{"id":{"repo_id":"soton","oai_identifier":"oai:eprints.soton.ac.uk:67633"},"canonical_url":"https://search.dev.ndltd.org/etd/soton/oai:eprints.soton.ac.uk:67633","repository":{"repo_id":"soton","name":"University of Southampton","base_url":"https://eprints.soton.ac.uk/cgi/oai2"},"display":{"title":"The role of relaxin in the regulation of human liver and kidney fibrosis","abstract":"Liver fibrosis has a range of aetiologies and is a global cause of mortality. A<br/>critical effect of liver fibrosis which also increases mortality is portal<br/>hypertension. The hepatic stellate cell is accepted as a major progenitor of liver<br/>myofibroblasts, which have been shown to be a major source of collagen and<br/>extracellular matrix proteins that disrupt liver architecture and function. Relaxin<br/>is a hormone involved in remodelling of extracellular matrix in the uterus and<br/>cervix and is known to increase renal blood flow in pregnancy. It has been<br/>implicated in the regulation of fibrosis in animal models and to modify the cell<br/>biology of hepatic stellate cells in vitro. I have demonstrated the profile of<br/>expression of relaxin receptors in primary human stellate cells (HSC), showing<br/>them to express RXFP-1, 3 and 4. Using a cAMP assay I confirm these receptors<br/>to be functional, with RXFP-1 positively and RXFP-3 and 4 negatively coupling<br/>to cAMP. The expression of RXFP-1 is coupled with the level of activation,<br/>demonstrating a possible role for H2-relaxin in the regulation of HSC. I have<br/>established a dynamic regulation of fibrotic mediators and HSC activation<br/>markers, including a reduction in ?-SMA, TIMP-1 and TGF-? with increases in<br/>MMP-1 and MMP-2, consistent with H2-relaxin having potentially therapeutic<br/>antifibrotic effects by increasing the fibrolytic phenotype. In addition through<br/>the use of gel contraction assays I demonstrate that H2-relaxin reduces serum or<br/>endothelin-1 induced HSC contraction. Through the use of siRNA I have<br/>confirmed that H2-relaxin mediates its regulation of fibrotic mediators and HSC<br/>activation markers as well as the inhibition of gel contraction through the relaxin<br/>receptor RXFP-1. I have evidence to suggest that the inhibition of contraction<br/>may in part be via nitric oxide release in HSC. In conclusion I propose that<br/>RXFP-1 is a potential therapeutic target in end stage human liver disease,<br/>targeting fibrosis and portal blood hypertension via both resolution of the<br/>phenotypic collagen deposition and vascular constriction associated with the<br/>human hepatic stellate cell.","abstract_html":"Liver fibrosis has a range of aetiologies and is a global cause of mortality. A&lt;br/&gt;critical effect of liver fibrosis which also increases mortality is portal&lt;br/&gt;hypertension. The hepatic stellate cell is accepted as a major progenitor of liver&lt;br/&gt;myofibroblasts, which have been shown to be a major source of collagen and&lt;br/&gt;extracellular matrix proteins that disrupt liver architecture and function. Relaxin&lt;br/&gt;is a hormone involved in remodelling of extracellular matrix in the uterus and&lt;br/&gt;cervix and is known to increase renal blood flow in pregnancy. It has been&lt;br/&gt;implicated in the regulation of fibrosis in animal models and to modify the cell&lt;br/&gt;biology of hepatic stellate cells in vitro. I have demonstrated the profile of&lt;br/&gt;expression of relaxin receptors in primary human stellate cells (HSC), showing&lt;br/&gt;them to express RXFP-1, 3 and 4. Using a cAMP assay I confirm these receptors&lt;br/&gt;to be functional, with RXFP-1 positively and RXFP-3 and 4 negatively coupling&lt;br/&gt;to cAMP. The expression of RXFP-1 is coupled with the level of activation,&lt;br/&gt;demonstrating a possible role for H2-relaxin in the regulation of HSC. I have&lt;br/&gt;established a dynamic regulation of fibrotic mediators and HSC activation&lt;br/&gt;markers, including a reduction in ?-SMA, TIMP-1 and TGF-? with increases in&lt;br/&gt;MMP-1 and MMP-2, consistent with H2-relaxin having potentially therapeutic&lt;br/&gt;antifibrotic effects by increasing the fibrolytic phenotype. In addition through&lt;br/&gt;the use of gel contraction assays I demonstrate that H2-relaxin reduces serum or&lt;br/&gt;endothelin-1 induced HSC contraction. Through the use of siRNA I have&lt;br/&gt;confirmed that H2-relaxin mediates its regulation of fibrotic mediators and HSC&lt;br/&gt;activation markers as well as the inhibition of gel contraction through the relaxin&lt;br/&gt;receptor RXFP-1. I have evidence to suggest that the inhibition of contraction&lt;br/&gt;may in part be via nitric oxide release in HSC. In conclusion I propose that&lt;br/&gt;RXFP-1 is a potential therapeutic target in end stage human liver disease,&lt;br/&gt;targeting fibrosis and portal blood hypertension via both resolution of the&lt;br/&gt;phenotypic collagen deposition and vascular constriction associated with the&lt;br/&gt;human hepatic stellate cell.","abstract_has_math":false,"creators":["Hayden, Annette Louise"],"institution":"University of Southampton","degree_name":"Ph.D.","degree_level":"doctoral","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Collins, J.E.","Princivalle, M.","Iredale, J.P."],"committee_chairs":[],"committee_members":[],"year":2009,"date_issued":"2009-04","date_published":"2009-04","updated_at":"2026-07-24T04:36:06Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Collins, J.E.","Princivalle, M.","Iredale, J.P."]},{"key":"dc:creator","label":"Author","values":["Hayden, Annette Louise"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2009-04"]},{"key":"dc:date.issued","label":"Date","values":["2009-04"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Infection Inflammation & Immunity (pre 2011 reorg)","School of Medicine"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Southampton"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://eprints.soton.ac.uk/67633/"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Ph.D."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://eprints.soton.ac.uk/67633/1/Annette_Thesis_Final_Version.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Liver fibrosis has a range of aetiologies and is a global cause of mortality. A<br/>critical effect of liver fibrosis which also increases mortality is portal<br/>hypertension. The hepatic stellate cell is accepted as a major progenitor of liver<br/>myofibroblasts, which have been shown to be a major source of collagen and<br/>extracellular matrix proteins that disrupt liver architecture and function. Relaxin<br/>is a hormone involved in remodelling of extracellular matrix in the uterus and<br/>cervix and is known to increase renal blood flow in pregnancy. It has been<br/>implicated in the regulation of fibrosis in animal models and to modify the cell<br/>biology of hepatic stellate cells in vitro. I have demonstrated the profile of<br/>expression of relaxin receptors in primary human stellate cells (HSC), showing<br/>them to express RXFP-1, 3 and 4. Using a cAMP assay I confirm these receptors<br/>to be functional, with RXFP-1 positively and RXFP-3 and 4 negatively coupling<br/>to cAMP. The expression of RXFP-1 is coupled with the level of activation,<br/>demonstrating a possible role for H2-relaxin in the regulation of HSC. I have<br/>established a dynamic regulation of fibrotic mediators and HSC activation<br/>markers, including a reduction in ?-SMA, TIMP-1 and TGF-? with increases in<br/>MMP-1 and MMP-2, consistent with H2-relaxin having potentially therapeutic<br/>antifibrotic effects by increasing the fibrolytic phenotype. In addition through<br/>the use of gel contraction assays I demonstrate that H2-relaxin reduces serum or<br/>endothelin-1 induced HSC contraction. Through the use of siRNA I have<br/>confirmed that H2-relaxin mediates its regulation of fibrotic mediators and HSC<br/>activation markers as well as the inhibition of gel contraction through the relaxin<br/>receptor RXFP-1. I have evidence to suggest that the inhibition of contraction<br/>may in part be via nitric oxide release in HSC. In conclusion I propose that<br/>RXFP-1 is a potential therapeutic target in end stage human liver disease,<br/>targeting fibrosis and portal blood hypertension via both resolution of the<br/>phenotypic collagen deposition and vascular constriction associated with the<br/>human hepatic stellate cell."]},{"key":"dc:format","label":"Dc Format","values":["text"]},{"key":"dc:title","label":"Title","values":["The role of relaxin in the regulation of human liver and kidney fibrosis"]}]}],"canonical_facts":{"dc:contributor.advisor":["Collins, J.E.","Princivalle, M.","Iredale, J.P."],"dc:creator":["Hayden, Annette Louise"],"dc:date":["2009-04"],"dc:date.issued":["2009-04"],"dc:description.abstract":["Liver fibrosis has a range of aetiologies and is a global cause of mortality. A<br/>critical effect of liver fibrosis which also increases mortality is portal<br/>hypertension. The hepatic stellate cell is accepted as a major progenitor of liver<br/>myofibroblasts, which have been shown to be a major source of collagen and<br/>extracellular matrix proteins that disrupt liver architecture and function. Relaxin<br/>is a hormone involved in remodelling of extracellular matrix in the uterus and<br/>cervix and is known to increase renal blood flow in pregnancy. It has been<br/>implicated in the regulation of fibrosis in animal models and to modify the cell<br/>biology of hepatic stellate cells in vitro. I have demonstrated the profile of<br/>expression of relaxin receptors in primary human stellate cells (HSC), showing<br/>them to express RXFP-1, 3 and 4. Using a cAMP assay I confirm these receptors<br/>to be functional, with RXFP-1 positively and RXFP-3 and 4 negatively coupling<br/>to cAMP. The expression of RXFP-1 is coupled with the level of activation,<br/>demonstrating a possible role for H2-relaxin in the regulation of HSC. I have<br/>established a dynamic regulation of fibrotic mediators and HSC activation<br/>markers, including a reduction in ?-SMA, TIMP-1 and TGF-? with increases in<br/>MMP-1 and MMP-2, consistent with H2-relaxin having potentially therapeutic<br/>antifibrotic effects by increasing the fibrolytic phenotype. In addition through<br/>the use of gel contraction assays I demonstrate that H2-relaxin reduces serum or<br/>endothelin-1 induced HSC contraction. Through the use of siRNA I have<br/>confirmed that H2-relaxin mediates its regulation of fibrotic mediators and HSC<br/>activation markers as well as the inhibition of gel contraction through the relaxin<br/>receptor RXFP-1. I have evidence to suggest that the inhibition of contraction<br/>may in part be via nitric oxide release in HSC. In conclusion I propose that<br/>RXFP-1 is a potential therapeutic target in end stage human liver disease,<br/>targeting fibrosis and portal blood hypertension via both resolution of the<br/>phenotypic collagen deposition and vascular constriction associated with the<br/>human hepatic stellate cell."],"dc:format":["text"],"dc:identifier.uri":["https://eprints.soton.ac.uk/67633/1/Annette_Thesis_Final_Version.pdf"],"dc:publisher.department":["Infection Inflammation & Immunity (pre 2011 reorg)","School of Medicine"],"dc:publisher.institution":["University of Southampton"],"dc:relation.isreferencedby":["https://eprints.soton.ac.uk/67633/"],"dc:title":["The role of relaxin in the regulation of human liver and kidney fibrosis"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["doctoral"],"dc:type.qualificationname":["Ph.D."]},"updated_at":"2026-07-24T04:36:06Z"}