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Follistatin 344

Also known as: FST-344 · FS-344

Quick answer

Follistatin 344 (FST-344) is a naturally occurring 344-amino-acid glycoprotein isoform of human follistatin, the endogenous antagonist of myostatin (GDF-8) and activin A — proteins that normally suppress muscle growth. Unlike most peptides in this catalog, FST-344 has real human data: a Phase 1/2a AAV gene-therapy trial in Becker muscular dystrophy and inclusion body myositis patients reported functional improvements. At Verified Peptides, we want to be clear that this trial delivered FST-344 via gene therapy, not as an injected protein — an important distinction from how research-grade FST-344 sold here would typically be used. No formulation of exogenous FST-344 protein has FDA approval. Research-grade material sold here is a separate product intended solely for laboratory research.

What is Follistatin 344?

Follistatin 344 (FST-344) is one of two major naturally occurring isoforms produced by alternative splicing of the human FST gene (chromosome 5q11.2, UniProt P19883), the other being the shorter, more heparin-avid FST-315. Both isoforms are built around a heparin-binding N-terminal domain followed by three cysteine-rich follistatin domains (FSD1, FSD2, FSD3) that together form the surface responsible for binding and neutralizing members of the TGF-beta superfamily, most notably myostatin (GDF-8) and activin A.

At Verified Peptides, we want to note upfront that FST-344 is considerably larger than most compounds in this catalog: as a 344-residue protein, its native molecular weight is approximately 38 kDa (38,006.8 Da for the unmodified precursor), and recombinant Fc-tagged research versions can run considerably higher (up to roughly 61.7 kDa) depending on expression system and tagging. This makes FST-344 more accurately described as a full-length signaling protein than a short synthetic peptide, even though it is conventionally sold and discussed within the "research peptide" category. Because of its size, standard small-molecule identifiers like CAS numbers and PubChem CIDs are not typically assigned to it; UniProt accession P19883 is the more appropriate reference identifier for this class of molecule, and we use that here rather than fabricate a small-molecule-style identifier that would not accurately describe a protein of this size.

FST-344 is distinguished from FST-315 by lacking the C-terminal acidic extension present on the longer isoform, which gives FST-315 much lower heparin-binding affinity and allows it to circulate more freely in serum; FST-344, by contrast, binds heparan sulfate proteoglycans on cell surfaces more readily and is understood to act in a more localized, tissue-associated manner.

Key Benefits & Mechanisms

Mechanism of action

Follistatin 344's core, well-established mechanism is direct, high-affinity binding to myostatin (GDF-8) and activin A, sequestering these TGF-beta superfamily ligands and preventing them from engaging their receptor complex (activin type II receptors, ActRIIA/ActRIIB, paired with ALK4/ALK5). Myostatin signaling through this receptor complex normally activates SMAD2/3-dependent transcriptional programs that suppress skeletal muscle growth and promote muscle protein degradation; by neutralizing myostatin before it can bind its receptor, follistatin removes this suppressive brake, an effect well documented across species, including the dramatic "double-muscling" phenotype seen in myostatin-null cattle and mice.

Because activin A signals through overlapping receptor machinery and is involved in numerous processes beyond muscle (including reproductive endocrine signaling, wound healing, and fibrosis), follistatin's activin-neutralizing activity is mechanistically inseparable from its myostatin-neutralizing activity — research use of FST-344 for muscle-growth questions cannot fully isolate a myostatin-only effect, since the same molecule is simultaneously affecting activin-dependent biology.

The landmark human research on this mechanism used gene therapy rather than direct protein administration: a Phase 1/2a trial (Mendell et al., Molecular Therapy, 2015, PMID 25322757, registered as NCT01519349) delivered an AAV1 vector encoding FST-344 via intramuscular injection to patients with Becker muscular dystrophy (BMD) and sporadic inclusion body myositis (sIBM), allowing the patients' own muscle cells to locally produce and secrete the FST-344 protein over an extended period, rather than injecting the recombinant protein itself. At Verified Peptides, we think this distinction matters considerably for researchers: the clinical proof-of-concept for FST-344's mechanism comes from sustained local gene-therapy-driven expression, not from the kind of periodic exogenous protein injection that research-grade FST-344 would typically be used for.

Research Summary

At Verified Peptides, we think Follistatin 344 has one of the more substantial human evidence bases in this entire catalog, and we want to walk through exactly what that evidence does and does not show. The Phase 1/2a trial (PMID 25322757) enrolled BMD and sIBM patients in a dose-escalation design, delivering an AAV1-FST344 vector by direct intramuscular injection into a single leg muscle, with the untreated contralateral leg serving as an internal control. In the first cohort of two BMD patients, the treated leg showed measurable increases in muscle fiber size, and functional testing showed a robust improvement on the 6-minute walk test — 58 meters for one patient and 125 meters for the other — a clinically meaningful functional outcome measure, not just a biomarker change. The trial reported the therapy was reasonably well tolerated in this small cohort.

We want to be direct about the limits of this evidence: this was a small, early-phase (Phase 1/2a), open-label, dose-escalation safety and proof-of-concept trial, not a large randomized controlled trial, and it tested gene-therapy-delivered FST-344 (sustained local production from transduced muscle cells), not exogenous recombinant protein administration of the kind sold as a research peptide. Researchers should not assume that periodic injection of recombinant FST-344 protein would reproduce the same magnitude or durability of effect seen with continuous local gene-therapy-driven expression — these are pharmacologically distinct delivery approaches even though they act through the same underlying FST-344 protein and mechanism.

Beyond this human trial, FST-344 and follistatin more broadly have a substantial preclinical literature in muscle hypertrophy, sarcopenia, and muscular dystrophy animal models, consistent with myostatin inhibition being one of the most extensively studied strategies for enhancing muscle mass in the broader TGF-beta/muscle-biology research field — a research area with substantial independent, multi-group, non-proprietary literature, distinct from the single-institute-lineage pattern seen in several other compounds in this catalog.

Myostatin inhibition as a broader therapeutic strategy has also been pursued through other molecular approaches beyond follistatin itself, including monoclonal antibodies directly targeting myostatin or the activin receptor (such as bimagrumab, which targets ActRII) and engineered soluble receptor decoys like ACE-031 (also built on this site), giving researchers a genuinely comparative field of myostatin-pathway-targeting research tools with different molecular strategies for achieving a broadly similar downstream effect: removing the myostatin/activin brake on muscle growth.

No exogenous FST-344 protein formulation has received FDA approval for any indication; the gene-therapy vector used in the cited trial is itself an investigational product, not an approved drug. At Verified Peptides, we sell research-grade FST-344 exclusively for laboratory research, and we think this compound's human proof-of-concept data, despite its early-phase and gene-therapy-specific limitations, represents genuinely stronger real-world evidence than most other compounds in this catalog.

Common Stacks

Follistatin 344 and CJC-1295 At Verified Peptides, we see Follistatin 344 and CJC-1295 studied together as a two-pathway approach to muscle-growth research: CJC-1295 works upstream through the GH/IGF-1 axis, stimulating anabolic growth-hormone signaling, while Follistatin 344 works through an entirely separate pathway, removing myostatin's suppressive brake on muscle growth directly at the muscle tissue level. Researchers studying maximal anabolic research protocols may examine whether stimulating growth-promoting signaling (CJC-1295) while simultaneously removing growth-suppressing signaling (Follistatin 344) produces additive or synergistic effects on muscle hypertrophy measures, since the two mechanisms are non-overlapping and act on largely independent signaling nodes. Each compound's own effects and evidence base, including Follistatin 344's specific gene-therapy-versus-protein delivery distinction, should be documented and evaluated independently. Follistatin 344 and Ipamorelin At Verified Peptides, we note that Follistatin 344 and Ipamorelin are sometimes studied together in body-composition and recovery research, since Ipamorelin's selective growth-hormone-secretagogue activity and Follistatin 344's myostatin-antagonist activity address different points in the broader anabolic signaling network. Researchers interested in whether GH-axis stimulation changes the tissue environment in ways relevant to myostatin-pathway research, or vice versa, may study this pairing as a way to separate systemic hormonal effects from more localized muscle-signaling effects. This reflects a shared general research interest in muscle-growth pathways rather than an established, dedicated combined-use protocol with its own trial data. Follistatin 344 and Tesamorelin At Verified Peptides, we note a research rationale for studying Follistatin 344 alongside Tesamorelin, an FDA-approved GHRH analog studied for visceral-fat reduction: Tesamorelin's effects center on GH-axis-driven lipolysis and metabolic changes, while Follistatin 344's effects center on skeletal-muscle myostatin/activin signaling, giving researchers two distinct, non-competing levers relevant to body-composition research (fat reduction via Tesamorelin, muscle-growth-pathway modulation via Follistatin 344). This is a body-composition research comparison rather than an established combined protocol, and effects of each compound should be attributed independently.

Lesser-Known Facts About Follistatin 344

Follistatin's myostatin-antagonist mechanism sits within one of the most extensively validated pathways in muscle biology: myostatin-null ("double-muscled") cattle breeds such as Belgian Blue, and naturally occurring myostatin mutations in specific human individuals and dog breeds (notably whippets), provide direct genetic proof-of-concept that removing myostatin signaling produces substantial muscle-mass increases — independent confirmation of the pathway's biological importance that predates and does not depend on any specific follistatin research program.

Follistatin's dual myostatin-and-activin-neutralizing activity is a genuine double-edged consideration for researchers: because activin A has its own substantial, separate biology (including roles in reproductive hormone regulation, wound healing, and fibrotic signaling), a compound that broadly neutralizes activin alongside myostatin cannot be assumed to have effects isolated to muscle tissue alone — a nuance that is sometimes glossed over in commercial descriptions that frame follistatin purely as a "muscle growth peptide."

The AAV1-FST344 gene therapy studied in the cited Becker muscular dystrophy trial represents a genuinely different pharmacological approach from most other compounds in this catalog: rather than periodic exogenous protein or peptide dosing, the gene therapy causes the patient's own transduced muscle cells to continuously produce and locally secrete FST-344 protein, a sustained-expression strategy that is mechanistically closer to a form of localized gene-based hormone replacement than to conventional peptide dosing.

Because FST-344 and FST-315 are both natural splice products of the same FST gene rather than being engineered as separate drugs, commercial "research peptide" material sold as FST-344 specifically should be verified for isoform identity, since the two isoforms have meaningfully different heparin-binding and tissue-distribution properties despite being derived from the same underlying gene.

Purity & Sourcing Considerations

At Verified Peptides, we require independent third-party analytical verification — including SDS-PAGE and mass spectrometry identity confirmation, appropriate for a protein of this size — for every batch of research-grade Follistatin 344 we offer, with a Certificate of Analysis (COA) available for each lot. As a 344-residue glycoprotein, FST-344 requires more complex recombinant expression and purification (typically in mammalian or insect cell expression systems capable of proper folding and glycosylation) than the short synthetic peptides that make up most of this catalog, and this added complexity makes independent identity and purity verification especially important.

We source exclusively from manufacturers operating under Good Manufacturing Practice (GMP)-aligned quality systems, and every lot is independently verified rather than accepted solely on a supplier's internal documentation. Researchers should confirm which specific isoform (FST-344 versus FST-315) and which expression/tagging system (e.g., Fc-tagged versus untagged) a given lot represents, since these variables affect both molecular weight and functional properties.

Storage & Stability

Lyophilized Follistatin 344 should be stored at -20°C or colder, protected from light and moisture; as a larger glycoprotein rather than a short synthetic peptide, FST-344 may be more sensitive to freeze-thaw-induced structural disruption than the smaller peptides elsewhere in this catalog, and researchers should follow lot-specific handling guidance closely. At Verified Peptides, we ship lyophilized material with appropriate cold-chain packaging to preserve stability in transit.

Once reconstituted, FST-344 solution should be stored refrigerated at 2–8°C and used within the timeframe indicated on the product's documentation, or aliquoted and stored frozen at -20°C or below for longer-term storage, avoiding repeated freeze-thaw cycles, which are a particular concern for larger, structurally complex proteins prone to aggregation.

Because FST-344 is a glycoprotein, researchers should also be aware that improper handling can affect its glycosylation-dependent properties in ways that would not necessarily be apparent from a simple purity assay, making adherence to supplier-specific handling recommendations particularly important for this compound.

Frequently asked questions about Follistatin 344

What is Follistatin 344 and how does it work?

Follistatin 344 (FST-344) is a naturally occurring 344-amino-acid isoform of human follistatin that binds and neutralizes myostatin (GDF-8) and activin A, TGF-beta superfamily proteins that normally suppress muscle growth. By sequestering these ligands before they can engage their receptors, follistatin removes this suppressive signal, a mechanism well validated by myostatin-null animal models showing dramatic muscle-mass increases.

Is Follistatin 344 a peptide or a protein?

It is more accurately described as a full-length protein (a 344-residue glycoprotein, ~38 kDa) than a short synthetic peptide, even though it is conventionally categorized as a research peptide. Its size means standard small-molecule identifiers like CAS numbers don't apply; UniProt accession P19883 is the appropriate reference identifier.

Is there human clinical trial data for Follistatin 344?

Yes — a Phase 1/2a gene therapy trial (PMID 25322757, NCT01519349) in Becker muscular dystrophy and inclusion body myositis patients reported increased muscle fiber size and functional improvement (58-125 meter increases on the 6-minute walk test) in an initial two-patient cohort. This was a small, early-phase, open-label trial, not a large randomized controlled trial.

Does the clinical trial data apply to injectable recombinant Follistatin 344?

Not directly. The clinical trial used AAV1 gene therapy to make patients' own muscle cells continuously produce FST-344 protein locally, not periodic injection of recombinant protein. Researchers should not assume injectable FST-344 would reproduce the same magnitude or duration of effect as this sustained, localized gene-therapy-driven expression.

What is the difference between Follistatin 344 and Follistatin 315?

Both are natural splice isoforms of the same FST gene. FST-315 has a C-terminal acidic extension giving it lower heparin-binding affinity, allowing it to circulate more freely in serum. FST-344 lacks this extension, binds heparan sulfate proteoglycans more readily, and is understood to act in a more localized, tissue-associated manner.

Does Follistatin 344 only affect myostatin?

No. Follistatin 344 also binds and neutralizes activin A, which has its own substantial biology in reproductive hormone regulation, wound healing, and fibrosis. Its effects cannot be isolated to muscle-only, myostatin-only biology, an important nuance for researchers designing experiments around this compound.

Is Follistatin 344 FDA approved?

No. No exogenous Follistatin 344 protein formulation has FDA approval for any indication. The AAV gene-therapy vector studied in the cited clinical trial is itself an investigational product, not an approved drug.

What administration routes have been used in Follistatin 344 research?

The clinical trial used direct intramuscular injection of an AAV1 gene-therapy vector. Preclinical research has also used direct recombinant protein administration in animal models. This describes methodology used in published research, not usage instructions — Verified Peptides does not provide dosing guidance for human or animal administration.

How does Follistatin 344 compare to other myostatin-targeting approaches like ACE-031 or bimagrumab?

Follistatin 344 is a natural follistatin isoform that binds myostatin and activin A directly. ACE-031 is an engineered soluble activin receptor IIB decoy that intercepts myostatin before it reaches the cell-surface receptor. Bimagrumab is a monoclonal antibody that blocks the activin type II receptor itself. All three ultimately reduce myostatin/activin signaling but through molecularly distinct mechanisms, giving researchers multiple tools for probing the same pathway from different points.

Legal & research status: No exogenous Follistatin 344 protein formulation has been approved by the FDA, EMA, or any other regulatory body for any indication. The AAV1-FST344 gene therapy studied in published clinical trials is an investigational product, not an approved drug. Material sold as a research compound is offered strictly for laboratory and research use, not for human consumption or therapeutic use.

Research use only All content is provided for informational and research purposes only and is not medical advice. Peptides referenced are sold and discussed for laboratory and research use only, not for human consumption. Consult a licensed physician before making any health decision.