A practical reference on systematic review: what it is, how it behaves, what the literature reports, and where the honest uncertainties sit.
Reviewed 2026-04-04. Anything still debated is marked as such rather than presented as settled.
20世纪70年代，研究者从胸腺提取物中纯化出多种小肽，Tα1是其中被较早表征的一种。最初的制备依赖组织匀浆和层析步骤，产量低且成分复杂。随着固相肽合成技术成熟，实验室和工业界能够生产与天然序列一致的合成版本。合成肽的纯度可达95%以上，并可通过反相高效液相色谱和质谱进行鉴定。这一转变使研究不再依赖动物胸腺来源。
市售的胸腺素α1通常以冻干粉形式提供，溶解后用于注射。其氨基酸组成包括多个酸性残基，因此在中性pH下带负电荷。该肽可溶于水和生理盐水，但在有机溶剂中溶解度有限。储存条件通常为冻干状态下负20摄氏度，溶解后需冷藏并避免反复冻融。常见的同义词包括胸腺肽α1、thymalfasin和Tα1。
Clinical research has examined the peptide in chronic hepatitis B and C, as a vaccine adjuvant, and in sepsis and oncology settings. Results across trials have been mixed, and several studies were small or conducted under differing protocols. Regulatory status varies by country, and the compound is not approved in every jurisdiction where it is studied. Evidence for any single indication should be read with attention to sample size and endpoint choice.
Thymosin alpha-1 is a 28-residue peptide first isolated from thymus tissue in the 1970s. It corresponds to the N-terminal portion of thymosin beta-4, from which it is cleaved in vivo. The peptide carries an acetyl group at its N-terminus, a modification that affects its charge and stability. Synthetic material produced by solid-phase peptide synthesis is chemically identical to the natural fragment and is the form used in research and clinical studies.
| Property | Value | Notes |
|---|---|---|
| 化学分类 | 线性肽 | 由28个氨基酸组成 |
| 分子量 | 约3108 Da | 合成版本一致 |
| 外观 | 白色至类白色粉末 | 冻干品 |
| 溶解度 | 易溶于水 | 微溶于有机溶剂 |
| 储存温度 | -20°C（冻干） | 溶解后2-8°C |
Clinical research has examined the peptide in chronic hepatitis B and C, as a vaccine adjuvant, and in sepsis and oncology settings. Findings across trials are mixed; some report changes in selected immune markers, while others find no clear clinical benefit. Many studies are small and define outcomes differently, which limits comparison. Regulatory approval is confined to a few countries, and the compound is not an approved drug in the United States or most of Europe.
Overall evidence quality varies considerably. A large share of published reports come from single centers, rely on surrogate immunological markers, or lack adequate control groups. Systematic reviews have highlighted this heterogeneity as a barrier to pooling results. Open questions include which patients, if any, might benefit, what treatment duration is appropriate, and whether any effect is independent of standard care. The peptide is often described as an immune modulator rather than a therapy for one disease, which complicates confirmatory trial design.
Lyophilized material is typically treated as a hygroscopic solid that should be brought to room temperature before the container is opened, which limits condensation on the powder. Reconstitution is commonly done with sterile water or a buffered diluent, and gentle mixing is preferred over vigorous agitation to reduce foaming and surface adsorption. Because peptides can bind to plastic and glass, diluents containing a small amount of carrier protein are sometimes used in laboratory work. Working solutions are generally aliquoted and prepared fresh rather than subjected to repeated freezing and thawing.
Stability depends on temperature, pH, and the number of freeze-thaw events the sample has experienced. Freeze-dried material is commonly held at -20 °C or colder, while reconstituted liquid is kept cold and used within a short window. Extreme pH and prolonged light exposure can promote deamidation, oxidation, or aggregation, particularly at asparagine and methionine positions. Adsorption to container walls can lower the measured concentration of a dilute solution even when the peptide molecules themselves remain intact.
Thymosin alpha 1 is a short peptide first isolated from bovine thymus tissue in the early 1970s during fractionation work aimed at identifying factors that influence T cell development. It belongs to a family of acidic thymic peptides, and the original preparations contained several components that were later separated by chromatography. The compound is now produced synthetically rather than extracted from tissue, which removes batch variability tied to animal sourcing. Researchers describe it as an immunomodulatory peptide because laboratory studies show effects on several cell types of the innate and adaptive immune systems.
The molecule consists of 28 amino acid residues with an acetyl group attached to the N-terminal serine. Its sequence is acidic overall, with several glutamic and aspartic acid residues distributed along the chain and no cysteine, so disulfide bridges do not form. The peptide carries a net negative charge at physiological pH. Because the N-terminus is blocked, the intact molecule resists degradation by many aminopeptidases, which contributes to its stability in biological fluids.
The peptide is generated in cells by cleavage of prothymosin alpha, a larger acidic protein encoded by the PTMA gene. Prothymosin alpha is expressed in many tissues, not only in the thymus, and its functions include nuclear roles in chromatin-related processes. The 28-residue fragment corresponds to the N-terminal portion of that precursor. How the cleavage occurs and how the fragment's concentration is regulated remain open questions; circulating amounts are small and difficult to measure reliably with routine assays.
=== Depression === A 2016 Cochrane review concluded that for major depressive disorder, "Given the absence of high quality evidence and the inability to draw firm conclusions based on that evidence, the use of SAMe for the treatment of depression in adults should be investigated further.". A 2020 systematic review found that it performed significantly better than placebo, and had similar outcomes to other commonly used antidepressants (imipramine and escitalopram).
osmotic concentration maintained by the use of metabolically inert substances like lactobionate and raffinose rather than with glucose Hydroxyethyl starch (HES) is used to prevent edema Substances are added to scavenge free radicals, along with steroids and insulin.
=== Internal factors === Internal factors causing necrosis include: trophoneurotic disorders (diseases that occur due to defective nerve action in a part of an organ which results in failure of nutrition); injury and paralysis of nerve cells. Pancreatic enzymes (lipases) are the major cause of fat necrosis. Necrosis can be activated by components of the immune system, such as the complement system; bacterial toxins; activated natural killer cells; and peritoneal macrophages. Pathogen-induced necrosis programs in cells with immunological barriers (intestinal mucosa) may alleviate invasion of pathogens through surfaces affected by inflammation. Toxins and pathogens may cause necrosis; toxins such as snake venoms may inhibit enzymes and cause cell death. Necrotic wounds have also resulted from the stings of Vespa mandarinia. Pathological conditions are characterized by inadequate secretion of cytokines. Nitric oxide (NO) and reactive oxygen species (ROS) are also accompanied by intense necrotic death of cells. A classic example of a necrotic condition is ischemia which leads to a drastic depletion of oxygen, glucose, and other trophic factors and induces massive necrotic death of endothelial cells and non-proliferating cells of surrounding tissues (neurons, cardiomyocytes, renal cells, etc.). Recent cytological data indicates that necrotic death occurs not only during pathological events but it is also a component of some physiological process.
The energy released in this reaction (without ADP and phosphate) is approximately 150 kJ per mol, which is conserved in generating two ATP from ADP per glucose. This is only 5% of the energy per sugar molecule that the typical aerobic reaction generates. Plants and fungi (e.g., yeasts) in general use alcohol (ethanol) fermentation when oxygen becomes limiting:
=== Additives and flavoring === To achieve a buttery profile in cultured lines, manufacturers can add small amounts of citrate-fermenting lactococci or Leuconostoc bacterial strains to the starter mix to produce diacetyl. Producers typically maintain a diacetyl-to-acetaldehyde ratio of 3–5 to 1; deviations from this ratio alter the sensory profile, with lower ratios yielding notes described as grassy and higher ratios yielding a sharper taste. Titanium dioxide (E171) is added to some commercial brands to act as an opaque whitening agent. While permitted up to 1% of total volume by weight in the United States by the Food and Drug Administration (FDA), its global usage has declined due to shifting regional regulations on nanoparticle technology in food ingredients. Following a 2021 assessment by the European Food Safety Authority (EFSA) highlighting unresolved genotoxicity and nanoparticle accumulation concerns, the European Union implemented a full ban on E171 in food products starting in August 2022. In contrast, the United Kingdom represents a distinct post-Brexit regulatory divergence. The UK Food Standards Agency (FSA), alongside the Committee on Toxicity (COT) and the Committee on Mutagenicity (COM), reviewed the EFSA evidence and concluded that the dietary risk of genotoxicity from food-grade E171 was low. Consequently, titanium dioxide remains a permitted food additive in Great Britain under retained domestic food law.
Sources: en.wikipedia.org
=== Magnetic resonance guided focused ultrasound === In guided therapy, high-intensity focused ultrasound (HIFU) beams are focused on a tissue, that are controlled using MR thermal imaging. Due to the high energy at the focus, the temperature rises to above 65 °C (150 °F) which completely destroys the tissue. This technology can achieve precise ablation of diseased tissue. MR imaging provides a three-dimensional view of the target tissue, allowing for the precise focusing of ultrasound energy. The MR imaging provides quantitative, real-time, thermal images of the treated area. This allows the physician to ensure that the temperature generated during each cycle of ultrasound energy is sufficient to cause thermal ablation within the desired tissue and if not, to adapt the parameters to ensure effective treatment.
The Rhodesian military was backed by the British South Africa Police (BSAP), a well-equipped police force whose title was derived from the law enforcement division of the British South Africa Company. The BSAP had numerous paramilitary units that functioned as auxiliaries to the army. Domestic and external intelligence gathering were vested in the Central Intelligence Organisation (CIO). As a result of the escalating rural insurgency, the Rhodesian Security Forces began to depend more heavily on white conscripts and reservists, the latter of whom were enrolled in a reserve component known as the Territorial Force. The regular elements of the security forces included a disproportionate number of personnel who had seen action during the First Malayan Emergency as well as the Aden Emergency, and their experience gave Rhodesia's defence establishment a solid grounding in counter-insurgency warfare and small unit tactics in particular. Nevertheless, the vastness of the operational area and Rhodesia's limited manpower pool left the army, air force, and BSAP constantly overstretched. Budgetary and resource restraints, coupled with manpower shortages, meant the security forces could not expand quickly enough to match the guerrilla movements, and were almost always outnumbered. Rhodesian units attempted to compensate for their disadvantage in this regard by pursuing an aggressive preemptive and counterstrike strategy, raiding neighbouring states to destroy guerrilla forces in their external sanctuaries.
==== MeSH D12.776.210.500.600 – myosins ==== MeSH D12.776.210.500.600.100 – myosin heavy chains MeSH D12.776.210.500.600.200 – myosin light chains MeSH D12.776.210.500.600.300 – myosin subfragments MeSH D12.776.210.500.600.465 – myosin type i MeSH D12.776.210.500.600.470 – myosin type ii MeSH D12.776.210.500.600.470.249 – cardiac myosins MeSH D12.776.210.500.600.470.249.249 – atrial myosins MeSH D12.776.210.500.600.470.249.500 – ventricular myosins MeSH D12.776.210.500.600.470.374 – nonmuscle myosin type iia MeSH D12.776.210.500.600.470.500 – nonmuscle myosin type iib MeSH D12.776.210.500.600.470.750 – skeletal muscle myosins MeSH D12.776.210.500.600.470.875 – smooth muscle myosins
In an article published by Los Alamos National Laboratory, researchers state, "Because of the very high strength of pure fentanyl powder, it's hard to dilute precisely, so small inaccuracies in weight can cause huge variation between batches, and it's all too easy for someone to get too much."
Sources: en.wikipedia.org
== Instrumentation protocols == Several protocols have been standardized including a smart protocol, SDI-12, that allows some instrumentation to be connected to a variety of data loggers. The use of this standard has not gained much acceptance outside the environmental industry. SDI-12 also supports multi-drop instruments. Some data logging companies support the MODBUS standard. This has been used traditionally in the industrial control area, and many industrial instruments support this communication standard. Another multi-drop protocol that is now starting to become more widely used is based upon CAN-Bus (ISO 11898). Some data loggers use a flexible scripting environment to adapt to various non-standard protocols.
He argued that the two food products are made of the same ingredient and that genetically speaking, soybeans are from China, though the specific variety was never mentioned. Food journalist Andreas Maryoto supported this idea, saying that tempeh might have been accidentally produced as the by-product of the tofu industry in Java in the 17th century, as discarded soybeans caught the spores of a whitish fungus that was found to be edible. In 2025, Zaelani formalized this as the "Okara-Tempe Hypothesis", proposing that tempeh originated from okara (tofu residue) that was naturally fermented before being adapted to whole soybeans. However, tahu was (and is still) made of white soybeans (Glycine max, native to Japan and China), as opposed to the earliest version of tempe dhele that was made of native black soybeans (Glycine soja). Tahu (tofu) made its way to Kediri in the 13th century and was consumed by the Mongolians who arrived in Java. Later, it was popular only among the rich (the complex production process and imported white soybeans led to its high price). Around the 17th or 19th century, tahu became available to everyone. Tempeh later began to be made with white soybeans, leading to the decreased use of its native black variety. Black soybeans have been replaced by other commodity plants since. The original version of tempe dhele has been forgotten as tahu has become the common people's food, and dependence on imported white soybeans grows.
=== German "Heimatdienst" === Both sides started a propaganda campaign. In March 1919 Paul Hensel, the Lutheran Superintendent of Johannisburg, had travelled to Versailles to hand over a collection of 144,447 signatures to the Allies to protest the planned cession. Pro-German campaigners collected several regional associations under the Ostdeutscher Heimatdienst (East German Homeland Service), which collected over 220,000 members. The Heimatdienst in the region was led by Max Worgitzki, an author and publisher of the Ostdeutsche Nachrichten. The Heimatdienst exerted strong psychological pressure on Masurians to vote for Germany and threatened Polish forces with physical violence. They appealed to Prussian history and loyalty to the Prussian state, disqualified Polish culture and warned of the Catholic religion and Poland's alleged economical backwardness. The pro-Germans presented the probability that all men would be drafted into the Polish military to fight Soviet Russia if they voted for the annexation by Poland. A Soviet invasion was then being attempted in the alleged eastern parts of Poland. Those were no new standpoints but had been the prevailing beliefs in Mazurian public mind for decades. The nationalist feelings were recently strengthened even more by the massive rebuilding programme of the devastated towns, which had been destroyed during the Russian invasion in the autumn of 1914 and were being financially adopted by large German cities.
Sources: en.wikipedia.org
它不是经典的内分泌激素，而是一种免疫调节肽。其作用主要通过局部免疫细胞间的信号传递实现，而非经血液循环作用于远隔器官。
天然胸腺素α1主要从胸腺组织提取，也可在脾脏和淋巴结中检出。目前研究和临床使用的多为化学合成版本，不再依赖动物组织。
胸腺素组分5是牛胸腺提取物的粗组分，包含多种肽。胸腺素α1是其中一种被纯化和表征的单一肽，具有明确的28个氨基酸序列。
It corresponds to the first 28 amino acids of thymosin beta-4, a larger protein found in many tissues. The fragment is acetylated at its N-terminus and is produced synthetically for research and pharmaceutical use. Synthetic and natural forms share the same sequence.