“…Several groups have reported potent beneficial effects of follistatin administration in various indications, such as inflammation, liver repair, fibrosis, wound healing, hair regrowth, and muscle disorders, including muscular dystrophy (Kogure et al, 1995;Wankell et al, 2001;Fuwii et al, 2005;Fumagalli et al, 2007;Tsuchida, 2008;Zimber et al, 2011;de Kretser et al, 2012). Many of these disorders require systemic wide pharmacological effects, and as a result, several groups have focused on the use of gene therapy in the form of adeno-associated virus to obtain protein exposure levels required for activity in animal models of disease (Takabe et al, 2003;Kota et al, 2009;Medina et al, 2009;Foley et al, 2010). These studies have yielded promising proof-ofconcept data for the therapeutic potential for follistatin; however, from a practical perspective, the use of follistatinadeno-associated virus as a bona fide human therapeutic is squelched by a tenuous clinical and regulatory path.…”