Purpose:To understand the role of relaxin peptide in prostate cancer, we analyzed the expression of relaxin and its receptor in human prostate cancer samples, the effects of relaxin signaling on cancer cell phenotype in vitro, and the effects of increased serum relaxin concentrations on cancer progression in vivo. Experimental Design: The relaxin and its receptor leucine-rich repeat containing G proteinĉ oupled receptor 7 (LGR7) expression were studied by quantitative reverse transcription-PCR (11 benign and 44 cancer tissue samples) and by relaxin immunohistochemistry using tissue microarrays containing 10 normal and 69 cancer samples. The effects of relaxin treatment and endogenous relaxin/LGR7 suppression via short interfering RNA in PC-3 and LNCaP cells were analyzed in vitro. The effect of transgenic relaxin overexpression [Tg(Rln1)] on cancer growth and survival was evaluated in autochthonous transgenic adenocarcinoma of the mouse prostate (TRAMP). Results: The relaxin mRNA expression was significantly higher in recurrent prostate cancer samples. In tissue microarrays of the 10 normal tissues, 8 had low staining in epithelial cells, whereas only 1of 9 high-grade prostatic intraepithelial neoplasia lesions had low expression (P = 0.005) and only 29 of 65 cancers had low expression (P = 0.047). Stimulation with relaxin increased cell proliferation, invasiveness, and adhesion in vitro. The suppression of relaxin/LGR7 via short interfering RNAs decreased cell invasiveness by 90% to 95% and growth by 10% to 25% and increased cell apoptosis 0.6 to 2.2 times. TheTg(Rln1) TRAMP males had shorter median survival time, associated with the decreased apoptosis of tumor cells, compared with non-Tg(Rln1) TRAMP animals. Conclusions: Relaxin signaling plays a role in prostate cancer progression.Prostate cancer is the second most common malignancy in men in Western countries. After advancing to the androgenindependent stage, prostate cancer is unresponsive to androgen ablation therapy and is refractory (1). Identification of novel endogenous factors responsible for proliferation, survival, and migration of the prostate cancer cells may generate new therapeutic targets for treatment.Relaxin is a short circulating peptide hormone (2, 3). Two highly homologous genes on human chromosome 9 encode RLN1 and RLN2 peptides with predicted 82% identity at amino acid level. In the corpus luteum, the main source of circulating relaxin in females, only RLN2 is expressed (2 -4). Prostate is the main site of relaxin expression in men (5 -7). Relaxin, secreted from the prostate gland into seminal fluid, is the product of the RLN2 gene; however, the expression of both RLN1 and RLN2 genes has been detected in prostate at mRNA level (8). In nonprimates, there is only one orthologous RLN1 gene. Related peptides, such as RLN3 or INSL3, have a more restricted expression pattern (3). It has been shown that relaxin plays a role in connective tissue remodeling, suppression of fibrosis, dilation of blood vessels, and angiogenesis (2, 3). Th...