Target intelligence / Profile preview

Myostatin (MSTN) (MSTN)

Target
MSTN
Molecular classification
Growth factor, Transforming growth factor beta family, Cytokine
01

Overview

Myostatin, also known as Growth Differentiation Factor 8 (GDF8), is a member of the transforming growth factor-beta (TGF-beta) superfamily that serves as a critical negative regulator of skeletal muscle growth [11]. It is primarily produced in skeletal muscle cells and circulates in the blood in a latent form before being activated to bind to activin type II receptors, which triggers signaling pathways that inhibit muscle protein synthesis and promote protein degradation [2, 11]. Genetic mutations that lead to a lack of functional myostatin result in significantly increased muscle mass, a phenomenon observed in various species including cattle and humans [11]. Consequently, myostatin has become a major therapeutic target for treating muscle-wasting disorders such as facioscapulohumeral muscular dystrophy (FSHD) and spinal muscular atrophy (SMA), as well as metabolic conditions like obesity [1, 10, 12]. Drugs such as RO7204239 (emugrobart) are designed to bind and neutralize myostatin, particularly its latent form, to stimulate muscle hypertrophy and improve physical function [2, 7]. While RO7204239 showed successful target engagement in clinical trials, development for FSHD and SMA was recently discontinued due to a lack of meaningful clinical benefit, though investigations in obesity continue [7, 8, 15].

Other names
Growth differentiation factor 8GDF8GDF-8Pro-myostatinLatent myostatin
02

Mechanism of action

Inhibition of myostatin activity by binding to its latent or active form to prevent signaling through ActRIIB receptors, thereby promoting muscle hypertrophy and increasing muscle mass.

03

Biological functions

Regulation of skeletal muscle massMuscle growthMuscle developmentBone metabolismGlucose metabolism
04

Disease associations

Facioscapulohumeral muscular dystrophySpinal muscular atrophySarcopeniaCachexiaObesityType 2 diabetes
05

Safety considerations

Injection site reactionsLack of clinical efficacy in certain muscular dystrophiesPotential off-target effects on other TGF-beta family members
06

Interacting drugs

Emugrobart (RO7204239)

5 more in the full profile.

07

Biomarkers

Circulating myostatin levelsMuscle volume (MRI)Lean body massMuscle strengthMotor function scores

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