Myostatin inhibits adipogenic differentiation of bone marrow-derived hMSC. hMSCs were incubated for 21 days in adipogenic DM with or without myostatin (myst) and anti-myostatin antibody (JA16). A and B, photomicrograph of Oil-red-O stained hMSCs incubated in DM alone (A, bar = 100 μm) or DM containing 1.0 μg/ml myostatin (B). C, hMSC distribution among different differentiation stages in DM (open bar) or in DM containing myostatin (1 μg/ml, dark bar, *, p < 0.05, n = 3). Stage I: elongated fibroblast-like cells without microscopically detectable lipid droplets; stage II: flattened cells without detectable lipid droplets; stage III: multiple small lipid droplets (> 12 per cell) that are only visible under high magnification (×250); stage IV: fewer but larger lipid droplets (6–12 per cell) that are detected under lower magnification (×100); stage V: fewer but larger coalescent lipid droplets (3–6 per cell) that are readily detectable at low magnification (×40); stage VI: 1–3 very large coalescent lipid droplet(s) that occupy the majority space within a cell. D, lipid synthesis rate assessed by measuring the incorporation of Bodipy-fatty acid into cellular lipids of hMSCs incubated in DM or DM containing myostatin (a>b>c, p < 0.05, n = 8). E, expression of aP2 and leptin mRNAs in hMSCs (a>b>c, p < 0.05, n = 3); open bar: DM control; dark gray bar: DM containing myostatin (1.0 μg/ml), light gray bar: DM containing myostatin (1.0 μg/ml) and anti-myostatin antibody JA16 (10 μg/ml). F, lipid content of hMSCs measured by Oil-red-O staining and quantification at 500 nm, with myostatin (0.1 μg/ml) added at each indicated time point (a>b>c, p < 0.05, n = 3). G, lipid content in hMSCs treated with DM. Myostatin (0.1 μg/ml) was added to hMSCs together with DM at time 0 and withdrawn at the indicated time points, and the incubation was continued in DM for a total of 21 days. Lipid content was measured by Oil-Red-O staining and quantification at 500 nm (a>b>c, p < 0.05, n = 3).