Prolonged exposure to sphingosine 1–phosphate receptor-1 agonists exacerbates vascular leak, fibrosis, and mortality after lung injury

BS Shea, SF Brooks, BA Fontaine, J Chun… - American journal of …, 2010 - atsjournals.org
BS Shea, SF Brooks, BA Fontaine, J Chun, AD Luster, AM Tager
American journal of respiratory cell and molecular biology, 2010atsjournals.org
Sphingosine 1–phosphate (S1P) is a key endogenous regulator of the response to lung
injury, maintaining endothelial barrier integrity through interaction with one of its receptors,
S1P1. The short-term administration of S1P or S1P1 receptor agonists enhances endothelial
monolayer barrier function in vitro, and attenuates injury-induced vascular leak in the lung
and other organ systems in vivo. Although S1P1 agonists bind to and activate S1P1, several
of these agents also induce receptor internalization and degradation, and may therefore act …
Sphingosine 1–phosphate (S1P) is a key endogenous regulator of the response to lung injury, maintaining endothelial barrier integrity through interaction with one of its receptors, S1P1. The short-term administration of S1P or S1P1 receptor agonists enhances endothelial monolayer barrier function in vitro, and attenuates injury-induced vascular leak in the lung and other organ systems in vivo. Although S1P1 agonists bind to and activate S1P1, several of these agents also induce receptor internalization and degradation, and may therefore act as functional antagonists of S1P1 after extended exposure. Here we report on the effects of prolonged exposure to these agents in bleomycin-induced lung injury. We demonstrate that repeated administration of S1P1 agonists dramatically worsened lung injury after bleomycin challenge, as manifested by increased vascular leak and mortality. Consistent with these results, prolonged exposure to S1P1 agonists in vitro eliminated the ability of endothelial cell monolayers to respond appropriately to the barrier-protective effects of S1P, indicating a loss of normal S1P–S1P1 signaling. As bleomycin-induced lung injury progressed, continued exposure to S1P1 agonists also resulted in increased pulmonary fibrosis. These data indicate that S1P1 agonists can act as functional antagonists of S1P1 on endothelial cells in vivo, which should be considered in developing these agents as therapies for vascular leak syndromes. Our findings also support the hypothesis that vascular leak is an important component of the fibrogenic response to lung injury, and suggest that targeting the S1P–S1P1 pathway may also be an effective therapeutic strategy for fibrotic lung diseases.
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