Chemotherapy lowers thymosin alpha-1, an immune peptide already sold as thymalfasin, and a June 15 Cancer Research paper shows why that matters. The peptide acts as a bodyguard for a fragile RNA alarm (miR146a-5p) that dying-cell debris carries into dendritic cells, shielding it from an enzyme long enough to trip the TLR7 sensor that wakes tumor-killing CD8 T cells. Adding the peptide back synergized with chemotherapy to control tumors in mice, but only when the tumor made high miR146a-5p and TLR7 was intact, which points to both a mechanism and a possible biomarker.