Myostatin has been identified as a major regulator of skeletal muscle mass and, more recently, of muscle metabolism as well as bone and fat. Well-established scientific evidence suggests that loss or inactivation of myostatin results in excessive skeletal muscle growth, both in animal models and in humans. A physiological stimulus that plays an important role in myostatin regulation is exercise training. Several reports indicate that endurance exercise and, in particular, resistance exercise training attenuates myostatin transcript levels in skeletal muscle. On the contrary, increased myostatin levels are reported in several muscle-wasting conditions, including cachexia, sarcopenia, atrophy, muscular dystrophies, cancer and immunodeficiency. Inhibition of myostatin expression has therefore been exploited for the