Target intelligence / Profile preview

Relaxin-2 (RLN2)

Target
RLN2
Molecular classification
Peptide hormone, Endogenous ligand, Member of the insulin superfamily, Hormone
01

Overview

Relaxin-2 (RLN2) is a peptide hormone belonging to the insulin superfamily, composed of two polypeptide chains (A and B) linked by three disulfide bonds, processed from a prorelaxin precursor[1][2][3][4][5]. RLN2 is produced mainly by the corpus luteum during pregnancy but is also expressed in other tissues, including the prostate and heart[3][4][5]. It acts via the G protein-coupled receptor RXFP1 to mediate a range of physiological effects including tissue remodeling, vasodilation, and anti-fibrotic actions, and is critically important for reproductive system adaptations during pregnancy, cardiovascular homeostasis, and extracellular matrix integrity[1][3][4][5]. Recombinant forms like serelaxin are being developed and clinically tested for acute heart failure and possibly fibrosis-related conditions, exploiting its potent vasodilatory and cardioprotective actions[2][4][5]. Key therapeutic and safety challenges include species-specific effects, complex roles in cancer biology, and the challenge of precisely modulating its matrix-remodeling activity outside pregnancy[1][2][5].

Other names
Prorelaxin H2Relaxin B chainRelaxin A chainRLN2H2RLXH2bA12D24.1.1bA12D24.1.2relaxin H2H2-RLXprorelaxin H2H2-preprorelaxinrelaxinovarianof pregnancy
02

Mechanism of action

Binds and activates relaxin family peptide receptor 1 (RXFP1; a G protein-coupled receptor), leading to activation of cAMP/PKA, PI3K/Akt, nitric oxide, and MMP signaling pathways; Inhibits transforming growth factor-β (TGF-β) signaling and reduces fibrosis; Induces vasodilation and tissue remodeling.

03

Biological functions

Regulation of reproductive tissues and pregnancyVasodilation and cardiovascular regulationInhibition of uterine contraction and remodeling of connective tissuesAnti-fibrotic and matrix modulationModulation of extracellular matrix, angiogenesis, and neural functions
04

Disease associations

Cardiovascular disease (acute heart failure, cardioprotective effects)Fibrosis (anti-fibrotic effects in heart, kidney, liver)Cancer (role in tumor invasiveness and metastasis)Reproductive disorders (remodeling during pregnancy)Other: Possible role in osteoporosis, neural regulation
05

Safety considerations

Species differences affect translation from animal to human pregnancy effectsPotential for off-target tissue remodeling/collagen degradation outside intended organsUncertain effects in cancer biology due to both pro- and anti-tumor actionsInitial studies show good tolerance for serelaxin but long-term effects and non-pregnancy indications require further safety study
06

Interacting drugs

Serelaxin (RLX030; recombinant human relaxin-2)

1 more in the full profile.

07

Biomarkers

Circulating RLN2 protein levels (especially in pregnancy)Downstream markers like increased nitric oxide and altered MMP activity in response to drugNot specific FDA-validated biomarkers for clinical efficacy selection

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