RT Journal Article SR Electronic T1 Follistatin-288-Fc Fusion Protein Promotes Localized Growth of Skeletal Muscle JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP jpet.118.252304 DO 10.1124/jpet.118.252304 A1 Roselyne Castonguay A1 Jennifer Lachey A1 Samantha Wallner A1 Jamie Strand A1 Katia Liharska A1 Abigail E. Watanabe A1 Marishka Cannell A1 Monique V. Davies A1 Dianne Sako A1 Megan E. Troy A1 Lavanya Krishnan A1 Aaron W. Mulivor A1 Huiming Li A1 Sarah Keates A1 Mark J. Alexander A1 R. Scott Pearsall A1 Ravi Kumar YR 2018 UL http://jpet.aspetjournals.org/content/early/2018/12/18/jpet.118.252304.abstract AB Follistatin is an endogenous glycoprotein that promotes growth and repair of skeletal muscle by sequestering inhibitory ligands of the transforming growth factor-β (TGF-β) superfamily and may therefore have therapeutic potential for neuromuscular diseases. Here, we sought to determine the suitability of a newly engineered follistatin fusion protein (FST288-Fc) to promote localized – rather than systemic – growth of skeletal muscle by capitalizing on the intrinsic heparin-binding ability of the follistatin-288 isoform. As determined by surface plasmon resonance and cell-based assays, FST288-Fc binds to activin A, activin B, myostatin (GDF8) and GDF11 with high affinity and neutralizes their activity in vitro. Intramuscular administration of FST288-Fc in mice induced robust, dose-dependent growth of the targeted muscle but not of surrounding or contralateral muscles, in contrast to the systemic effects of a locally administered fusion protein incorporating activin receptor type IIB (ActRIIB-Fc). Furthermore, systemic administration of FST288-Fc in mice did not alter muscle mass or body composition as determined by nuclear magnetic resonance, which again contrasts with the pronounced systemic activity of ActRIIB-Fc when administered by the same route. Subsequent analysis revealed that FST288-Fc in the circulation undergoes rapid proteolysis, thereby restricting its activity to individual muscles targeted by intramuscular administration. These results indicate that FST288-Fc can produce localized growth of skeletal muscle in a targeted manner with reduced potential for undesirable systemic effects. Thus, FST288-Fc and similar agents may be beneficial in the treatment of disorders with muscle atrophy that is focal, asymmetric or otherwise heterogeneous.