it as “we have not looked yet”, never as “there is nothing there”. How extraction works and where it fails

Cited sources

24 records · ordered by source hierarchy

These are the records the grade above was computed from — the same set, by the same rule, read from one definition shared with the grader. Records attributed to an alias for a materially different product are not among them; where this pair has any, they are listed separately below.

  • HUMAN-TRIAL3
  • ANIMAL11
  • PRECLINICAL10
SourceStudyDesignnBias flagsDate
HUMAN-TRIALThymosin Beta-4 Is Elevated in Women With Heart Failure With Preserved Ejection Fraction.
PMID 28611096 · DOI 10.1161/jaha.117.005586 · matched on "TB4"
human-observational657none stated2017-06-13
HUMAN-TRIALThymosin beta4 levels after successful primary percutaneous coronary intervention for acute myocardial infarction.
PMID 22257803 · DOI 10.5543/tkda.2011.01751 · matched on "Tbeta4"
human-observational48none stated2011-12-01
HUMAN-TRIALIncreases in plasma Tbeta4 after intracardiac cell therapy in chronic ischemic heart failure is associated with symptomatic improvement.
PMID 26022762 · DOI 10.2217/rme.15.9 · matched on "Tbeta4"
human-rctnone stated2015-05-01
ANIMALThymus transplantation regulates blood pressure and alleviates hypertension-associated heart and kidney damage via transcription factors FoxN1 pathway.
PMID 36738681 · DOI 10.1016/j.intimp.2023.109798 · matched on "Thymosin β4"
animalnone stated2023-03-01
ANIMALThymosin beta4 preserves vascular smooth muscle phenotype in atherosclerosis via regulation of low density lipoprotein related protein 1 (LRP1).
PMID 37724952 · DOI 10.1016/j.intimp.2023.109702 · matched on "Thymosin b4"
animalnone stated2023-02-01
ANIMALTbeta4 Increases Neovascularization and Cardiac Function in Chronic Myocardial Ischemia of Normo- and Hypercholesterolemic Pigs.
PMID 29929787 · DOI 10.1016/j.ymthe.2018.06.004 · matched on "Tbeta4"
animalnone stated2018-07-05
ANIMALThymosin beta4 Deficiency Exacerbates Renal and Cardiac Injury in Angiotensin-II-Induced Hypertension.
PMID 29632102 · DOI 10.1161/hypertensionaha.118.10952 · matched on "Tbeta4"
animalnone stated2018-06-01
ANIMALPegylated and liposomal doxorubicin is associated with high mortality and causes limited cardiotoxicity in mice.
PMID 29467032 · DOI 10.1186/s13104-018-3260-6 · matched on "Thymosin beta 4"
animalnone stated2018-02-21
ANIMALRecapitulation of developmental mechanisms to revascularize the ischemic heart.
PMID 29202457 · DOI 10.1172/jci.insight.96800 · matched on "Thymosin beta 4"
animalnone stated2017-11-16
ANIMALSelective improvement of peptides imaging on tissue by supercritical fluid wash of lipids for matrix-assisted laser desorption/ionization mass spectrometry.
PMID 27942804 · DOI 10.1007/s00216-016-0119-3 · matched on "Thymosin beta 4"
animalnone stated2017-02-01
ANIMALThe anti-inflammatory peptide Ac-SDKP is released from thymosin-beta4 by renal meprin-alpha and prolyl oligopeptidase.
PMID 26962108 · DOI 10.1152/ajprenal.00562.2015 · matched on "Tbeta4"
animalnone stated2016-05-15
ANIMALMolecular anatomy of ascending aorta in atherosclerosis by MS Imaging: Specific lipid and protein patterns reflect pathology.
PMID 26079611 · DOI 10.1016/j.jprot.2015.06.005 · matched on "Thymosin beta 4"
animalnone stated2015-08-03
ANIMALSubcellular metabolite and lipid analysis of Xenopus laevis eggs by LAESI mass spectrometry.
PMID 25506922 · DOI 10.1371/journal.pone.0115173 · matched on "Thymosin β4"
animalnone stated2014-01-01
ANIMALProteomic analysis permits the identification of new biomarkers of arterial wall remodeling in hypertension.
PMID 18496584 · DOI 10.2119/2008-00030.delbosc · matched on "Thymosin β4"
animalnone stated2008-07-01
PRECLINICALTbeta4-Ac-SDKP pathway: Any relevance for the cardiovascular system?
PMID 30854877 · DOI 10.1139/cjpp-2018-0570 · matched on "Tbeta4"
not determinednone stated2019-07-01
PRECLINICALThe anti-inflammatory peptide Ac-SDKP: Synthesis, role in ACE inhibition, and its therapeutic potential in hypertension and cardiovascular diseases.
PMID 29990624 · DOI 10.1016/j.phrs.2018.07.006 · matched on "Tbeta4"
not determinednone stated2018-08-01
PRECLINICALThymosin beta4: Roles in Development, Repair, and Engineering of the Cardiovascular System.
PMID 27450737 · DOI 10.1016/bs.vh.2016.04.010 · matched on "Tbeta4"
not determinednone stated2016-01-01
PRECLINICALN-acetyl-seryl-aspartyl-lysyl-proline (Ac-SDKP): Potential target molecule in research of heart, kidney and brain.
PMID 26350537 · DOI 10.2174/1381612821666150909093927 · matched on "Tbeta4"
not determinednone stated2015-01-01
PRECLINICALThymosin beta4: multiple functions in protection, repair and regeneration of the mammalian heart.
PMID 26094634 · DOI 10.1517/14712598.2015.1022526 · matched on "Tbeta4"
not determinednone stated2015-01-01
PRECLINICALEpicardial progenitor cells in cardiac regeneration and neovascularisation.
PMID 22902355 · DOI 10.1016/j.vph.2012.08.001 · matched on "Tbeta4"
not determinednone stated2013-03-01
PRECLINICALTherapeutic potential of thymosin beta4 in myocardial infarct and heart failure.
PMID 23045979 · DOI 10.1111/j.1749-6632.2012.06695.x · matched on "Tbeta4"
not determinednone stated2012-10-01
PRECLINICALFunction of prothymosin alpha in chromatin decondensation and expression of thymosin beta-4 linked to angiogenesis and synaptic plasticity.
PMID 17495247 · DOI 10.1196/annals.1415.020 · matched on "Thymosin beta 4"
not determinednone stated2007-09-01
PRECLINICALBone marrow cell-mediated cardiovascular repair: potential of combined therapies.
PMID 17574919 · DOI 10.1016/j.molmed.2007.05.004 · matched on "Thymosin beta 4"
not determinednone stated2007-07-01
PRECLINICALHigh levels of mouse thymosin beta4 mRNA in differentiating P19 embryonic cells and during development of cardiovascular tissues.
PMID 8634336 · DOI 10.1016/0167-4781(96)00003-6 · matched on "Tbeta4"
preclinicalnone stated1996-05-02

Rows are ordered by source hierarchy, so nothing below a regulatory filing appears above a human trial. A field marked uncertain is one where the extraction passes disagreed; it publishes as unknown rather than as a picked winner. A design reading “not determined” is a design nothing established, not a design of none. Explore the full corpus for Thymosin beta-4

Also collected, and not part of this grade

1 record · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALTB-500 (Thymosin Beta 4 17-23 Fragment) for Cardiovascular Biomarkers in Stable ASCVD
NCT07487363 · matched on "TB500"
human-rct80industry-funded, not preregistered