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Updated: Apr 28, 2026

A Pipeline to Investigate the Structures and Signaling Pathways of Sphingosine 1-Phosphate Receptors
Published on: June 8, 2022
Atheroprotective role of high-density lipoprotein (HDL)-associated sphingosine-1-phosphate (S1P)
Francesco Potì1, Manuela Simoni1, Jerzy-Roch Nofer2
1Department of Biomedical, Metabolic and Neural Sciences-Endocrinology Section, University of Modena and Reggio Emilia, Modena, Italy.
Insights
High-density lipoprotein (HDL) cholesterol levels correlate with reduced atherosclerosis, but HDL-targeted therapies lack benefits. Sphingosine-1-phosphate (S1P) within HDL may offer cardiovascular protection.
Area of Science:
- Cardiovascular Science
- Lipid Metabolism
- Molecular Biology
Background:
- Epidemiological studies show an inverse relationship between high-density lipoprotein (HDL) cholesterol and atherosclerotic disease.
- Clinical trials targeting HDL cholesterol have not demonstrated significant cardiovascular risk reduction.
- This suggests HDL components other than cholesterol may mediate its atheroprotective effects.
Purpose of the Study:
- To review evidence supporting the role of sphingosine-1-phosphate (S1P) as a key atheroprotective component of HDL.
- To explore the mechanisms by which S1P, a lysosphingolipid, contributes to cardiovascular health.
Main Methods:
- Review of epidemiological data linking HDL and atherosclerosis.
- Analysis of in vitro experimental findings on S1P function.
- Examination of data from animal models of atherosclerosis.
Main Results:
- Sphingosine-1-phosphate (S1P) is an integral component of HDL particles.
- S1P exerts biological activity through specific G protein-coupled receptors.
- Evidence suggests S1P contributes to the anti-atherogenic properties of HDL.
Conclusions:
- HDL's atheroprotective effects may be significantly mediated by its S1P content, not just cholesterol levels.
- S1P represents a potential therapeutic target for cardiovascular disease prevention.
- Further research into S1P's role in HDL function is warranted.
Abstract:
Numerous epidemiological studies documented an inverse relationship between plasma high-density lipoprotein (HDL) cholesterol levels and the extent of atherosclerotic disease. However, clinical interventions targeting HDL cholesterol failed to show clinical benefits with respect to cardiovascular risk reduction, suggesting that HDL components distinct from cholesterol may account for anti-atherogenic effects attributed to this lipoprotein. Sphingosine-1-phosphate (S1P)-a lysosphingolipid exerting its biological activity via binding to specific G protein-coupled receptors and regulating a wide array of biological responses in a variety of different organs and tissues including the cardiovascular system-has been identified as an integral constituent of HDL particles. In the present review, we discuss current evidence from epidemiological studies, experimental approaches in vitro, and animal models of atherosclerosis, suggesting that S1P contributes to atheroprotective effects exerted by HDL particles.
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