Investigates thymosin β4's protection of high-glucose-damaged human umbilical vein endothelial cells through upregulation of insulin-like growth factor-1 (IGF-1) signaling. TB4 activated the IGF-1 survival/metabolism pathway to counteract hyperglycemia-induced endothelial toxicity, improving cell viability and reducing apoptotic markers. Identifies IGF-1 signaling as an additional protective mechanism for TB4 in diabetic vascular injury—complementing the Akt/eNOS (PMID 30233693) and RAGE suppression (PMID 25640761) mechanisms—providing a multi-pathway picture of TB4's diabetic endothelial protection.
Kim, Sokho; Kwon, Jungkee