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                                                                Synonyms: ACE-536 | ACE536 | luspatercept-aamt | Reblozyl®
                                 
                                                         
                            
                            
                            
                                 
                                
                                luspatercept is an approved drug (FDA (2019), EMA (2020)) 
                                                        
                                                    
                                Compound class: 
                                                            Peptide
                                 
                                
                                    
                                        Comment: Luspatercept (ACE-536) is a fusion protein comprising human ACVR2B (activin receptor type 2B) extracellular domain (which is mutated to reduce activin binding), fused with human immunoglobulin G1 Fc fragment [2]. Luspatercept was initially proposed as a ligand trap for growth/differentiation factor-11 (GDF11; and other TGFβ family ligands). Mechanistically, it reduces Smad2/3 activation, and promotes maturation of late-stage erythroid precursors, independently of the erythropoietin (EPO) pathway.  In contrast, erythropoietin stimulates proliferation of early-stage erythrocyte precursors. 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
                                    Using Gdf11 knockout, Guerra et al. (2019) disputed GDF11 as an important molecular target of luspatercept and its proposed inhibitory effect on late erythropoiesis [1].  | 
                                    
Classification ![]()  | 
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| Compound class | Peptide | 
| Approved drug? | Yes. EU EMA (2020) | US FDA (2019) | 
International Nonproprietary Names ![]()  | 
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| INN number | INN | 
| 9823 | luspatercept | 
Synonyms ![]()  | 
                                                        
| ACE-536 | ACE536 | luspatercept-aamt | Reblozyl® | 
Database Links ![]()  | 
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| Specialist databases | |
| IMGT/mAb-DB | 487 | 
| Other databases | |
| DrugBank Ligand | DB12281 | 
| GtoPdb PubChem SID | 387065620 | 
| Search PubMed clinical trials | luspatercept | 
| Search PubMed titles | luspatercept | 
| Search PubMed titles/abstracts | luspatercept |