Identity
B7-33 is a single-chain peptide derived from the B-chain of H2 relaxin, the human hormone best known for softening connective tissue in pregnancy and for its anti-fibrotic signalling. Native relaxin is a two-chain, insulin-like protein that is awkward to manufacture and carries blood-pressure effects; B7-33 is the stripped-down, single-chain attempt to keep the useful half.
Mechanism (as proposed)
B7-33 is reported to act as a biased agonist at the relaxin receptor RXFP1. The elegance of the design is selectivity: it is said to activate the pERK1/2–pMAD pathway responsible for relaxin's anti-fibrotic effects while largely sparing the cAMP pathway tied to relaxin's hemodynamic (blood-pressure-lowering) actions. In rodent models of cardiac, pulmonary and renal fibrosis, it reduced scarring. The concept — isolate one arm of a receptor's signalling to keep the benefit and drop the liability — is exactly the kind of rational design that looks good on paper.
Reading the evidence honestly
Two facts frame B7-33 honestly. First, the anti-fibrotic record is preclinical and concentrated in the originating groups — consistent direction from a few labs, not broad replication. Second, and decisively, there are no human studies of any kind. It is also worth remembering that full-length relaxin (serelaxin) failed its major acute-heart-failure endpoint (RELAX-AHF-2), and anti-fibrotic drugs as a class translate to humans poorly. B7-33 has cleared a preclinical bar that its own parent protein could not turn into clinical success. Interesting design, unproven molecule.