Peptide Record

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

Liver health

This grade describes how much evidence exists for Thymosin beta-4 against liver health — 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.
+2≥ 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 0 stated directions across 3 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.
0≥ 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
Total4Sum 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.
0022100%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
0022100%
blinded
not blinded deducts a point; blinded does not; silence does neither.
0022100%

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

22 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.

  • ANIMAL3
  • PRECLINICAL19
SourceStudyDesignnBias flagsDate
ANIMALThymosin beta4 Exerts a Cytoprotective Function and Attenuates Liver Injury in Murine Hepatic Sinusoidal Obstruction Syndrome after Hematopoietic Stem Cell Transplantation.
PMID 37192732 · DOI 10.1016/j.jtct.2023.05.009 · matched on "Tbeta4"
animalnone stated2023-08-01
ANIMALTargeted Deletion of Thymosin Beta 4 in Hepatic Stellate Cells Ameliorates Liver Fibrosis in a Transgenic Mouse Model.
PMID 37371128 · DOI 10.3390/cells12121658 · matched on "Tbeta4"
animalnone stated2023-06-18
ANIMALBlood-Stage Plasmodium Berghei ANKA Infection Promotes Hepatic Fibrosis by Enhancing Hedgehog Signaling in Mice.
PMID 30355912 · DOI 10.1159/000494604 · matched on "Thymosin β4"
animalnone stated2018-01-01
PRECLINICALDecidualization-empowered ECM hydrogel integrating sustained Tbeta4 release drives endometrial regeneration in intrauterine adhesions.
PMID 41565687 · DOI 10.1038/s41467-026-68677-w · matched on "Tbeta4"
not determinednone stated2026-01-21
PRECLINICALRecombinant human thymosin beta 4 improves ischemic cardiac dysfunction in mice and patients with acute ST-segment elevation myocardial infarction after reperfusion.
PMID 41229390 · DOI 10.1093/cvr/cvaf223 · matched on "Thymosin beta 4"
not determinednone stated2025-12-31
PRECLINICALThe Role of Tbeta4-POP-Ac-SDKP Axis in Organ Fibrosis.
PMID 36362069 · DOI 10.3390/ijms232113282 · matched on "Tbeta4"
not determinednone stated2022-10-31
PRECLINICALThymosin beta 4 alleviates non-alcoholic fatty liver by inhibiting ferroptosis via up-regulation of GPX4.
PMID 34280397 · DOI 10.1016/j.ejphar.2021.174351 · matched on "Tbeta4"
not determinednone stated2021-10-05
PRECLINICALCellular mechanism of Tbeta4 intervention in liver fibrosis by regulating NF-kappaB signaling pathway.
PMID 30779097 · DOI 10.26355/eurrev_201902_17023 · matched on "Tbeta4"
not determinednone stated2019-02-01
PRECLINICALThymosin beta4 suppresses CCl(4) -induced murine hepatic fibrosis by down-regulating transforming growth factor beta receptor-II.
PMID 29972714 · DOI 10.1002/jgm.3043 · matched on "Tbeta4"
not determinednone stated2018-09-01
PRECLINICALThymosin beta4 inhibits PDGF-BB induced activation, proliferation, and migration of human hepatic stellate cells via its actin-binding domain.
PMID 30063851 · DOI 10.1080/14712598.2018.1478961 · matched on "Tbeta4"
not determinednone stated2018-07-01
PRECLINICALSerum thymosin beta4 as a noninvasive biomarker in patients with nonalcoholic steatohepatitis.
PMID 29271227 · DOI 10.17235/reed.2017.4690/2016 · matched on "Tbeta4"
not determinednone stated2018-01-01
PRECLINICALThymosin-beta4 Mediates Hepatic Stellate Cell Activation by Interfering with CircRNA-0067835/miR-155/FoxO3 Signaling Pathway.
PMID 30481761 · DOI 10.1159/000495556 · matched on "Tbeta4"
not determinednone stated2018-01-01
PRECLINICALThymosin beta4 attenuates liver fibrosis via suppressing Notch signaling.
PMID 28965947 · DOI 10.1016/j.bbrc.2017.09.156 · matched on "Tbeta4"
not determinednone stated2017-12-02
PRECLINICALLoss of endogenous thymosin beta(4) accelerates glomerular disease.
PMID 27575556 · DOI 10.1016/j.kint.2016.06.032 · matched on "Thymosin beta 4"
not determinednone stated2016-11-01
PRECLINICALThymosin Beta 4 Is a Potential Regulator of Hepatic Stellate Cells.
PMID 27450733 · DOI 10.1016/bs.vh.2016.04.011 · matched on "Tbeta4"
not determinednone stated2016-01-01
PRECLINICALPotential role of thymosin Beta 4 in liver fibrosis.
PMID 26006229 · DOI 10.3390/ijms160510624 · matched on "Tbeta4"
not determinednone stated2015-05-08
PRECLINICALIdentification of PDGF-BB binding to thymosin beta4 by chemical cross-linking.
PMID 26096218 · DOI 10.1517/14712598.2015.1014793 · matched on "Tbeta4"
preclinicalnone stated2015-01-01
PRECLINICALHepatic stellate cells express thymosin Beta 4 in chronically damaged liver.
PMID 25826335 · DOI 10.1371/journal.pone.0122758 · matched on "Tbeta4"
preclinicalnone stated2015-01-01
PRECLINICALDepletion of thymosin beta4 promotes the proliferation, migration, and activation of human hepatic stellate cells.
PMID 25060912 · DOI 10.1159/000363005 · matched on "Tbeta4"
not determinednone stated2014-01-01
PRECLINICALFrom proteomic multimarker profiling to interesting proteins: thymosin-beta(4) and kininogen-1 as new potential biomarkers for inflammatory hepatic lesions.
PMID 21496200 · DOI 10.1111/j.1582-4934.2010.01204.x · matched on "Thymosin beta 4"
not determinednone stated2011-10-01
PRECLINICALThymosin-beta4 (Tbeta4) blunts PDGF-dependent phosphorylation and binding of AKT to actin in hepatic stellate cells.
PMID 21514425 · DOI 10.1016/j.ajpath.2011.01.025 · matched on "Tbeta4"
not determinednone stated2011-05-01
PRECLINICALSerum thymosin beta4 levels in patients with hepatitis B virus-related liver failure.
PMID 20128033 · DOI 10.3748/wjg.v16.i5.625 · matched on "Thymosin beta 4"
not determinednone stated2010-02-07

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