Characterization of a new potent and long-lasting single chain peptide agonist of RXFP1 in cells and in vivo translational models

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Illiano, Stephane C. | Poirier, Bruno | Minoletti, Claire | Pasquier, Olivier | Riva, Laurence | Chenede, Xavier | Menguy, Isabelle | Guillotel, Michel | Prigent, Philippe | Le Claire, Stéphane | Gillot, Florence | Thill, Gilbert | Lo Presti, François | Corbier, Alain | Le Bail, Jean-Christophe | Grailhe, Patrick | Monteagudo, Edith | Ingenito, Raffaele | Bianchi, Elisabetta | Philippo, Christophe | Duclos, Olivier | Mallart, Sergio | Bathgate, Ross | Janiak, Philip

Edité par CCSD ; Nature Publishing Group -

International audience. Abstract Despite beneficial effects in acute heart failure, the full therapeutic potential of recombinant relaxin-2 has been hampered by its short half-life and the need for intravenous administration limiting its use to intensive care units. A multiparametric optimization of the relaxin B-chain led to the identification of single chain lipidated peptide agonists of RXFP1 like SA10SC-RLX with subcutaneous bioavailability and extended half-life. SA10SC-RLX has sub nanomolar activity on cells expressing human RXFP1 and molecular modeling associated with the study of different RXFP1 mutants was used to decipher the mechanism of SA10SC-RLX interaction with RXFP1. Telemetry was performed in rat where SA10SC-RLX was able to engage RXFP1 after subcutaneous administration without tachyphylaxis after repeated dosing. Renal blood flow was then used as a translational model to evaluate RXFP1 activation. SA10SC-RLX increased renal blood flow and decreased renal vascular resistance in rats as reported for relaxin in humans. In conclusion, SA10SC-RLX mimics relaxin activity in in vitro and in vivo models of acute RXFP1 engagement. SA10SC-RLX represents a new class of long-lasting RXFP1 agonist, suitable for once daily subcutaneous administration in patients and potentially paving the way to new treatments for chronic fibrotic and cardiovascular diseases.

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