Health Library

TB-500

Not FDA-approved

Also known as: Ac-LKKTETQ, Thymosin beta-4 fragment (LKKTETQ)

Ac L K K T E T Q
Structure source: PubChem CID 62707662

TB-500 is a lab-made fragment of thymosin beta-4: seven of the protein's 43 amino acids, with an acetyl group added at the front. It is a different substance from full-length thymosin beta-4. No clinical trial has tested it in people.

How it works

  • It copies amino acids 17 to 23 of thymosin beta-4, the stretch that binds actin, a protein cells use to move. Researchers credit this region with part of the full protein's role in wound healing.
  • The acetyl cap is artificial, added when the peptide is made. It removes a positive charge at the front end, which may change how it binds.
  • In lab tests and in horses, it is broken down into shorter peptides.

Evidence

Wound and tissue repair

Animal and lab studies onlyCEBM Level 5

No clinical trial in people has tested TB-500. In a small 2026 rat study, material labelled TB-500 made repaired Achilles tendons stronger and better organized. The paper did not confirm what the material contained. A 2025 animal study of eye burns used a modified version of the fragment in a gel.

Caveats

  • Human trials of thymosin beta-4, in eye, heart and leg-ulcer patients, used the full 43-amino-acid protein. Those results do not apply to TB-500.
  • No published safety studies of this fragment in people or animals were found.
  • In lab studies, colon cancer cells that made extra thymosin beta-4 became more invasive and migrated more. Whether TB-500 has any such effect is unknown; it has not been tested.
  • The name TB-500 is often confused with full-length thymosin beta-4, and products sold under it raise concerns about identity and purity.

References

  1. Ho EN, et al. J Chromatogr A. 2012;1265:57-69.
  2. Esposito S, et al. Drug Test Anal. 2012;4:733-738.
  3. Biçer O, et al. Jt Dis Relat Surg. 2026;37:822-837.
  4. Lu P, et al. ACS Appl Mater Interfaces. 2025;17:67503-67518.
  5. Tham A, et al. J Am Acad Orthop Surg. 2026 (published online October 27, 2026).

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