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Thymosin

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 3 min read

Thymosin.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (622 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Thymosin. A family of heat-stable, polypeptide hormones secreted by the thymus gland. Their biological activities include lymphocytopoiesis, restoration of immunological competence and enhancement of expression of T-cell characteristics and function. They have therapeutic potential in patients having primary or secondary immunodeficiency diseases, cancer or diseases related to aging.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Thymosins; Thymosin Fs.

Where it fits in the MeSH classification

Broader topics
Thymus Hormones; Peptide Hormones; Proteins
Narrower topics
Thymalfasin; Thymosin beta(4)

Research landscape

PubMed indexes 2,875 records tagged with the MeSH heading “Thymosin” (counts retrieved 2026-10-31). 314 of them (10.9%) were published from 2020 onward, and the busiest period so far is through 1999 with 1,307 records.

Reviews account for 314 records (10.9%) and meta-analyses for 24. Randomized controlled trials number 85 (3.0%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 1,307 records; 2000-2009: 557 records; 2010-2019: 697 records; 2020 onward: 314 records1,307through 19995572000-20096972010-20193142020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,307
2000-2009557
2010-2019697
2020 onward314
Share of records by publication typeReviews: 10.9 percent; Meta-analyses: 0.8 percent; Randomized controlled trials: 3.0 percentReviews10.9% (314)Meta-analyses0.8% (24)Randomized controlled trials3.0% (85)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,875 PubMed records
TypeRecordsShare
Reviews31410.9%
Meta-analyses240.8%
Randomized controlled trials853.0%

Method: PubMed query "Thymosin"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Progress on the Function and Application of Thymosin β4
Xing Y, Ye Y, Zuo H, Li Y
2021Review article
Design not recorded in structured metadata
56cc by
PMID 34992578 · DOI · PMC8724243
Tumour prothymosin alpha content, a potential prognostic marker for primary breast cancer
Magdalena C, Dominguez F, Loidi L, Puente JL
2000Research article
Design not recorded in structured metadata
47cc by
PMID 10682670 · DOI · PMC2363325
TMSB4Y is a candidate tumor suppressor on the Y chromosome and is deleted in male breast cancer
Wong HY, Wang GM, Croessmann S, Zabransky DJ, Chu D, Garay JP, et al.
2015Research article
Design not recorded in structured metadata
35cc by
PMID 26702755 · DOI · PMC4792601
Decidualization-empowered ECM hydrogel integrating sustained Tβ4 release drives endometrial regeneration in intrauterine adhesions
Liang Y, Yu Z, Du S, Guo Y, Li J, Yan Y, et al.
2026Research article
Design not recorded in structured metadata
3cc by
PMID 41565687 · DOI · PMC12923885

Progress on the Function and Application of Thymosin β4 [1]

Review article Xing Y, Ye Y, Zuo H, Li Y · · 2021 · cited 56 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Thymosin β4 (Tβ4) is a multifunctional and widely distributed peptide that plays a pivotal role in several physiological and pathological processes in the body, namely, increasing angiogenesis and proliferation and inhibiting apoptosis and inflammation.
Closing excerpt
The present study reveals the progress regarding functions and applications of Tβ4.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (94 words)

Thymosin β4 (Tβ4) is a multifunctional and widely distributed peptide that plays a pivotal role in several physiological and pathological processes in the body, namely, increasing angiogenesis and proliferation and inhibiting apoptosis and inflammation. Moreover, Tβ4 is effectively utilized for several indications in animal experiments or clinical trials, such as myocardial infarction and myocardial ischemia-reperfusion injury, xerophthalmia, liver and renal fibrosis, ulcerative colitis and colon cancer, and skin trauma. Recent studies have reported the potential application of Tβ4 and its underlying mechanisms. The present study reveals the progress regarding functions and applications of Tβ4.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34992578 · DOI · PMC8724243

Tumour prothymosin alpha content, a potential prognostic marker for primary breast cancer [2]

Research article Magdalena C, Dominguez F, Loidi L, Puente JL · · 2000 · cited 47 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
In a previous report we suggested that the estimation of prothymosin alpha (PTA) levels in primary breast tumours might be used to identify breast cancer patients at high risk for distant metastasis (Dominguez F et al (1993) Eur J Cancer 29A: 893-897).
Closing excerpt
In conclusion, these data support the hypothesis that tumour high PTA levels is associated with a worse outcome.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (196 words)

In a previous report we suggested that the estimation of prothymosin alpha (PTA) levels in primary breast tumours might be used to identify breast cancer patients at high risk for distant metastasis (Dominguez F et al (1993) Eur J Cancer 29A: 893-897). Here the role of tumour PTA levels as predictor was investigated with respect to both disease-free survival (DFS) and survival. Tumours were obtained from a series of 210 consecutive female patients with ductal carcinoma who underwent surgery at the Hospital Xeral de Galicia (Santiago de Compostela, Spain). Characteristics including PTA tumour levels, number of positive axillary nodes, patient's age at surgery and tumour histological grade were significantly associated with DFS and survival, as determined by univariate analysis. Patients with tumours with low or moderate PTA levels demonstrated a statistically decreased rate of tumour recurrence and a statistically significant increased overall survival in comparison with those whose tumours had high PTA levels. Patient's relative risk of dying was 2.1 times greater for tumours with high PTA levels than for those tumours with low or moderate PTA levels. In conclusion, these data support the hypothesis that tumour high PTA levels is associated with a worse outcome.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 10682670 · DOI · PMC2363325

TMSB4Y is a candidate tumor suppressor on the Y chromosome and is deleted in male breast cancer [3]

Research article Wong HY, Wang GM, Croessmann S, Zabransky DJ, Chu D, Garay JP, et al. · · 2015 · cited 35 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Male breast cancer comprises less than 1% of breast cancer diagnoses.
Closing excerpt
Taken together, our results suggest that clonal loss of the Y chromosome may contribute to male breast carcinogenesis, and that the TMSB4Y gene has tumor suppressor properties.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (190 words)

Male breast cancer comprises less than 1% of breast cancer diagnoses. Although estrogen exposure has been causally linked to the development of female breast cancers, the etiology of male breast cancer is unclear. Here, we show via fluorescence in situ hybridization (FISH) and droplet digital PCR (ddPCR) that the Y chromosome was clonally lost at a frequency of ~16% (5/31) in two independent cohorts of male breast cancer patients. We also show somatic loss of the Y chromosome gene TMSB4Y in a male breast tumor, confirming prior reports of loss at this locus in male breast cancers. To further understand the function of TMSB4Y, we created inducible cell lines of TMSB4Y in the female human breast epithelial cell line MCF-10A. Expression of TMSB4Y resulted in aberrant cellular morphology and reduced cell proliferation, with a corresponding reduction in the fraction of metaphase cells. We further show that TMSB4Y interacts directly with β-actin, the main component of the actin cytoskeleton and a cell cycle modulator. Taken together, our results suggest that clonal loss of the Y chromosome may contribute to male breast carcinogenesis, and that the TMSB4Y gene has tumor suppressor properties.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 26702755 · DOI · PMC4792601

Decidualization-empowered ECM hydrogel integrating sustained Tβ4 release drives endometrial regeneration in intrauterine adhesions [4]

Research article Liang Y, Yu Z, Du S, Guo Y, Li J, Yan Y, et al. · · 2026 · cited 3 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Intrauterine adhesions (IUA), a leading cause of female infertility, result from a pathological switch in the uterine injury response from regeneration to fibrotic scarring.
Closing excerpt
Together, these findings demonstrate that mimicking the biological intelligence of a physiological niche can resolve complex fibrotic diseases and restore organ function.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (142 words)

Intrauterine adhesions (IUA), a leading cause of female infertility, result from a pathological switch in the uterine injury response from regeneration to fibrotic scarring. Current treatments are often inadequate as they fail to address this fundamental shift. Here, we report a "decidualization-empowered" hydrogel that reverses this pathology by synergistically combining a bioactive extracellular matrix from decidualized endometrium (DEndo-UdECM) with the sustained release of the anti-fibrotic peptide Thymosin β4 (Tβ4). In a murine IUA model, a single administration of the hydrogel restores endometrial architecture, resolves fibrosis, and, most critically, leads to a near-complete recovery of fertility. Mechanistically, the hydrogel orchestrates a pro-regenerative niche by reprogramming macrophages to an M2 phenotype while dually inhibiting pyroptosis-driven inflammation and the canonical TGF-β/Smad3 fibrotic cascade. Together, these findings demonstrate that mimicking the biological intelligence of a physiological niche can resolve complex fibrotic diseases and restore organ function.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41565687 · DOI · PMC12923885

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article beta-Thymosins, small acidic peptides with multiple functions [5]
    Huff T, Müller CS, Otto AM, Netzker R, Hannappel E · Int J Biochem Cell Biol · 2001 · cited 300 times (Europe PMC)
  • Research article Thymosin beta4: actin-sequestering protein moonlights to repair injured tissues [6]
    Goldstein AL, Hannappel E, Kleinman HK · Trends Mol Med · 2005 · cited 210 times (Europe PMC)
  • Research article Reconsidering an active role for G-actin in cytoskeletal regulation [7]
    Skruber K, Read TA, Vitriol EA · J Cell Sci · 2018 · cited 114 times (Europe PMC)
  • Research article Thymosin beta4: structure, function, and biological properties supporting current and future clinical applications [8]
    Crockford D, Turjman N, Allan C, Angel J · Ann N Y Acad Sci · 2010 · cited 107 times (Europe PMC)
  • Research article Biological activities of thymosin beta4 defined by active sites in short peptide sequences [9]
    Sosne G, Qiu P, Goldstein AL, Wheater M · FASEB J · 2010 · cited 96 times (Europe PMC)
  • Research article The beta-thymosins: intracellular and extracellular activities of a versatile actin binding protein family [10]
    Mannherz HG, Hannappel E · Cell Motil Cytoskeleton · 2009 · cited 92 times (Europe PMC)

References

  1. Xing Y, Ye Y, Zuo H, Li Y. Progress on the Function and Application of Thymosin β4. . 2021. PMID 34992578 · DOI · PMC8724243
  2. Magdalena C, Dominguez F, Loidi L, Puente JL. Tumour prothymosin alpha content, a potential prognostic marker for primary breast cancer. . 2000. PMID 10682670 · DOI · PMC2363325
  3. Wong HY, Wang GM, Croessmann S, Zabransky DJ, Chu D, Garay JP, et al.. TMSB4Y is a candidate tumor suppressor on the Y chromosome and is deleted in male breast cancer. . 2015. PMID 26702755 · DOI · PMC4792601
  4. Liang Y, Yu Z, Du S, Guo Y, Li J, Yan Y, et al.. Decidualization-empowered ECM hydrogel integrating sustained Tβ4 release drives endometrial regeneration in intrauterine adhesions. . 2026. PMID 41565687 · DOI · PMC12923885
  5. Huff T, Müller CS, Otto AM, Netzker R, Hannappel E. beta-Thymosins, small acidic peptides with multiple functions. Int J Biochem Cell Biol. 2001. PMID 11311852 · DOI
  6. Goldstein AL, Hannappel E, Kleinman HK. Thymosin beta4: actin-sequestering protein moonlights to repair injured tissues. Trends Mol Med. 2005. PMID 16099219 · DOI
  7. Skruber K, Read TA, Vitriol EA. Reconsidering an active role for G-actin in cytoskeletal regulation. J Cell Sci. 2018. PMID 29321224 · DOI · PMC5818056
  8. Crockford D, Turjman N, Allan C, Angel J. Thymosin beta4: structure, function, and biological properties supporting current and future clinical applications. Ann N Y Acad Sci. 2010. PMID 20536467 · DOI
  9. Sosne G, Qiu P, Goldstein AL, Wheater M. Biological activities of thymosin beta4 defined by active sites in short peptide sequences. FASEB J. 2010. PMID 20179146 · DOI
  10. Mannherz HG, Hannappel E. The beta-thymosins: intracellular and extracellular activities of a versatile actin binding protein family. Cell Motil Cytoskeleton. 2009. PMID 19405116 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

2,875
PubMed records on this heading
11%
published since 2020
314
review articles
85
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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