Activins and inhibins, members of the tWe ( transforming growth factor superfamily of growth regulatory proteins, are produced in multiple tissues and affect diverse physiologic processes. Using embryonic stem cell technology, we previously demonstrated that inhibin can function as a gonadal tumor suppressor. In this study, we show that development of gonadal tumors is rapidly followed by a cancer cachexia-like wasting syndrome. Cachectic inhibin-deficient mice develop hepatocellular necrosis around the central vein and parietal cell depletion and mucosal atrophy in the glandular stomach, are anemic, and demonstrate severe weight loss. The liver pathology is consistent with studies demonstrating an effect of elevated activins on rat hepatocytes. In inhibindeficient mice with tumors, activins are >10-fold elevated in the serum and are likely causing some of the cachexia symptoms. In contrast, inhibin-deficient mice gonadectomized at an early age do not develop this wasting syndrome. However, these gonadectomized, inhibin-deficient mice eventually develop adrenal cortical sex steroidogenic tumors with nearly 100% penetrance, demonstrating that inhibin is also a tumor suppressor for the adrenal gland.The inhibins (a:(3 heterodimers) and activins (13:l3dimers) are related proteins that share common 13 subunits (either 13A or PB subunits) (1). These proteins, members of a large family of structurally related growth regulatory proteins, which includes the type (3 transforming growth factors (TGF-P), bone morphogenetic proteins, and Mullerian inhibiting substance (MIS) (1-4), have been shown to have diverse functions in a variety of assay systems including antiproliferative effects on carcinoma cell lines [i.e., MIS and TGF-p (2, 3)].The activins and inhibins also have diverse functions in mammalian physiology and development. Activin and inhibin subunit mRNAs and proteins are synthesized in a variety of cell types and embryonic and adult tissues in different species (1,(5)(6)(7)(8)(9)(10). In the adult mammal, although activins were initially discovered for their ability to stimulate pituitary follicle-stimulating hormone secretion, they have also been shown to influence other functions including liver metabolism and glucose regulation. For example, activin A can stimulate glycogenolysis (11) and inhibit DNA synthesis in isolated rat hepatocytes in vitro (12). In addition, infusion of activin A into rats caused hepatocellular necrosis around the central vein of the liver (13). These physiologic effects of activin on hepatocytes are consistent with findings that a major site of 125I-labeled activin A binding is the rat liver (14) and that the type II activin receptor is expressed in the mouse liver (ref. 15; R. Towns and M.M.M., unpublished data).Using embryonic stem cell technology, we have generated inhibin-deficient mice (16), which develop sex cord stromal tumors at an early age with nearly 1001% penetrance, demonstrating that inhibin functions in vivo as a tumor suppressor in the gonads of mice (16). In th...