Cardiovascular effects of relaxin-2: therapeutic potential and future perspectives

Clin Res Cardiol. 2024 Aug;113(8):1137-1150. doi: 10.1007/s00392-023-02305-1. Epub 2023 Sep 18.

Abstract

The hormone relaxin-2 has emerged as a promising player in regulating the physiology of the cardiovascular system. Through binding to the relaxin family peptide receptor 1 (RXFP1), this hormone elicits multiple physiological responses including vasodilation induction, reduction of inflammation and oxidative stress, and angiogenesis stimulation. The role of relaxin-2, or its recombinant human form known as serelaxin, has been investigated in preclinical and clinical studies as a potential therapy for cardiovascular diseases, especially heart failure, whose current therapy is still unoptimized. However, evidence from past clinical trials has been inconsistent and further research is needed to fully understand the potential applications of relaxin-2. This review provides an overview of serelaxin use in clinical trials and discusses future directions in the development of relaxin-2 mimetics, which may offer new therapeutic options for patients with heart failure.

Keywords: Cardiovascular diseases; Heart failure; RXFP1 mimetics; Relaxin; Serelaxin.

Publication types

  • Review

MeSH terms

  • Animals
  • Cardiovascular Diseases* / drug therapy
  • Cardiovascular System / drug effects
  • Cardiovascular System / metabolism
  • Cardiovascular System / physiopathology
  • Heart Failure / drug therapy
  • Heart Failure / physiopathology
  • Humans
  • Recombinant Proteins / therapeutic use
  • Relaxin* / pharmacology
  • Relaxin* / therapeutic use

Substances

  • Relaxin
  • Recombinant Proteins
  • serelaxin protein, human
  • RLN2 protein, human