Myostatin Neutralization Results in Preservation of Muscle Mass and Strength in Preclinical Models of Tumor-Induced

Rosamund C Smith1, Martin S Cramer2, Pamela J Mitchell2

  • 1Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana. smith_ros@lilly.com.

Insights

Neutralizing antibodies targeting myostatin effectively combat cancer-induced skeletal muscle wasting. These antibodies increase muscle mass and strength in preclinical models without impacting tumor growth, offering a promising therapeutic strategy.

Area of Science:

  • Oncology
  • Muscle Physiology
  • Immunology

Background:

  • Skeletal muscle wasting (cancer cachexia) is prevalent in advanced cancer, leading to poor prognosis.
  • Myostatin, a negative regulator of muscle mass, is a potential therapeutic target for muscle loss.
  • Cancer-induced muscle wasting significantly reduces patient survival and quality of life.

Purpose of the Study:

  • To evaluate neutralizing antimyostatin antibodies as a therapeutic strategy against cancer-induced skeletal muscle wasting.
  • To assess the efficacy of these antibodies in preclinical cancer models.
  • To determine if antibody efficacy is affected by chemotherapy or caloric restriction.

Main Methods:

  • Generation of neutralizing antibodies against myostatin.
  • Administration of antibodies to non-tumor-bearing mice to assess effects on muscle mass and strength.
  • Testing antibodies in preclinical models of cancer-induced muscle wasting (C26 colon and PC3 prostate carcinoma).
  • Evaluating antibody effects in combination with gemcitabine chemotherapy and during caloric restriction.

Main Results:

  • Antimyostatin antibodies significantly increased body weight, skeletal muscle mass, and strength in healthy mice.
  • Antibodies attenuated muscle mass and strength loss in preclinical cancer models without affecting tumor growth.
  • The muscle-preserving effects were maintained when antibodies were coadministered with gemcitabine.
  • Antibody treatment preserved skeletal muscle mass during caloric restriction.

Conclusions:

  • Neutralizing antimyostatin antibodies are effective in preventing and treating cancer-induced skeletal muscle wasting.
  • These antibodies represent a promising therapeutic approach for cachexia in cancer patients.
  • The therapeutic benefits are independent of tumor growth and chemotherapy interactions.