Sphingosine-1-Phosphate Mediates Fibrosis in Orbital Fibroblasts in Graves' Orbitopathy

JaeSang Ko1, Min Kyoung Chae1, Joon H Lee2

  • 1Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Insights

Sphingosine-1-phosphate (S1P) drives fibrosis in Graves' orbitopathy (GO) orbital fibroblasts. Blocking S1P signaling reduced fibrosis and tissue remodeling proteins, suggesting S1P modulation as a potential GO therapy.

Area of Science:

  • Ophthalmology
  • Endocrinology
  • Cell Biology

Background:

  • Graves' orbitopathy (GO) is an autoimmune condition affecting orbital tissues.
  • Fibrosis in orbital fibroblasts contributes to the pathogenesis of GO.
  • The role of sphingosine-1-phosphate (S1P) in GO-related fibrosis is not fully understood.

Purpose of the Study:

  • To investigate the effect of S1P on fibrosis in orbital fibroblasts from patients with GO.
  • To explore the potential of modulating S1P signaling as a therapeutic strategy for GO.

Main Methods:

  • Orbital fibroblasts from GO patients and controls were cultured.
  • Cells were treated with TGF-β, cigarette smoke extract (CSE), or IL-1β, with or without S1P receptor (S1PR) antagonists/modulators or a sphingosine kinase-1 blocker.
  • Expression of fibrosis and tissue remodeling proteins was assessed using Western blotting.

Main Results:

  • TGF-β and CSE increased S1P and S1PR expression in GO fibroblasts.
  • S1P receptor blockade and inhibition of S1P synthesis reduced the expression of collagen Iα, fibronectin, and α-SMA induced by TGF-β and CSE.
  • Exogenous S1P upregulated fibrosis and tissue remodeling markers in a dose-dependent manner.

Conclusions:

  • S1P signaling promotes fibrosis and tissue remodeling in GO orbital fibroblasts.
  • Blocking S1P activity or synthesis decreases the expression of key fibrotic and remodeling proteins.
  • Modulation of S1P activity holds therapeutic promise for suppressing fibrosis in GO.