Thymosin Alpha-1 peptide vial
🛡️ Immune

Thymosin Alpha-1

Thymosin Alpha-1 (Thymalfasin)

Also called Thymosin alpha-1, Tα1, thymalfasin, Zadaxin

A thymus peptide licensed abroad for hepatitis

Thymosin alpha-1 is made by the thymus, the gland that trains immune cells and shrinks steadily from the teens onward. The drug version, thymalfasin (Zadaxin), is licensed in over thirty countries, mainly for hepatitis B, and is not approved in the US. It is described as modulating the immune system rather than bluntly suppressing or stimulating it.

A 28-amino-acid peptide naturally produced by the thymus gland. As thymalfasin (Zadaxin) it is licensed in over 30 countries, mainly for chronic hepatitis B, and it has been studied as an immune adjuvant. It is not approved in the US. In laboratory work it promotes T-cell maturation and dendritic cell function.

Half-life
About 2 hours
Route studied
Subcutaneous injection (licensed product)
Status
Licensed abroad (Zadaxin); not approved in the US
Strong Evidence

Tested in several human trials

What Thymosin Alpha-1 has been studied for

The reasons people look it up, roughly in order of how often, and what research exists for each. Interest in a use is not evidence that it works; the evidence is stated under each one.

Immune function
The main reason people look it up. In laboratory and clinical research it helps T-cells mature and affects how the immune system recognises threats. Outside its licensed indications, the evidence is limited.
Hepatitis B and C
Its licensed use in the countries where it is approved, mainly chronic hepatitis B, usually alongside other treatment.
Ageing immune function
The thymus shrinks with age, and so does the body's supply of this peptide. The idea that replacing it helps is reasoning rather than proof.

Mechanism of Action

How Thymosin Alpha-1 works

Thymosin Alpha-1 orchestrates immune function through multiple coordinated mechanisms:

  • T-cell maturation. It promotes the development of immature T-cells into functional CD4+ and CD8+ cells, a process that declines as the thymus shrinks with age.
  • Dendritic cells. It stimulates dendritic cell maturation and antigen presentation through TLR9 signalling in laboratory studies.
  • NK cells. It increases natural killer cell activity in laboratory studies.
  • Cytokines. It shifts IL-2, interferon-alpha and interferon-gamma production, which is why it is described as immunomodulatory rather than purely stimulating.

Thymosin Alpha-1 side effects: what studies reported

Unusually well tolerated for something with real clinical use behind it. Most trials report side effects close to placebo.

Most commonly reported

  • Injection-site redness or discomfort
  • Occasional tiredness
  • Mild aching, like the start of a cold

Worth keeping an eye on

  • It modulates immune activity, which is a specific reason for caution in autoimmune conditions
  • It works against the aim of immune-suppressing medication, for example after a transplant

Source: Clinical trials in hepatitis plus prescribing experience where it is approved. This is a summary of published findings, not a complete safety profile and not medical advice. Questions about Thymosin Alpha-1 belong with a licensed clinician who knows your history.

Your Genetics & Thymosin Alpha-1

The genes involved in how Thymosin Alpha-1 works

Thymosin Alpha-1 works through the receptors these genes build, and the genes vary from person to person. Researchers have linked some of that variation to differences in how people respond. A DNA report tells you which versions you carry.

Chromosome 6Antigen presentation

HLA-DRB1 · ••

HLA-DRB1 variants shape which antigens the immune system presents, and some alleles have been associated with differences in viral clearance in human studies. No study has tested whether they change response to thymosin alpha-1.

Chromosome 6Inflammatory signaling

TNF · ••

The -308G>A promoter variant has been associated with higher TNF-alpha production and studied in inflammatory and infectious disease. Pathway context only.

IL2T-cell proliferation

Studied for its association with IL-2 production, the main growth factor for T-cells. Any link to thymosin alpha-1 is untested.

TLR9Innate immune sensing

TLR9 is a receptor through which thymosin alpha-1 acts on dendritic cells in laboratory work. The -1237T>C variant has been studied for its effect on TLR9 expression. Not studied with thymosin alpha-1.

The dots after each gene are where your own result goes. Your report fills them in with the two letters you carry at that position.

Which of these variants do you carry?

Your report reads the DNA file you already have against this research.

Read my DNA, $99

Often discussed alongside

Compounds that come up next to Thymosin Alpha-1 in research and discussion. Each has its own page. None of this is a suggestion to combine them.

LL-37

also studied for immune functionPreliminary Evidence

LL-37 (Human Cathelicidin Antimicrobial Peptide)

The body's own broad-spectrum antimicrobial peptide: the active fragment of human cathelicidin (the CAMP gene), part of innate immune defence against bacteria, viruses and biofilms. The body makes it in a vitamin-D-dependent way, through the vitamin D receptor. Injected LL-37 is experimental, with thin human safety data, and it is not an approved medicine.

3

Gene variants

30+

Studies

KPV

also studied for inflammationEmerging Evidence

KPV (Lys-Pro-Val)

A three-amino-acid fragment snipped off the end of a hormone your body already makes. Almost every page describes it as switching on a melanocortin receptor; the research fairly clearly says it does not. What it appears to do instead is more interesting, and it is why nearly all the data are about the gut rather than skin. No human study of KPV has been published.

4

Gene variants

15+

Studies

Access

Access and legal status

Thymosin Alpha-1: Licensed abroad (Zadaxin); not approved in the US. Decisions about any prescription medicine belong to a prescriber. We don't link to any seller, and nothing on this page is a recommendation to obtain or use it.

Your DNA and Thymosin Alpha-1: see which of the variants studied alongside it you carry, and what that research does and does not show. Read my DNA, $99 →

Educational information only, not medical advice. Most peptides are not FDA-approved. Do not start, stop or change any medication or peptide because of this page; talk to a licensed clinician.

Worth knowing about Thymosin Alpha-1

Interactions and situations where there is a specific reason to be careful. Where the honest answer is that nobody has studied something, it says so and says what that leaves open.

Autoimmune conditions are the real caution
A compound that helps the immune system respond more sharply carries a specific risk where the immune system is already attacking the body.
Approved somewhere is not approved everywhere
It is a licensed medicine in dozens of countries and not in the US, where products sold under the name are not approved drugs.

Last updated

Frequently Asked Questions

What is thymosin alpha-1 approved for?

As thymalfasin (Zadaxin), it is licensed in over 30 countries, mainly for chronic hepatitis B, and has been studied as an adjuvant to vaccines and cancer immunotherapy. It is not approved in the US.

Do genes affect thymosin alpha-1 response?

No study has tested whether any genotype changes response to thymosin alpha-1. HLA-DRB1, TNF, IL2 and TLR9 variants have been associated with immune traits in human studies. A DNA report can show which versions you carry and what that research does and does not show.

What is known about its safety?

In the hepatitis trials and decades of use where it is licensed, side effects were mostly mild and close to placebo, chiefly injection-site discomfort. Specific cautions are autoimmune conditions and immune-suppressing treatment.

Learn more about Thymosin Alpha-1

Your DNA and Thymosin Alpha-1

What the research says about your variants.

The report

Which Thymosin Alpha-1 variants do you carry?

Your report reads the DNA file you already have against the published research on 31 peptides, marker by marker, and says what that research does and does not show.

Read my DNA, $99
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