Target intelligence / Profile preview

Growth differentiation factor 8 (MSTN) (MSTN)

Target
MSTN
Molecular classification
TGF-beta superfamily, Cytokine, Growth factor, Myokine
01

Overview

Myostatin, encoded by the MSTN gene, is a secreted growth factor and member of the transforming growth factor-beta (TGF-beta) superfamily that acts as a potent negative regulator of skeletal muscle mass (UniProt, 1.2.1; NIH, 1.1.1). It is primarily synthesized in skeletal muscle as an inactive precursor (promyostatin) and undergoes proteolytic cleavage to release a mature C-terminal dimer that binds to activin type II receptors (ActRIIB), triggering a SMAD2/3 signaling cascade that inhibits muscle protein synthesis and myoblast differentiation (Wikipedia, 1.2.2; PatSnap, 1.3.2). Genetic loss-of-function mutations in the MSTN gene lead to dramatic muscle hypertrophy, a phenotype observed in several species including humans (NIH, 1.5.1). Due to its role in limiting muscle growth, myostatin is a major therapeutic target for treating muscle-wasting conditions such as sarcopenia, muscular dystrophy, and cancer cachexia, as well as metabolic disorders like obesity and type 2 diabetes (Frontiers, 1.1.1; NIH, 1.3.4). Various pharmacological strategies, including monoclonal antibodies (e.g., apitegromab, domagrozumab) and soluble receptor decoys (e.g., ACE-031), have been developed to neutralize myostatin activity, though clinical development has faced challenges regarding specificity and functional outcomes (NIH, 1.3.1; Wikipedia, 1.3.3).

Other names
MyostatinGDF8GDF-8Growth/differentiation factor 8MSLHP
02

Mechanism of action

Inhibition of myostatin signaling by binding to the mature protein, the pro-form, or the latent complex to prevent its interaction with activin type II receptors (ActRIIB/ActRIIA).

03

Biological functions

Negative regulation of skeletal muscle massInhibition of myoblast proliferation and differentiationRegulation of muscle homeostasisInhibition of Akt/mTOR signalingStimulation of ubiquitin ligasesRegulation of glucose and lipid metabolism
04

Disease associations

SarcopeniaMuscular dystrophy (Duchenne, Becker, Facioscapulohumeral, Limb-girdle)Cancer cachexiaObesityType 2 diabetesSpinal muscular atrophy (SMA)Myostatin-related muscle hypertrophyChronic kidney disease-associated muscle wasting
05

Safety considerations

Off-target inhibition of related TGF-beta members (e.g., GDF11, Activins)Epistaxis (nosebleeds)TelangiectasiaPotential for tendon or ligament injuriesLack of clinical efficacy in certain muscle-wasting populations
06

Interacting drugs

Apitegromab (SRK-015)

8 more in the full profile.

07

Biomarkers

Serum myostatin levelsLean body mass (measured by DXA)Muscle volume (measured by MRI)Serum creatinineGrip strengthMotor function scales (e.g., MFM, HFMSE)

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