About Follistatin 344
Binds and neutralizes myostatin (GDF-8) and activin; removes the natural brake on muscle growth allowing supraphysiological hypertrophy
Follistatin-344 is the predominant endogenous isoform of follistatin, a glycoprotein that binds and neutralizes the TGF-β superfamily members activin A and myostatin, preventing their engagement with skeletal muscle ActRII receptors and thereby relieving their inhibitory effects on muscle protein synthesis and satellite cell activation. By sequestering both myostatin and activin A simultaneously, follistatin-344 neutralizes two complementary negative regulators of muscle growth through a dual-pathway mechanism, a property that distinguishes it from agents that target only the myostatin pathway. Transgenic expression of human follistatin-344 has produced significant skeletal muscle mass increases in animal models, and a phase 1/2a gene therapy trial delivering the follistatin-344 gene via AAV to patients with Becker muscular dystrophy established initial proof of concept and safety data in a human clinical context. Follistatin-344 has not received FDA approval for any indication; exogenous administration as a recombinant protein or peptide is investigational and no human safety data exists for this route of administration outside gene therapy trial contexts. Follistatin-344 as a research compound: recombinant follistatin-344 protein is available through research biochemical suppliers as a laboratory reagent, used in cell culture and animal models to probe myostatin and activin A biology. Interest in exogenous follistatin-344 administration in performance contexts has grown from the animal model hypertrophy data; however, the protein's large molecular weight (~35 kDa glycoprotein) creates significant bioavailability challenges for subcutaneous or intramuscular routes, and no human pharmacokinetic data supports assumed tissue distribution from injection. This distinguishes it from smaller peptide-based myostatin modulators. Follistatin-344 vs myostatin propeptide: both target myostatin inhibition but through different binding mechanisms. Follistatin-344 binds activin A in addition to myostatin, providing a broader TGF-β inhibition profile. Myostatin propeptide is the endogenous inhibitory domain of the myostatin precursor protein — it is myostatin-specific but structurally derived from the same protein rather than from a binding antagonist class. Both compounds remain at the research stage for performance applications with no approved human use. Providers offering research peptides in the performance and muscle recovery category are listed in the PeptideBase directory.
Follistatin 344 Benefits & Research Areas
Research Signals
Commonly researched in the context of
Population research notes
These signals reflect research interest areas, not treatment indications.
Regulatory & Evidence
Risk Profile
Higher risk profile in research contexts. Review all contraindications carefully. Not suitable for self-administration without professional oversight.
Regulatory Status
- Availability Status
- Research Only
- FDA Status
- Not Evaluated
Myostatin inhibitor. No FDA approval. Gene therapy forms in early trials but recombinant protein is a research chemical. WADA prohibited. No NDA or IND for peptide form.
Regulatory status reflects publicly available information and may change. This is not legal or medical advice.
Research Sources
2 sources cited · 2 moderate
1 RCT · 1 Animal
The transgenic expression of human follistatin-344 increases skeletal muscle mass in pigs
Transgenic Research · 2017
Research in transgenic Duroc pigs with muscle-specific follistatin-344 overexpression found significantly increased lean muscle mass and reduced body fat compared with wild-type animals, with histological evidence of myofiber hypertrophy and no observed cardiac muscle hypertrophy or reproductive abnormality.
A phase 1/2a follistatin gene therapy trial for Becker muscular dystrophy
Molecular Therapy · 2015
In a phase 1/2a proof-of-concept trial, AAV1-delivered follistatin-344 injected bilaterally into the quadriceps of six patients with Becker muscular dystrophy improved 6-minute walk test distance by 29 to 125 meters in four of six patients, with histological evidence of reduced fibrosis and increased muscle fiber size and no adverse effects.
Follistatin 344 Side Effects & Safety Considerations
Higher risk profile in research contexts. Professional oversight recommended.
Reported contraindications & considerations
Consult a qualified healthcare professional before making any health decisions. This information is educational only and does not constitute medical advice.
Where to Buy Follistatin 344 — Providers & Availability
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2 providersClinics
4 providersOnline Vendors
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Questions to Ask Your Provider
Frequently Asked Questions — Follistatin 344
Follistatin-344 is the predominant endogenous isoform of follistatin, a glycoprotein that binds and neutralizes the TGF-β superfamily members activin A and myostatin, preventing their engagement with skeletal muscle ActRII receptors and thereby relieving their inhibitory effects on muscle protein synthesis and satellite cell activation. By sequestering both myostatin and activin A simultaneously, follistatin-344 neutralizes two complementary negative regulators of muscle growth through a dual-pathway mechanism, a property that distinguishes it from agents that target only the myostatin pathway.
myostatin and activin A neutralization — dual TGF-β inhibition, skeletal muscle hypertrophy in transgenic animal models, satellite cell activation and muscle protein synthesis relief, gene therapy context: Becker MD phase 1/2a trial safety established.
Research on Follistatin 344 primarily documents effects related to myostatin and activin A neutralization — dual TGF-β inhibition and skeletal muscle hypertrophy in transgenic animal models and satellite cell activation and muscle protein synthesis relief and gene therapy context: Becker MD phase 1/2a trial safety established. These are areas covered in preclinical and clinical literature — individual response varies and effects depend on context of use.
Reported contraindications and considerations for Follistatin 344 include active cancer, cardiovascular disease, pregnancy. 1 additional consideration are noted in the safety profile above. This is educational information only — consult a qualified healthcare professional before use.
13 providers in the directory currently offer Follistatin 344.
Research in transgenic Duroc pigs with muscle-specific follistatin-344 overexpression found significantly increased lean muscle mass and reduced body fat compared with wild-type animals, with histological evidence of myofiber hypertrophy and no observed cardiac muscle hypertrophy or reproductive abnormality.