Therapeutic potential of relaxin or relaxin mimetics in managing cardiovascular complications of diabetes

IF 5.3 2区 医学 Q1 PHARMACOLOGY & PHARMACY Biochemical pharmacology Pub Date : 2024-08-23 DOI:10.1016/j.bcp.2024.116507
Arun George Devasia , Meyammai Shanmugham , Adaikalavan Ramasamy , Sophie Bellanger , Laura J. Parry , Chen Huei Leo
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Abstract

Diabetes mellitus is a metabolic disease with an escalating global prevalence. Despite the abundance and relative efficacies of current therapeutic approaches, they primarily focus on attaining the intended glycaemic targets, but patients ultimately still suffer from various diabetes-associated complications such as retinopathy, nephropathy, cardiomyopathy, and atherosclerosis. There is a need to explore innovative and effective diabetic treatment strategies that not only address the condition itself but also combat its complications. One promising option is the reproductive hormone relaxin, an endogenous ligand of the RXFP1 receptor. Relaxin is known to exert beneficial actions on the cardiovascular system through its vasoprotective, anti-inflammatory and anti-fibrotic effects. Nevertheless, the native relaxin peptide exhibits a short biological half-life, limiting its therapeutic potential. Recently, several relaxin mimetics and innovative delivery technologies have been developed to extend its biological half-life and efficacy. The current review provides a comprehensive landscape of the cardiovascular effects of relaxin, focusing on its potential therapeutic applications in managing complications associated with diabetes. The latest advancements in the development of relaxin mimetics and delivery methods for the treatment of cardiometabolic disorders are also discussed.

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松弛素或松弛素模拟物在控制糖尿病心血管并发症方面的治疗潜力。
糖尿病是一种代谢性疾病,在全球的发病率不断攀升。尽管目前的治疗方法很多,而且相对有效,但这些方法主要侧重于实现预期的血糖目标,但患者最终仍会患上各种糖尿病相关并发症,如视网膜病变、肾病、心肌病和动脉粥样硬化。因此,有必要探索创新而有效的糖尿病治疗策略,不仅要解决糖尿病本身的问题,还要防治其并发症。其中一个很有前景的选择是生殖激素松弛素,它是 RXFP1 受体的内源性配体。众所周知,松弛素具有保护血管、抗炎和抗纤维化的作用,对心血管系统有益。然而,原生松弛素肽的生物半衰期较短,限制了其治疗潜力。最近,为了延长弛缓素肽的生物半衰期和疗效,人们开发出了多种弛缓素模拟物和创新给药技术。本综述全面介绍了弛缓素对心血管的影响,重点关注其在控制糖尿病相关并发症方面的潜在治疗应用。此外,还讨论了用于治疗心血管代谢疾病的弛缓素模拟物和给药方法的最新进展。
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来源期刊
Biochemical pharmacology
Biochemical pharmacology 医学-药学
CiteScore
10.30
自引率
1.70%
发文量
420
审稿时长
17 days
期刊介绍: Biochemical Pharmacology publishes original research findings, Commentaries and review articles related to the elucidation of cellular and tissue function(s) at the biochemical and molecular levels, the modification of cellular phenotype(s) by genetic, transcriptional/translational or drug/compound-induced modifications, as well as the pharmacodynamics and pharmacokinetics of xenobiotics and drugs, the latter including both small molecules and biologics. The journal''s target audience includes scientists engaged in the identification and study of the mechanisms of action of xenobiotics, biologics and drugs and in the drug discovery and development process. All areas of cellular biology and cellular, tissue/organ and whole animal pharmacology fall within the scope of the journal. Drug classes covered include anti-infectives, anti-inflammatory agents, chemotherapeutics, cardiovascular, endocrinological, immunological, metabolic, neurological and psychiatric drugs, as well as research on drug metabolism and kinetics. While medicinal chemistry is a topic of complimentary interest, manuscripts in this area must contain sufficient biological data to characterize pharmacologically the compounds reported. Submissions describing work focused predominately on chemical synthesis and molecular modeling will not be considered for review. While particular emphasis is placed on reporting the results of molecular and biochemical studies, research involving the use of tissue and animal models of human pathophysiology and toxicology is of interest to the extent that it helps define drug mechanisms of action, safety and efficacy.
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