What Is Ostarine? Other Names: Enobosarm, GTx-024, MK-2866

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What is Ostarine?

Ostarine, also known as enobosarm, S22, or MK2866, is a selective androgen receptor modulator (SARM) that has garnered significant attention in recent years due to its potential therapeutic applications and performance-enhancing properties. Unlike traditional anabolic steroids, SARMs like ostarine are designed to selectively target androgen receptors in muscle and bone tissues, minimizing unwanted side effects on other organs. Other names include: Enobosarm, GTx-024, MK-2866, S-22.

Effects on Muscle Tissue

Ostarine has been shown to stimulate muscle tissue proliferation and differentiation. Studies using C2C12 and L6 cells, as well as rat muscle tissues, have demonstrated that ostarine increases the expression of myogenin, MyoD, and MyH, which are key markers of muscle differentiation. This effect is mediated through the activation of androgen receptors and ERK1/2 kinase. In ovariectomized rat models, ostarine treatment resulted in increased muscle mass and improved muscle vascularization, although it did not significantly change muscle fiber size or distribution patterns.

Therapeutic Potential

Ostarine has shown promise in clinical trials for conditions such as cancer cachexia, a syndrome characterized by severe muscle wasting and weight loss in cancer patients. Phase I and II clinical trials have indicated that ostarine can increase lean body mass, enhance functional performance, and reduce fat tissue percentage with minimal side effects on other organs. However, more extensive data is required to confirm its efficacy and safety for widespread clinical use.

Detection and Regulation

Due to its performance-enhancing properties, ostarine is banned by the World Anti-Doping Agency (WADA) under the category of “other anabolic agents”. Detection methods have been developed to identify ostarine in biological samples such as nails and hair, demonstrating its long-term use in athletes. Additionally, a UHPLC method has been validated for the quantitative determination of ostarine in dietary supplements, ensuring the accuracy and safety of these products for consumers.

Other Applications

Interestingly, ostarine has also been identified as a potential anti-virulence agent against Pseudomonas aeruginosa, a common pathogen. It interferes with quorum sensing systems, reducing the production of virulence factors like pyocyanin without exerting bactericidal effects. This novel application highlights the diverse potential of ostarine beyond muscle enhancement.

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🏢Is ostarine banned by the World Anti-Doping Agency (WADA)?

🏹Can ostarine increase lean body mass and reduce fat tissue percentage in clinical trials?

Ostarine Chemical Structure and Mechanism of Action

Ostarine is a non-steroidal compound with an aryl-propionamide structure. It is not subjected to the typical steroid transformations of aromatization and reduction by 5α-reductase, which are common in anabolic steroids. The crystal structure of ostarine has been determined, revealing that it crystallizes in the monoclinic system, P21 space group, with hydrogen bonds playing a crucial role in its molecular self-assembly.

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🕸️What is Ostarine mechanism of action?

Uses of Ostarine

Muscle Proliferation and Differentiation

Ostarine stimulates muscle cell proliferation and differentiation by increasing the expression of myogenin, MyoD, and MyH, and this effect is mediated through the androgen receptor .

Cancer Cachexia

Ostarine has shown promising results in increasing lean body mass, enhancing functional performance, and decreasing fat tissue percentage in patients with cancer cachexia, potentially offering a new strategy for managing this condition.

Anti-Virulence Agent

Ostarine can act as an anti-virulence agent by interfering with quorum sensing systems in Pseudomonas aeruginosa, reducing the production of virulence factors like pyocyanin without bactericidal action.

Performance Enhancement

Ostarine is used for performance enhancement due to its anabolic effects and minimal androgenic side effects, making it popular among athletes despite being banned by the World Anti-Doping Agency (WADA).

Postmenopausal Muscle and Bone Health

In postmenopausal models, Ostarine improves muscle mass, capillary density, and certain metabolic activities, and shows potential benefits for bone health by improving bone mineral density and volume density .

Lipid Metabolism

Ostarine affects lipid metabolism by downregulating the expression and release of leptin and adiponectin from adipocytes, similar to the effects of testosterone.

Obesity and Metabolic Parameters

While Ostarine lowers cholesterol levels, it does not significantly enhance the metabolic effects of exercise in obese rats, indicating limited benefits for metabolic parameters in this context.

Learn more with Consensus:

🚀Can ostarine increase lean body mass in patients with cancer cachexia?

💎Does ostarine improve bone mineral density in postmenopausal models?

Adverse Effects of Ostarine

No Significant Metabolic Improvement: Ostarine did not show significant improvements in metabolic parameters in obese rats, even when combined with exercise. This suggests limited efficacy in enhancing metabolic health.

Increased Uterine Weight: In a study on postmenopausal osteoporotic rats, ostarine treatment led to an increase in uterine weight, indicating potential hormonal side effects.

Elevated Serum Phosphorus Levels: Ostarine treatment resulted in increased serum phosphorus levels in intermediate and high-dose groups, which could have implications for mineral balance and kidney function.

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🌌What are the adverse effects of Ostarine?

How has Ostarine (Enobosarm) Improved Patient Outcomes?

Improvement in Lean Body Mass in Cancer Patients

Enobosarm significantly increased total lean body mass in cancer patients compared to placebo, suggesting its potential to counteract cancer-induced muscle wasting without the toxic effects associated with traditional androgens and progestational agents.

Bone Healing in Osteoporosis

Enobosarm showed mixed results in bone healing in an aged male osteoporosis rat model. Prophylactic treatment with Enobosarm increased callus area and density but also increased prostate weight. Therapeutic treatment post-fracture negatively affected bone healing by reducing callus density and delaying osteotomy bridging.

Efficacy in Metastatic Breast Cancer

In a Phase 2 study, Enobosarm demonstrated a clinical benefit rate of 50% and an overall response rate of 30% in patients with AR+ ER+ HER2- metastatic breast cancer who had progressed on standard endocrine therapy with a CDK 4/6 inhibitor. The treatment was well tolerated and showed significant positive effects on quality-of-life measurements.

 Learn more with Consensus:

🎗️Can ostarine significantly increase lean body mass in cancer patients without toxic effects?

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Common Complaints Associated with Ostarine (Enobosarm)

Liver Injury

Ostarine has been linked to drug-induced liver injury (DILI), presenting with symptoms such as jaundice, pruritus, and elevated liver enzymes .

Cardiovascular Issues

There are reports of acute myocarditis associated with the use of Ostarine, indicating potential cardiovascular risks.

Tendon Damage

Users of Ostarine have experienced tendon ruptures, suggesting that the compound may negatively affect tendon health.

Contamination and Mislabeling

A significant number of Ostarine samples available for purchase are contaminated or mislabeled, which can lead to unexpected side effects and health risks.

Learn more with Consensus:

👀Can ostarine cause drug-induced liver injury (DILI) with symptoms like jaundice and elevated liver enzymes?

🦴Is ostarine associated with an increased risk of tendon ruptures?

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