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This version published online on May 20, 2004
Endocrinology, doi:10.1210/en.2004-0209
A more recent version of this article appeared on September 1, 2004
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Submitted on February 18, 2004
Accepted on May 10, 2004

Relaxin modulates cardiac fibroblast proliferation, differentiation and collagen production and reverses cardiac fibrosis in vivo

CHRISHAN S. SAMUEL*, ELAINE N. UNEMORI, ISHANEE MOOKERJEE, ROSS A.D. BATHGATE, SHARON L. LAYFIELD, JOHN MAK, GEOFFREY W. TREGEAR, and XIAO-JUN DU

Howard Florey Institute of Experimental Physiology and Medicine (C.S.S., I.M., R.A.D.B., S.L.L., G.W.T.), University of Melbourne, Victoria 3010, Australia; Connetics Corporation (E.N.U., J.M.), Palo Alto, CA 94303; and Baker Heart Research Institute (X.D.), Melbourne, Victoria 8008, Australia

* To whom correspondence should be addressed. E-mail: c.samuel{at}hfi.unimelb.edu.au.

Cardiac fibrosis is a key component of heart disease, and involves the proliferation and differentiation of matrix-producing fibroblasts. The effects of an anti-fibrotic peptide hormone, relaxin, in inhibiting this process were investigated. We used rat atrial and ventricular fibroblasts, which respond to pro-fibrotic stimuli and express the relaxin receptor (LGR7), in addition to two in vivo models of cardiac fibrosis. Cardiac fibroblasts when plated at low-density or stimulated with transforming growth factor-{beta} (TGF-{beta}) or Angiotensin II (Ang II) accelerated fibroblast differentiation into myofibroblasts, as demonstrated by significantly increased {alpha}-smooth muscle actin ({alpha}-SMA) expression, collagen synthesis and collagen deposition (by up to 95% with TGF-{beta} and 40% with Ang II; all P < 0.05). Fibroblast proliferation was significantly increased by 10-8 M and 10-7 M Ang II (63-75%; P < 0.01) or 0.1-1 µg/ml insulin growth factor I (IGF-I; 27-40%; P < 0.05). Relaxin alone had no marked effect on these parameters, but significantly inhibited Ang II- and IGF-I-mediated fibroblast proliferation (by 15-50%) and Ang II- and TGF-{beta}-mediated fibroblast differentiation, as detected by decreased expression of {alpha}-SMA (by 65-88%) and collagen (by 60-80%). Relaxin also increased matrix metalloproteinase-2 expression in the presence of TGF-{beta} (P < 0.01) and Ang II (P < 0.05). Furthermore, relaxin decreased collagen overexpression when administered to two models of established fibrotic cardiomyopathy, one due to relaxin-deficiency (by 40%; P < 0.05) and the other to cardiac-restricted overexpression of {beta}2-adrenergic receptors (by 58%; P < 0.01). These coherent findings indicate that relaxin regulates fibroblast proliferation, differentiation and collagen deposition and may have therapeutic potential in diseased states characterized by cardiac fibrosis.


Key words: Relaxin • heart • fibroblasts • fibrosis




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