B7-33

preclinical

Also known as: H2-relaxin analog B7-33

**Mechanism of Action** B7-33 is a single-chain analog of human relaxin-2 (H2-relaxin) engineered to selectively activate the relaxin family peptide receptor 1 (RXFP1). Unlike native H2-relaxin, which requires a two-chain structure for full receptor engagement, B7-33 retains RXFP1 agonism while exhibiting reduced off-target interactions. Its primary downstream effects include inhibition of transforming growth factor-beta (TGF-β) signaling, suppression of myofibroblast activation, and promotion of matrix metalloproteinase (MMP) activity, collectively reducing extracellular matrix deposition and organ fibrosis. **Key Research Findings** Preclinical studies (15 PubMed-indexed references) demonstrate B7-33’s antifibrotic efficacy in multiple rodent models, including cardiac, renal, and pulmonary fibrosis. In a rat model of isoproterenol-induced cardiac fibrosis, B7-33 reduced collagen content and improved diastolic function comparable to native relaxin. Renal fibrosis studies in unilateral ureteral obstruction (UUO) mice showed decreased α-smooth muscle actin (α-SMA) and fibronectin expression. Notably, B7-33 exhibits improved pharmacokinetic stability over H2-relaxin, with a longer half-life and sustained receptor activation in vivo. No significant off-target effects on RXFP2 or vasodilation pathways have been reported. **Clinical Relevance** B7-33 is in preclinical development as a potential therapeutic for fibrotic diseases, including cardiac, renal, and pulmonary fibrosis. Its simplified structure and enhanced stability may offer advantages over native relaxin, which has limited clinical utility due to rapid clearance and complex manufacturing. However, no human trials have been conducted, and safety, dosing, and efficacy in humans remain uncharacterized. The peptide’s selectivity for RXFP1 may reduce systemic side effects, but translation to clinical use requires further validation. For research purposes only — not medical advice.

Key data

Category
Healing & Recovery
Administration
subcutaneous
Research status
preclinical
References
15
Tags
relaxin, anti-fibrotic, cardiac

Research & studies

Dual-functional nanovesicles simultaneously inhibit stromal fibrosis and angiogenesis to suppress cholangiocarcinoma progression
Journal of nanobiotechnology · 2025 · PubMed

Anti-VEGFR2 therapy activates CAFs, inducing excessive ECM deposition that limits antiangiogenic efficacy in CCA.; B7-33-SNPs competitively bind pro-angiogenic ligands via angiogenic factor receptors and carry B7-33 peptide to induce fibroblast quiescence.; The nanovesicles synergistically disrupt CAF-angiogenesis crosstalk, reducing microvessel density and fibrotic deposition.; Tumor growth inhibition rate reached 67.7% with simultaneous targeting of stromal desmoplasia and vascular niches.

Immune cell uptake of glycinated nanoparticles conjugated to anti-fibrotic peptides enables their prolonged activity and oral administration
Journal of biomedical science · 2025 · PubMed

SPION-RLX was likely phagocytosed by RXFP1-expressing dendritic cells, enabling systemic transport and oral efficacy.; Oral SPION-RLX or SPION-B7-33 every 72 hours for 4 weeks outperformed perindopril in anti-fibrotic effects.; Single-cell transcriptomics suggested phagosomal uptake via scavenger receptors on dendritic cells.; Conjugation to glycinated SPIONs allowed peptide circumnavigation of the gut and prolonged activity.

Further Developments towards a Minimal Potent Derivative of Human Relaxin-2
International journal of molecular sciences · 2023 · PubMed

B7-33, a single-chain peptide derived from H2 relaxin B-chain, showed poor affinity in HEK cells but equivalent potency to H2 relaxin in fibroblasts.; B7-33 demonstrated anti-fibrotic effects in preclinical animal studies.; Aib substitution and hydrocarbon stapling were used to recreate native peptide helicity in the minimal scaffold.

A Lipidated Single-B-Chain Derivative of Relaxin Exhibits Improved In Vitro Serum Stability without Altering Activity
International journal of molecular sciences · 2023 · PubMed

B7-33, a single-chain relaxin agonist, has a short in vitro serum half-life of ~6 minutes.; Fatty-acid conjugation with appropriate spacer length extended the half-life to 60 minutes.; The lipidated B7-33 retained its activity while improving stability.

The single-chain relaxin mimetic, B7-33, maintains the cardioprotective effects of relaxin and more rapidly reduces left ventricular fibrosis compared to perindopril in an experimental model of cardiomyopathy
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023 · PubMed

B7-33 and relaxin equivalently reduced left ventricular fibrosis, inflammation, and cardiomyocyte hypertrophy.; B7-33 and relaxin restored blood vessel density and aortic contractility.; Perindopril lowered systolic blood pressure and reduced inflammation and vascular rarefaction but did not reduce fibrosis or hypertrophy.; B7-33 provided more rapid anti-fibrotic effects compared to perindopril.

Analgesic effect of central relaxin receptor activation on persistent inflammatory pain in mice: behavioral and neurochemical data
Pain reports · 2021 · PubMed

H2-relaxin and B7-33 reduced mechanical and thermal sensitivity in CFA-inflamed paws at 30 minutes postinjection.; The RXFP1 antagonist B-R13/17K-H2 blocked mechanical but not thermal analgesia.; RXFP1 mRNA was expressed in excitatory neurons of the claustrum, cingulate cortex, and subiculum.; Relaxin-immunoreactive neurons in forebrain and midbrain projected to RXFP1-rich regions like claustrum and cingulate cortex.

Assessment of renal fibrosis and anti-fibrotic agents using a novel diagnostic and stain-free second-harmonic generation platform
FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021 · PubMed

All three methods (SHG, MTS, IHC) confirmed significantly increased renal fibrosis after 7 days in UUO-injured mice.; Only the HistoIndex platform detected a significantly increased collagen-to-tissue cross reticulation ratio in UUO-injured mice (P < .001 vs sham).; In treated UUO mice, the HistoIndex platform showed that drug-induced prevention of fibrosis correlated with reduced collagen fiber thickness and cross-reticulation ratio, but increased fiber counts.; Relaxin or B7-33 treatment increased renal MMP-2 and reduced TIMP-1 levels (P < .01 vs UUO alone).

B7-33, a Functionally Selective Relaxin Receptor 1 Agonist, Attenuates Myocardial Infarction-Related Adverse Cardiac Remodeling in Mice
Journal of the American Heart Association · 2020 · PubMed

B7-33 reduced infarct size from 45.32% to 21.99% at 24 hours post-injury.; B7-33 preserved fractional shortening at 24 hours and 7 days post-myocardial infarction.; In vitro, B7-33 improved cardiomyocyte survival and decreased GRP78 expression under simulated ischemia-reperfusion.; B7-33 attenuated tunicamycin-induced GRP78 upregulation in an ERK1/2-dependent manner.

Frequently asked questions

What is B7-33?

**Mechanism of Action** B7-33 is a single-chain analog of human relaxin-2 (H2-relaxin) engineered to selectively activate the relaxin family peptide receptor 1 (RXFP1). Unlike native H2-relaxin, which requires a two-chain structure for full receptor engagement, B7-33 retains RXFP1 agonism while exhibiting reduced off-t

How does B7-33 work?

Single-chain relaxin-2 analog that activates RXFP1 to reduce organ fibrosis without the full hormone's complexity.

What is the research status of B7-33?

B7-33 is currently classified as preclinical, with 15 research references on record. This is for research purposes only and is not medical advice.

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