B7-33 10mg vial
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NOT FOR HUMAN CONSUMPTION
B7-33 is an investigational peptide derived from the B-chain of human H2 relaxin. It was designed as a simplified, single-chain relaxin mimetic that retains anti-fibrotic and tissue-protective actions while showing biased signaling at the relaxin family peptide receptor 1 (RXFP1). Compared with native relaxin, B7-33 appears to favor ERK1/2-linked anti-fibrotic signaling over strong cAMP activation, which is one reason it has drawn interest as a potentially safer and cheaper relaxin-like scaffold. Evidence so far is preclinical only; I did not find any registered human efficacy trials for B7-33, and it is not FDA- or EMA-approved.
Additional Benefits of B7-33 Now Under Investigation
| BENEFIT | KEY TAKE-AWAYS |
|---|---|
| 1 Anti-fibrotic activity | In rodent heart, lung, and fibroblast models, B7-33 reduced fibrosis and improved function with activity comparable to H2 relaxin in some native-cell systems. |
| 2 Biased RXFP1 signaling | B7-33 preferentially activates ERK1/2 in native fibroblasts while showing relatively weak cAMP signaling in overexpression systems, supporting a “biased agonist” profile. |
| 3 Cardioprotection after ischemic injury | In mouse myocardial infarction work, B7-33 reduced cardiomyocyte death, attenuated ER-stress signaling, limited adverse remodeling, and preserved cardiac function. |
| 4 Cardiomyopathy remodeling benefits | In an isoprenaline cardiomyopathy model, B7-33 maintained relaxin-like cardioprotective effects and reduced left-ventricular fibrosis more rapidly than perindopril over the studied interval. |
| 5 Vasoprotective actions | Preclinical vascular studies suggest B7-33 can replicate key vasoprotective effects of serelaxin, including prevention of endothelial dysfunction. |
| 6 Lower tumor-promotion concern vs H2 relaxin | One preclinical paper reported that, unlike H2 relaxin, B7-33 did not exacerbate prostate tumor growth in mice; this is hypothesis-generating, not proof of human safety. |
| 7 Simpler and cheaper scaffold | Because it is a single-chain peptide rather than a two-chain, three-disulfide hormone, B7-33 is easier to synthesize and modify than native H2 relaxin. |
| 8 Biomaterial/device applications | B7-33 has also been explored in polymer coatings to reduce fibrotic encapsulation around implanted devices. |
| 9 Platform for long-acting analogues | Native B7-33 is short-lived, but lipidated derivatives have improved in-vitro serum stability, supporting ongoing medicinal-chemistry work. |
2. Molecular Mechanism of Action
2.1 Receptor Pharmacodynamics
RXFP1:
B7-33 is a relaxin-receptor agonist derived from the relaxin B-chain sequence and acts at RXFP1. It was designed to preserve beneficial relaxin biology while reducing some signaling liabilities associated with native H2 relaxin.
Biased signaling:
In engineered HEK-RXFP1 systems, B7-33 shows relatively weak affinity/potency, especially for cAMP, but in fibroblasts endogenously expressing RXFP1 it produced ERK1/2 activation with similar potency and efficacy to H2 relaxin. That native-cell behavior is central to why B7-33 is described as a functionally selective / biased agonist.
2.2 Down-stream Biology
| PATHWAY | FUNCTIONAL OUTCOME | CONTEXT |
|---|---|---|
| ERK1/2 | Anti-fibrotic signaling | Native fibroblasts; core biased-signaling observation |
| MMP-2 upregulation | Matrix remodeling / collagen turnover | Linked to anti-fibrotic effects in vitro and in vivo |
| TGF-β / Smad antagonism | Reduced pro-fibrotic signaling | Proposed relaxin-pathway mechanism behind fibrosis reduction |
| Cardiomyocyte stress signaling | Less ER stress and cell death | Myocardial infarction model |
| Vascular/endothelial actions | Vasoprotection, endothelial support | Short-term vascular studies vs serelaxin |
3. Pharmacokinetics
Route:
Published animal studies used parenteral administration, commonly subcutaneous delivery in rodent experiments.
Absorption / half-life:
A major limitation of B7-33 is its very short serum stability. One 2023 study reports an in-vitro serum half-life of about 6 minutes for the parent peptide.
Distribution / clearance:
As a small peptide, B7-33 is expected to undergo proteolytic degradation; detailed human PK is unavailable because there are no clinical studies yet. The available medicinal-chemistry literature is aimed at overcoming this short-lived exposure.
Stability engineering:
Fatty-acid conjugation with a suitable spacer increased the reported in-vitro half-life from ~6 minutes to ~60 minutes, showing a plausible route toward longer-acting analogues, though this is still preclinical.
4. Pre-clinical and Clinical Evidence
4.1 Fibrosis
The 2016 discovery paper reported that B7-33 reduced fibrosis across three in-vivo disease models and showed functional equivalence to H2 relaxin in several anti-fibrotic assays. Later reviews and medicinal-chemistry follow-up papers describe efficacy across multiple rodent cardiovascular and lung fibrosis models.
4.2 Cardiac injury and remodeling
A 2020 myocardial infarction paper found that B7-33 attenuated MI-related adverse remodeling, reduced cardiomyocyte death and ER stress, and preserved cardiac function in mice.
A 2023 study in experimental cardiomyopathy found B7-33 retained cardioprotective effects of relaxin and reduced LV fibrosis more rapidly than perindopril in that model and time frame.
4.3 Vascular biology
A vascular pharmacology study reported that B7-33 replicated important vasoprotective functions of human relaxin-2/serelaxin and prevented endothelial dysfunction in preclinical testing.
4.4 Human evidence
At present, the evidence base is preclinical. I did not find published phase 1/2 human B7-33 trials or an approved product. That is a major difference from drugs like retatrutide.
Evidence quality note:
The mechanistic story is interesting, but all efficacy claims should be viewed as animal/cell-data only until human pharmacokinetics, dose-ranging, and safety studies exist.
5. Emerging Clinical Interests
| FIELD | RATIONALE | STATUS |
|---|---|---|
| Cardiac fibrosis / remodeling | Strong relaxin-like anti-fibrotic activity in preclinical heart models | Preclinical |
| Pulmonary fibrosis | Anti-fibrotic signals seen in rodent lung disease models | Preclinical |
| Vascular dysfunction | Vasoprotective and endothelial-support effects | Preclinical |
| Implant/device fibrosis | Drug-eluting coatings to reduce fibrotic encapsulation | Preclinical / materials research |
| Long-acting relaxin mimetics | Need to solve very short half-life of parent peptide | Lead-optimization stage |
6. Safety and Tolerability
Known human safety profile:
There is no established human safety profile for B7-33 because it has not progressed through standard clinical development.
Theoretical / preclinical considerations:
Because B7-33 targets RXFP1 and modulates relaxin biology, the main concerns needing future study would include:
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off-target or receptor-context effects across tissues,
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blood-pressure / vascular effects,
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reproductive or endocrine effects,
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immunogenicity,
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and long-term proliferative signaling risks.
These remain open questions, not established toxicities. The most concrete published limitation today is poor stability / short exposure, not a mature catalog of adverse events.
Potential comparative upside:
Authors have proposed that weaker cAMP activation could reduce some unwanted effects associated with native H2 relaxin, and one mouse study noted lack of prostate-tumor exacerbation compared with H2 relaxin. That is interesting, but it is far too early to claim a proven safety advantage in humans.
Comparative safety/translation matrix
| FEATURE | B7-33 | H2 RELAXIN / SERELAXIN |
|---|---|---|
| Development stage | Preclinical | Clinical history exists for relaxin-class molecules, though not approved broadly for chronic fibrosis uses |
| Core receptor | RXFP1 | RXFP1 |
| Signaling profile | Biased toward ERK1/2 in native cells; weak cAMP in some systems | Broader signaling including stronger cAMP |
| Half-life | Very short parent peptide | Native relaxin also short-lived, though clinically formulated differently |
| Synthesis complexity | Simpler single-chain scaffold | More complex two-chain peptide with three disulfides |
| Human efficacy data | None | Some human data exist for relaxin-class agents, not B7-33 specifically |
7. Regulatory Landscape
Approval status:
B7-33 is investigational only and has no marketing authorization.
Programs:
The published literature is centered on academic and preclinical translational work, plus medicinal-chemistry efforts to create more stable analogues.
Use outside research:
There is no validated, regulated clinical-use framework for B7-33 at present. Any non-research use would be outside the evidence base.
8. Future Directions
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First-in-human PK/safety studies are the biggest missing step.
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Long-acting analogues are a major priority because parent B7-33 is too short-lived for practical therapeutic use.
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Fibrosis-focused programs in heart, lung, and device encapsulation appear to be the most evidence-aligned translational directions.
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Mechanistic work is still needed to clarify when B7-33 behaves like a weak agonist versus an effective native-cell biased agonist.
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Comparative studies against relaxin, ACE inhibitors, and anti-fibrotic standards will matter more than receptor pharmacology alone.
Selected References
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Hossain MA, et al. A single-chain derivative of the relaxin hormone is a functionally selective agonist of the GPCR RXFP1. Chem Sci. 2016. Core discovery paper for B7-33; biased signaling and anti-fibrotic activity.
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Devarakonda T, et al. B7-33, a Functionally Selective Relaxin Receptor 1 Agonist, Attenuates Myocardial Infarction–Related Adverse Cardiac Remodeling in Mice. J Am Heart Assoc. 2020.
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Alam F, et al. 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. Biochem Pharmacol. 2023.
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Marshall SA, et al. B7-33 replicates the vasoprotective functions of human relaxin-2 (serelaxin). Life Sci. 2017.
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Praveen P, et al. A Lipidated Single-B-Chain Derivative of Relaxin Exhibits Improved In Vitro Serum Stability without Altering Activity. 2023.
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Handley TNG, et al. Further Developments towards a Minimal Potent Derivative of Human Relaxin-2. Int J Mol Sci. 2023. Useful review/update on scaffold optimization and B7-33’s preclinical profile.