Reduced atrophy in double-knockout (DKO) mice (Smad3−/−, Mstn−/−). (A) Quantification of the change in individual skeletal muscle weights between DKO and WT mice. TA denotes M. tibialis anterior. Gas and sol denotes M. gastrocnemius and soleus. Quad denotes M. quadriceps. Error bars represent ± SEM (n = 3). (B) Individual muscle weights from DKO and WT mice expressed as a percentage of total body weight. Error bars represent ± SEM (n = 3). (C) Comparison of the average TA muscle CSA (μm2) between Smad3-null, WT, DKO and myostatin-null mice. Difference between Smad3-null and DKO mice is not significant (P > 0.05). Error bars represent ± SEM (n = 3). (D) Quantification of the total muscle fiber number in TA muscles from Smad3-null, WT, DKO and myostatin-null mice. Error bars represent ± SEM (n = 3). (E) Frequency distribution of individual muscle fiber CSA in TA muscles from Smad3-null, WT and DKO mice, expressed as a percentage of total fiber number. Muscle fiber areas were grouped based on size: < 1 000 μm2, 1 000-2 500 μm2 and > 2 500 μm2. (F) WT, myostatin-null and DKO primary myoblasts were grown under proliferating conditions for a period of 60 h, with proliferation monitored using the methylene blue assay. Error bars represent ± SEM (n = 2). (G) The fusion index of WT, Smad3-null, myostatin-null and DKO myoblasts at 24 h, 48 h, 72 h and 96 h of differentiation. Error bars represent ± SEM (n = 3). (H) Average myonuclei number in WT, Smad3-null, myostatin-null and DKO myotubes at 24 h, 48 h, 72 h and 96 h of differentiation. Error bars represent ± SEM (n = 3). (I) Neutralization of myostatin in WT and Smad3-null primary culture by soluble ActRIIB treatment. WT and Smad3-null primary myoblasts were seeded at a density of 25 000 cells/cm2. Following a 12 h attachment period, cells were switched to differentiation media with (0 h + 3 μg/ml soluble ActRIIB) or without soluble ActRIIB (0 h + 0 μg/ml soluble ActRIIB) for 48 h. The MyHC and MyLC expression were measured by western blot analysis. Tubulin levels were measured to ensure equal loading of samples. (J) The expression of MyHC and MyLC in WT and Smad3-null primary culture treated with or without soluble ActRIIB, normalized to tubulin expression. For all relevant figure panels, statistical differences are indicated, P < 0.05 (*), P < 0.01 (**) and P < 0.001 (***).