Mutations A technique for detecting mutations in myostatin variants has been developed. Mutations that reduce the production of functional myostatin lead to an overgrowth of muscle tissue. Myostatin-related muscle hypertrophy has an incomplete autosomal
dominance pattern of inheritance. People with a mutation in both copies of the
MSTN gene in each
cell (
homozygotes) have significantly increased muscle mass and strength. People with a mutation in one copy of the
MSTN gene in each cell (
heterozygotes) have increased muscle bulk, but to a lesser degree.
In humans In 2004, a German boy was diagnosed with a mutation in both copies of the myostatin-producing gene, making him considerably stronger than his peers. His mother has a mutation in one copy of the gene. An American boy born in 2005 was diagnosed with a clinically similar condition, but with a somewhat different cause: his body produces a normal level of functional myostatin, but because he is stronger and more muscular than most others his age, a defect in his
myostatin receptors is thought to prevent his muscle cells from responding normally to myostatin. He appeared on the television show ''World's Strongest Toddler''.
Therapeutic potential Further research into myostatin and the myostatin gene may lead to therapies for
muscular dystrophy. The idea is to introduce substances that block myostatin. A
monoclonal antibody specific to myostatin increases muscle mass in mice and monkeys. A two-week treatment of normal mice with soluble
activin type IIB receptor, a molecule that is normally attached to cells and binds to myostatin, leads to a significantly increased muscle mass (up to 60%). It is thought that binding of myostatin to the soluble activin receptor prevents it from interacting with the cell-bound receptors. In September 2020 scientists reported that suppressing
activin type 2 receptors-signalling proteins myostatin and
activin A via activin A/
myostatin inhibitor ACVR2B – tested preliminarily in humans in the form of
ACE-031 in the early 2010s – can protect against both
muscle and
bone loss in mice. The mice were sent to the International Space Station and could largely maintain their muscle weights – about twice those of wild type due to
genetic engineering for targeted deletion of the myostatin gene –
under microgravity. Treating
progeric mice with soluble activin receptor type IIB before the onset of premature ageing signs appear to protects against muscle loss and delay age related signs in other organs. It remains unclear as to whether long-term treatment of muscular dystrophy with myostatin inhibitors is beneficial, as the depletion of muscle
stem cells could worsen the disease later on. , no myostatin-inhibiting drugs for humans are on the market. An antibody genetically engineered to neutralize myostatin,
stamulumab, which was under development by pharmaceutical company
Wyeth, is no longer under development. Some athletes, eager to get their hands on such drugs, turn to the internet where
fake "myostatin blockers" are being sold. Myostatin levels can be temporarily reduced using a cholesterol-conjugated siRNA gene knockdown.
Athletic use Inhibition of myostatin leads to muscle
hypertrophy. Myostatin inhibitors can improve athletic performance and therefore there is a concern these inhibitors might be abused in the field of sports. However, studies in mice suggest that myostatin inhibition does not directly increase the strength of individual muscle fibers. Myostatin inhibitors are specifically banned by the World Anti-Doping Agency (WADA). In an August 12, 2012, interview with
NPR,
Carlon Colker stated "when the myostatin inhibitors come along, they'll be abused. There's no question in my mind."
Lifestyle effects on myostatin Myostatin expression is decreased in physically active individuals, while obesity is linked to having a higher level myostatin as well as plasma in circulation. ==Effects==