Follistatin 344

preclinical

Also known as: FST-344, FS-344

**Mechanism of Action** Follistatin 344 (FST-344) is a 344-amino acid splice variant of the follistatin gene, functioning as an activin-binding glycoprotein. It neutralizes myostatin (GDF-8) and other TGF-β superfamily ligands (e.g., activin A, GDF-11) by directly binding to them, preventing their interaction with cell-surface receptors. This inhibition removes the negative regulatory "brake" on skeletal muscle growth, promoting myoblast proliferation, differentiation, and hypertrophy via downstream SMAD2/3 signaling suppression. **Key Research Findings** Preclinical studies in rodent and non-human primate models demonstrate that FST-344 overexpression (via gene therapy or recombinant protein administration) induces marked muscle mass increases (up to 30–50% in treated limbs) and functional strength gains, with minimal off-target effects on cardiac or smooth muscle. Unlike myostatin knockout models, FST-344’s broader ligand blockade may also reduce fibrosis and enhance muscle regeneration after injury. However, its long-term safety profile remains undefined, and concerns persist regarding potential ectopic effects on reproductive tissues or metabolic regulation. **Clinical Relevance** FST-344 is under preclinical investigation for muscle-wasting disorders (e.g., cachexia, sarcopenia, muscular dystrophies) and metabolic conditions. No human trials have been initiated; current data are limited to animal models. Its therapeutic potential is tempered by the need for targeted delivery systems to avoid systemic over-suppression of TGF-β signaling, which could disrupt immune or endocrine homeostasis. For research purposes only — not medical advice.

Key data

Category
Muscle & Performance
Administration
subcutaneous, intramuscular
Research status
preclinical
References
28
Tags
myostatin-inhibitor, anabolic

Research & studies

Combined resistance exercise and essential amino acid intake enhance follistatin/myostatin ratio and muscle fitness in older women: a randomized controlled trial
Journal of the International Society of Sports Nutrition · 2026 · PubMed

Combined RE+EAA significantly increased muscle mass and senior fitness test scores.; The follistatin/myostatin ratio increased most in the RE+EAA group, significantly versus control and EAA groups.; IL-6 and IL-1β were reduced in both RE and RE+EAA groups; TNF-α decreased only in the RE+EAA group.; Combined intervention was superior to either alone for enhancing myokine profiles and reducing inflammation.

Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance
Sports medicine (Auckland, N.Z.) · 2026 · PubMed

Unapproved peptides like BPC-157 and TB-500 lack rigorous human safety data despite favorable animal model results.; A parallel 'gray market' of unapproved peptide compounds operates outside regulatory oversight, posing potential harm to patients.; The placebo effect and social media amplification significantly influence perceived peptide efficacy in sports medicine.; Approved peptides (e.g., tesamorelin) have undergone rigorous evaluation, but many marketed peptides remain unapproved.

Effects of Resistance Training on Muscular Adaptations and Inflammatory Markers in Overweight and Obese Men
Medicine and science in sports and exercise · 2025 · PubMed

All resistance training types increased skeletal muscle mass, strength, power, follistatin, adiponectin, and irisin.; All training groups reduced fat mass, body fat percentage, myostatin, CRP, and TNF-α.; Combined upper- and lower-body training produced the largest increases in follistatin and adiponectin and decreases in myostatin and CRP.; Changes in myostatin and CRP showed strong positive correlations with fat mass, while follistatin and adiponectin had strong negative correlations.

Supplementing With Which Form of Creatine (Hydrochloride or Monohydrate) Alongside Resistance Training Can Have More Impacts on Anabolic/Catabolic Hormones, Strength and Body Composition?
Physiological research · 2024 · PubMed

Both Cr-HCl and CrM groups showed significant increases in strength, arm and thigh muscle cross-sectional area, and skeletal muscle mass, along with decreased body fat.; Supplementation groups had significant increases in growth hormone, IGF-1, follistatin/myostatin ratio, and testosterone/cortisol ratio, and decreases in cortisol and ACTH.; Cr-HCl did not provide any additional benefit over CrM for any measured outcome.

Restorative effects of (+)-epicatechin in a rodent model of aging induced muscle atrophy: underlying mechanisms
Food & function · 2024 · PubMed
Serum myostatin as a candidate disease severity and progression biomarker of spinal muscular atrophy
Brain communications · 2024 · PubMed

Median serum myostatin was significantly lower in spinal muscular atrophy patients (98 pg/mL) versus controls (412 pg/mL).; Lower myostatin levels correlated with greater disease severity based on clinician-rated outcomes.; Myostatin levels further decreased after 12 months in spinal muscular atrophy cases.; Follistatin levels did not differ between groups, but the follistatin:myostatin ratio was increased and inversely correlated with motor severity.

Intensity Dependent Effects of Interval Resistance Training on Myokines and Cardiovascular Risk Factors in Males With Obesity
Frontiers in endocrinology · 2022 · PubMed

All IRT intensities increased decorin and follistatin, and decreased myostatin, TGF-β1, total cholesterol, triglycerides, and LDL.; Moderate- and high-intensity IRT produced greater improvements in activin A, follistatin, and TGF-β1 than low-intensity IRT.; Low-intensity IRT did not significantly change fat mass, VO2peak, HDL, triglycerides, glucose, activin A, or decorin compared to control.

In patients with anorexia nervosa, myokine levels are altered but are not associated with bone mineral density loss and bone turnover alteration
Endocrine connections · 2022 · PubMed

Frequently asked questions

What is Follistatin 344?

**Mechanism of Action** Follistatin 344 (FST-344) is a 344-amino acid splice variant of the follistatin gene, functioning as an activin-binding glycoprotein. It neutralizes myostatin (GDF-8) and other TGF-β superfamily ligands (e.g., activin A, GDF-11) by directly binding to them, preventing their interaction with cell

How does Follistatin 344 work?

Activin-binding glycoprotein that antagonizes myostatin (GDF-8) to release the brake on skeletal muscle growth.

What is the research status of Follistatin 344?

Follistatin 344 is currently classified as preclinical, with 28 research references on record. This is for research purposes only and is not medical advice.

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