1. Follistatin-based ligand trap ACE-083 induces localized hypertrophy of skeletal muscle with functional improvement in models of neuromuscular disease.
- Author
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Pearsall RS, Davies MV, Cannell M, Li J, Widrick J, Mulivor AW, Wallner S, Troy ME, Spaits M, Liharska K, Sako D, Castonguay R, Keates S, Grinberg AV, Suragani RNVS, and Kumar R
- Subjects
- Activins metabolism, Animals, Bone Morphogenetic Proteins metabolism, Charcot-Marie-Tooth Disease pathology, Disease Models, Animal, Follistatin genetics, Follistatin therapeutic use, Growth Differentiation Factors metabolism, Humans, Hypertrophy chemically induced, Ligands, Male, Mice, Mice, Inbred mdx, Muscle Strength drug effects, Muscle, Skeletal pathology, Muscular Dystrophy, Duchenne pathology, Myostatin metabolism, Receptors, IgG genetics, Receptors, IgG therapeutic use, Recombinant Fusion Proteins genetics, Recombinant Fusion Proteins therapeutic use, Charcot-Marie-Tooth Disease drug therapy, Follistatin pharmacology, Muscle, Skeletal drug effects, Muscular Dystrophy, Duchenne drug therapy, Recombinant Fusion Proteins pharmacology
- Abstract
Skeletal muscle is under inhibitory homeostatic regulation by multiple ligands of the transforming growth factor-β (TGFβ) superfamily. Follistatin is a secreted protein that promotes muscle growth and function by sequestering these ligands extracellularly. In the present study, we evaluated the potential of ACE-083 - a locally acting, follistatin-based fusion protein - as a novel therapeutic agent for focal or asymmetric myopathies. Characterization of ACE-083 in vitro revealed its high affinity for heparin and extracellular matrix while surface plasmon resonance and cell-based assays confirmed that ACE-083 binds and potently neutralizes myostatin, activin A, activin B and growth differentiation factor 11 (GDF11). Intramuscular administration of ACE-083 caused localized, dose-dependent hypertrophy of the injected muscle in wild-type mice and mouse models of Charcot-Marie-Tooth disease (CMT) and Duchenne muscular dystrophy, with no evidence of systemic muscle effects or endocrine perturbation. Importantly, ACE-083 also increased the force of isometric contraction in situ by the injected tibialis anterior muscle in wild-type mice and disease models and increased ankle dorsiflexion torque in CMT mice. Our results demonstrate the potential of ACE-083 as a therapeutic agent for patients with CMT, muscular dystrophy and other disorders with focal or asymmetric muscle atrophy or weakness.
- Published
- 2019
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