2021
DOI: 10.3390/cells10030533
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Antimyostatin Treatment in Health and Disease: The Story of Great Expectations and Limited Success

Abstract: In the past 20 years, myostatin, a negative regulator of muscle mass, has attracted attention as a potential therapeutic target in muscular dystrophies and other conditions. Preclinical studies have shown potential for increasing muscular mass and ameliorating the pathological features of dystrophic muscle by the inhibition of myostatin in various ways. However, hardly any clinical trials have proven to translate the promising results from the animal models into patient populations. We present the background f… Show more

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Cited by 29 publications
(21 citation statements)
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References 187 publications
(112 reference statements)
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“…Myostatin is abundant in skeletal muscle, but it is also expressed in adipose tissue and heart muscle; it is widely conserved on the evolutionary scale, and the effect observed in mice is also found in dogs, sheep, cattle and humans [33]. However, attempts to apply the results obtained in animals to humans in order to test possible applications were rather disappointing [34].…”
Section: Myostatinmentioning
confidence: 99%
“…Myostatin is abundant in skeletal muscle, but it is also expressed in adipose tissue and heart muscle; it is widely conserved on the evolutionary scale, and the effect observed in mice is also found in dogs, sheep, cattle and humans [33]. However, attempts to apply the results obtained in animals to humans in order to test possible applications were rather disappointing [34].…”
Section: Myostatinmentioning
confidence: 99%
“…Although the detailed mechanisms of action of both rapamycin and SERMs are yet to be elucidated, they are of interest as disease-modifying drugs for DGpathy. Myostatin is a negative regulator of muscle growth, and myostatin inhibition therapy has been proposed for various diseases associated with muscle loss, such as muscular dystrophy [ 82 ]. With regards to DGpathy, a clinical trial of a myostatin inhibitor has been conducted in patients with FKRP mutation, but its effectiveness has not been observed to date [ 83 ].…”
Section: Treatment Methodsmentioning
confidence: 99%
“…Myostatin plays a central role in the regulation of muscle growth and therefore also in the regulation of metabolism. In the past years, there have also been several pharmacological developments concerning suppression of Myostatin as a target for curing muscular dystrophies [ 69 , 71 ].…”
Section: Myokinesmentioning
confidence: 99%
“…After 20 years of Myostatin research, a successful transition from mouse-model to human-model is still missing. Too many cofactors that need to be considered are still prohibiting the implementation of myostatin-inhibition in therapy [ 71 ]. This makes physical activity and exercise induced Myostatin-inhibition even more important for therapeutic use.…”
Section: Myokinesmentioning
confidence: 99%