Follistatin (FST)
Follistatin is an endogenous glycosylated binding protein (~35 kDa, considerably larger than typical peptides) that binds and neutralises members of the TGF-β superfamily, including activin and myostatin (GDF-8). In animal models, raising follistatin de-represses muscle growth. Clinically it has been studied mainly via AAV gene therapy (FS344) in muscular dystrophies. Follistatin is not an approved drug; human efficacy and safety data are limited and stem mostly from early gene-therapy trials and preclinical research. A 'follistatin-344' product is sold on the grey market, the identity and purity of which cannot be verified without analytics.
Mechanism of action
Follistatin binds with high affinity to activin and to myostatin (GDF-8), as well as related TGF-β ligands such as GDF-11 and some BMPs, preventing their binding to the activin type-II receptors. Myostatin is a negative regulator of skeletal muscle mass; by sequestering myostatin, its growth-inhibiting signalling is removed (de-repression). Because follistatin additionally neutralises activin, it acts on several muscle-inhibiting pathways at once — in animal models this produced greater muscle gain than knocking out myostatin alone. Several isoforms exist (including FST-288 and FST-315) that differ in tissue binding via heparan sulfate. The FST344 variant used in gene therapy was chosen to reduce binding to off-target structures.
L'evidenza in sintesi
Cosa mostrano gli studi
Dove gli studi divergono
Can the strong muscle-building effect from animal models be transferred to humans?
Farmacocinetica
Vie di somministrazione nella letteratura
Uso più sicuro e rischi
Eventi avversi noti dagli studi
Interazioni e combinazioni
Rischi e aspetti igienici nella letteratura
Identity and purity problem of grey-market 'follistatin-344'
Osservazioni aneddotiche
Stato legale per paese
Calcolatore di ricostituzione
I peptidi arrivano come polvere secca. Una volta disciolti in un liquido (ricostituzione), questo calcolatore risponde a una sola domanda: quanta sostanza c'è in un millilitro di soluzione dopo?
- 1Inserisci la quantità di sostanza del flacone (riportata sull'etichetta).
- 2Inserisci quanto solvente aggiungi.
- 3Risultato = concentrazione in mg per mL.
Cofattori
Questi cofattori si riferiscono alla classe del peptide, non a un uso specifico. Nessuna raccomandazione, nessun dosaggio.
Registro degli studi
Regulation of myostatin activity and muscle growth
Transgenic expression of a myostatin inhibitor derived from follistatin increases skeletal muscle mass and ameliorates dystrophic pathology in mdx mice
Regulation of muscle mass by follistatin and activins
A phase 1/2a follistatin gene therapy trial for becker muscular dystrophy
Fonti e metodologia
Ricevi nuovi studi su Follistatin (FST)
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