2019
DOI: 10.1684/ejd.2019.3642
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Thymosin β4: potential to treat epidermolysis bullosa and other severe dermal injuries

Abstract: is a naturally-occurring regenerative protein present in almost all cells and body fluids, including wound fluid. In multiple preclinical injury models, it promotes dermal repair and tissue regeneration. Thymosin ␤4 acts by increasing keratinocyte/epithelial cell migration, angiogenesis, and cell survival, and by decreasing inflammation, apoptosis, and scarring. It also modulates cytokines, including those that cause itching. Thymosin ␤4 promotes faster repair in various chronic human wounds, including pressur… Show more

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Cited by 14 publications
(8 citation statements)
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References 101 publications
(165 reference statements)
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“…In cardiomyocytes, TMSB4X function is required for proper sarcomere organization (Smart et al, 2017), and in the adult mouse epidermis, TMSB4X is a positive regulator of hair growth (Gao et al, 2015). The function of TMSB4X in the skin is particularly relevant to human health, and TMSB4X peptides are being tested in clinical trials for the treatment of dermal ulcers and epidermolysis bullosa, a group of skin-blistering diseases (Goldstein and Kleinman, 2015;Kleinman and Sosne, 2016;Yang et al, 2019). However, the functions and underlying molecular mechanisms of TMSB4X in epidermal development have not yet been investigated.…”
Section: Introductionmentioning
confidence: 99%
“…In cardiomyocytes, TMSB4X function is required for proper sarcomere organization (Smart et al, 2017), and in the adult mouse epidermis, TMSB4X is a positive regulator of hair growth (Gao et al, 2015). The function of TMSB4X in the skin is particularly relevant to human health, and TMSB4X peptides are being tested in clinical trials for the treatment of dermal ulcers and epidermolysis bullosa, a group of skin-blistering diseases (Goldstein and Kleinman, 2015;Kleinman and Sosne, 2016;Yang et al, 2019). However, the functions and underlying molecular mechanisms of TMSB4X in epidermal development have not yet been investigated.…”
Section: Introductionmentioning
confidence: 99%
“…Tβ4 was first isolated from the thymus and belongs to the β-thymosin family, which consists of several structurally related amino acid polypeptides ( 27 ). Tβ4 lacks a secretion signal, therefore it is speculated that its presence in body fluids might be due to damaged cell ( 10 , 27 , 28 ). Tβ4 was reported to take part in tissue damage-related diseases, such as dermal injuries, cerebral ischemia-reperfusion injury, heart injury and CLI ( 14 , 15 , 28 - 30 ).…”
Section: Discussionmentioning
confidence: 99%
“…Tβ4 lacks a secretion signal, therefore it is speculated that its presence in body fluids might be due to damaged cell ( 10 , 27 , 28 ). Tβ4 was reported to take part in tissue damage-related diseases, such as dermal injuries, cerebral ischemia-reperfusion injury, heart injury and CLI ( 14 , 15 , 28 - 30 ). Furthermore, during tissue injury, Tβ4 can promote endothelial cell migration and tube formation ( 10 , 12 ).…”
Section: Discussionmentioning
confidence: 99%
“…Patients with pressure ulcers, stasis ulcers, and epidermolysis bullosa benefited from TB4 therapy. The results concluded TB4 is safe, well-tolerated and possessed additional use for skin regeneration [103,104].…”
Section: Thymosin Beta-4 Holds Significant Potential To Initiate Organ Regeneration and Repair By Influencing Multiple Senescence Relatedmentioning
confidence: 91%