Thymosin Alpha-1

approved

Also known as: Thymalfasin, Zadaxin, Tα1

Thymosin Alpha-1 (Tα1), a 28-amino acid peptide derived from the thymus, primarily modulates immune function by enhancing T-cell maturation, differentiation, and activation. It acts through Toll-like receptor (TLR) signaling, particularly TLR2 and TLR9, leading to increased production of cytokines such as IL-2, IFN-γ, and TNF-α. This cascade promotes dendritic cell maturation and natural killer cell activity, thereby strengthening both innate and adaptive immune responses. Its mechanism also involves upregulation of MHC class I expression and modulation of regulatory T-cell activity, contributing to its immunomodulatory profile. Key research findings demonstrate Tα1’s efficacy in improving immune responses in chronic hepatitis B and C, where it reduces viral load and enhances seroconversion rates when used alone or with interferons. Studies also show its utility as an immune adjuvant in vaccination protocols and in restoring immune function in immunocompromised patients, such as those with sepsis or post-surgical infections. Additionally, preclinical and clinical data suggest potential benefits in cancer immunotherapy by augmenting anti-tumor immune responses, though further trials are needed for definitive conclusions. Clinically, Thymosin Alpha-1 is approved in over 30 countries (e.g., as Zadaxin) for treating chronic hepatitis B and as an immune adjuvant in various infectious diseases. It is generally well-tolerated, with mild local reactions at injection sites. Ongoing research explores its role in COVID-19, HIV, and autoimmune conditions, but its use remains restricted to approved indications in specific regions. For research purposes only — not medical advice.

Key data

Category
Immune Modulation
Molecular weight
3108.3 g/mol
Molecular formula
C129H215N33O55
CAS number
62304-98-7
Administration
subcutaneous
Research status
approved
References
616
Tags
immune, thymic, approved, antiviral

Research & studies

Aging and Thymosin Alpha-1
International journal of molecular sciences · 2025 · PubMed

Aging causes thymic involution, reducing T-cell production and increasing susceptibility to age-related diseases.; Thymosin alpha-1 has immunomodulatory, anti-inflammatory, and antioxidant properties that help restore immune function.; Tα1 improves vaccine response in the elderly and mitigates immunosenescence in preclinical and clinical studies.; Refnot, a fusion of TNF-α and Tα1, combines immunomodulation with antitumor activity and has reduced toxicity.

Thymosin α1 reverses oncolytic adenovirus-induced M2 polarization of macrophages to improve antitumor immunity and therapeutic efficacy
Cell reports. Medicine · 2024 · PubMed
Thymosin α-1 in cancer therapy: Immunoregulation and potential applications
International immunopharmacology · 2023 · PubMed
A Pilot Trial of Thymalfasin (Thymosin-α-1) to Treat Hospitalized Patients With Hypoxemia and Lymphocytopenia Due to Coronavirus Disease 2019 Infection
The Journal of infectious diseases · 2023 · PubMed
Thymosin alpha 1: A comprehensive review of the literature
World journal of virology · 2020 · PubMed
Serum thymosin alpha 1 levels in normal and pathological conditions
Expert opinion on biological therapy · 2018 · PubMed
Thymosin alpha 1 treatment for patients with sepsis
Expert opinion on biological therapy · 2018 · PubMed
Thymosin alpha 1 and HIV-1: recent advances and future perspectives
Future microbiology · 2017 · PubMed

Frequently asked questions

What is Thymosin Alpha-1?

Thymosin Alpha-1 (Tα1), a 28-amino acid peptide derived from the thymus, primarily modulates immune function by enhancing T-cell maturation, differentiation, and activation. It acts through Toll-like receptor (TLR) signaling, particularly TLR2 and TLR9, leading to increased production of cytokines such as IL-2, IFN-γ,

How does Thymosin Alpha-1 work?

28-aa thymic peptide that enhances T-cell maturation and TLR signaling; approved in many countries for hepatitis and as an immune adjuvant.

What is the research status of Thymosin Alpha-1?

Thymosin Alpha-1 is currently classified as approved, with 616 research references on record. This is for research purposes only and is not medical advice.

What is the molecular weight of Thymosin Alpha-1?

Thymosin Alpha-1 has a molecular weight of approximately 3108.3 g/mol (formula C129H215N33O55).

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