Specific targeting of TGF-β family ligands demonstrates distinct roles in the regulation of muscle mass in health and disease
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Significance: Myostatin, via activation of the Smad2/3 pathway, has long been recognized as the body’s major negative regulator of skeletal muscle mass. In this study, however, we demonstrate that other TGF-β proteins, particularly activin A and activin B, act in concert with myostatin to repress muscle growth. Preventing activin and myostatin signaling in the tibialis anterior muscles of mice resulted in massive hypertrophy (>150%), which was dependent upon both the complete inhibition of the Smad2/3 pathway and activation of the parallel bone morphogenetic protein (BMP)/Smad1/5 axis. Using this approach in models of muscular dystrophy and cancer cachexia increased muscle mass or prevented muscle wasting, respectively, highlighting the potential therapeutic advantages of complete inhibition of Smad2/3 ligand activity in skeletal muscle.
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GDF8 and activin A are the two major ligands mediating the muscle-minimization actions of ActRIIA/B receptors.
“We and others have previously demonstrated that growth differentiation factor-8 (GDF8; also known as myostatin) and activin A (ActA) are the two major ligands mediating the muscle-minimization actions of ActRIIA/B receptors22,26–30.”
From GDF8 and activin A blockade protects against GLP-1–induced muscle loss while enhancing fat loss in obese male mice and non-human primates (2025) · cites this paper as [26]
The Results (page unavailable) identify myostatin as the dominant negative regulator of adult muscle mass and activin A as a particularly important repressor; blocking both produced synergistic growth. The Discussion links these findings to ActRIIB ligands, but our copy does not establish the same claim for ActRIIA. (LLM, conf=0.82)
Experimental — accuracy not yet measuredEffects similar to dual blockade are seen when using a dominant-negative type II receptor or pro-domains of GDF8 and activins.
“similar to effects seen when using a dominant-negative type II receptor or pro-domains of GDF8 and activins22,26,27.”
From GDF8 and activin A blockade protects against GLP-1–induced muscle loss while enhancing fat loss in obese male mice and non-human primates (2025) · cites this paper as [26]
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Cites
Regulation of skeletal muscle mass in mice by a new TGF-p superfamily member
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The bone morphogenetic protein axis is a positive regulator of skeletal muscle mass
Winbanks, C. E., Chen, J. L., Qian, H., Liu, Y., Bernardo, B. C., Beyer, C., Watt, K. I., Thomson, R. E., Connor, T., Turner, B. J., et al. (2013) · Journal of Cell Biology · doi:10.1083/jcb.201211134 · Cited by 225 · see citing works
Self-citation<i>Smad7</i> gene delivery prevents muscle wasting associated with cancer cachexia in mice
Winbanks, C. E., Murphy, K. T., Bernardo, B. C., Qian, H., Liu, Y., Sepulveda, P. V., Beyer, C., Hagg, A., Thomson, R. E., Chen, J. L., et al. (2016) · Science Translational Medicine · doi:10.1126/scitranslmed.aac4976 · Cited by 95 · see citing works
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Self-citation
- Authors
- Chen, J. L., Walton, K. L., Hagg, A., Colgan, T. D., Johnson, K., Qian, H., Gregorevic, P., & Harrison, C. A.
- Affiliations
- Baker Heart and Diabetes Institute (AU)
- Hudson Institute of Medical Research (AU)
- Monash University (AU)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2017-06-12
- Volume
- 114
- Issue
- 26
- Pages
- E5266-E5275
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5495232
- OpenAlex
- W2627003412
- Cited by
- 116
- References
- 7
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 7 · 2023: 12 · 2022: 21 · 2021: 14 · 2020: 15 · 2019: 14 · 2018: 14 · 2017: 2
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Funders
- Department of Health, Australian Government | National Health and Medical Research Council (NHMRC) (1078907)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Keywords
- skeletal muscle mass, muscle hypertrophy, activin A, activin B, myostatin, Smad2/3 signaling, adeno-associated virus vectors, protein synthesis, ubiquitin-dependent protein degradation, muscular dystrophy, cancer cachexia, muscle atrophy
- MeSH terms
- Dependovirus, Animals, Genetic Vectors, Male, Muscle Proteins, Muscular Diseases, Organ Size, Signal Transduction, Transforming Growth Factor beta, Gene Targeting, Muscle, Skeletal, Activins, Mice, Smad Proteins
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