Follistatin was first described in 1987 as a follicle-stimulating horm
one inhibiting substance present in ovarian follicular fluid. We now k
now that this effect of follistatin is only one of its many properties
in a number of reproductive and nonreproductive systems. A majority o
f these functions are facilitated through the affinity of follistatin
for activin, where activin's effects are neutralized through its bindi
ng to follistatin. As such, the interplay between follistatin and acti
vin represents a powerful regulatory mechanism that impinges on a vari
ety of cellular processes within the body. In this review we focus on
the biochemical characteristics of follistatin and its interaction wit
h activin and discuss the emerging role of these proteins as potent ti
ssue regulators in the gonad, pituitary gland, pregnancy membranes, va
sculature, and liver. Consideration is also given to the larger family
of proteins that contain follistatin-like modules, in particular with
regard to their functional and structural implications. (C) 1998 Acad
emic Press.