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February 10, 2010PLoS ONEOpen Access

Systemic Myostatin Inhibition via Liver-Targeted Gene Transfer in Normal and Dystrophic Mice

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Key result

Systemic myostatin inhibition via liver-targeted gene transfer increased skeletal muscle mass in normal and dystrophic mice, but long-term treatment failed to rescue the diaphragm and induced cardiac hypertrophy.

Population

Normal C57 Bl/6 mice and dystrophin-deficient mdx mice (model of Duchenne muscular dystrophy)

Comparison

Intravenous injection of recombinant… vs Age-matched control mice

Design

Preclinical

Follow-up

up to 11 months

Authors

KMKevin MorineNorthwestern UniversityLBLawrence T. BishUniversity of IowaKPKlara PendrakUniversity of Pennsylvania

Discussion

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Implication

Raises cardiac safety concerns with myostatin inhibition; leaves open long-term efficacy for diaphragm rescue in dystrophic models.

Structured PICO

P
Population
Normal C57 Bl/6 mice and dystrophin-deficient mdx mice (model of Duchenne muscular dystrophy)
I
Intervention
Intravenous injection of recombinant adeno-associated virus (AAV2/8 LSP.dnMstat) to overexpress a secretable dominant negative myostatin exclusively in the liver
C
Comparator
Age-matched control mice
O
Outcome
Skeletal muscle mass, strength, and cardiac function/hypertrophysurrogate

Liver-targeted gene transfer of a myostatin inhibitor increases skeletal muscle mass but causes long-term cardiac hypertrophy and impaired function in a mouse model of Duchenne muscular dystrophy.

Limitations

  • Preclinical mouse model may not fully translate to human disease due to differences in muscle fiber type composition.
  • Long-term myostatin inhibition resulted in cardiac hypertrophy and impaired function, raising safety concerns.
  • The exact mechanism of fiber type dependent impaired force generation due to myostatin blockade remains unknown.

Cite This Study

Morine et al. (2010) studied Duchenne muscular dystrophy (mdx mouse model) (n=56). AAV2/8 LSP.dnMstat vs. Age-matched control mice was evaluated on Skeletal muscle mass and strength. Systemic myostatin inhibition via liver-targeted gene transfer increased skeletal muscle mass in normal and dystrophic mice, but long-term treatment failed to rescue the diaphragm and induced cardiac hypertrophy.

synapsesocial.com/papers/6a181df0a0e670aec86f0738https://doi.org/10.1371/journal.pone.0009176
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Myostatin propeptide‐mediated amelioration of dystrophic pathophysiology2005 · 241 citations
  2. 2Alterations in myostatin expression are associated with changes in cardiac left ventricular mass but not ejection fraction in the mouse2007 · 56 citations
  3. 3Ectopic Expression of Myostatin Induces Atrophy of Adult Skeletal Muscle by Decreasing Muscle Gene Expression2007 · 158 citations
  4. 4Prevention of Dystrophin-Deficient Cardiomyopathy in Twenty-One-Month-Old Carrier Mice by Mosaic Dystrophin Expression or Complementary Dystrophin/Utrophin Expression2007 · 122 citations
  5. 5Novel adeno-associated viruses from rhesus monkeys as vectors for human gene therapy2002 · 1,538 citations