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Updated: Feb 26, 2026

A Pipeline to Investigate the Structures and Signaling Pathways of Sphingosine 1-Phosphate Receptors
Published on: June 8, 2022
Sphingosine-1-Phosphate Receptor-1 Promotes Environment-Mediated and Acquired Chemoresistance
Veronica Lifshitz1, Saul J Priceman2, Wenzhao Li1
1Department of Immuno-Oncology, Beckman Research Institute, City of Hope Comprehensive Cancer Center, Duarte, California.
Abstract:
Drug resistance is a major barrier for the development of effective and durable cancer therapies. Overcoming this challenge requires further defining the cellular and molecular mechanisms underlying drug resistance, both acquired and environment-mediated drug resistance (EMDR). Here, using neuroblastoma (NB), a childhood cancer with high incidence of recurrence due to resistance to chemotherapy, as a model we show that human bone marrow-mesenchymal stromal cells induce tumor expression of sphingosine-1-phosphate receptor-1 (S1PR1), leading to their resistance to chemotherapy. Targeting S1PR1 by shRNA markedly enhances etoposide-induced apoptosis in NB cells and abrogates EMDR, while overexpression of S1PR1 significantly protects NB cells from multidrug-induced apoptosis via activating JAK-STAT3 signaling. Elevated S1PR1 expression and STAT3 activation are also observed in human NB cells with acquired resistance to etoposide. We show in vitro and in human NB xenograft models that treatment with FTY720, an FDA-approved drug and antagonist of S1PR1, dramatically sensitizes drug-resistant cells to etoposide. In summary, we identify S1PR1 as a critical target for reducing both EMDR and acquired chemoresistance in NB. Mol Cancer Ther; 16(11); 2516-27. ©2017 AACR.
Insights
Human bone marrow cells promote neuroblastoma chemoresistance by increasing sphingosine-1-phosphate receptor-1 (S1PR1). Targeting S1PR1 with FTY720 drug sensitizes resistant neuroblastoma to chemotherapy.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Drug resistance is a significant obstacle in developing effective and lasting cancer therapies.
- Understanding acquired and environment-mediated drug resistance (EMDR) mechanisms is crucial for overcoming treatment failure.
- Neuroblastoma (NB) recurrence is often linked to chemotherapy resistance.
Purpose of the Study:
- To investigate the role of sphingosine-1-phosphate receptor-1 (S1PR1) in mediating chemoresistance in neuroblastoma.
- To explore S1PR1 as a potential therapeutic target for overcoming drug resistance in NB.
Main Methods:
- Utilized neuroblastoma (NB) as a model to study chemoresistance.
- Investigated the effect of human bone marrow-mesenchymal stromal cells on NB drug resistance.
- Assessed the impact of S1PR1 modulation (shRNA, overexpression) on NB cell apoptosis and chemoresistance.
- Examined the role of JAK-STAT3 signaling in S1PR1-mediated resistance.
- Evaluated the efficacy of FTY720, an S1PR1 antagonist, in preclinical models (in vitro and xenografts).
Main Results:
- Human bone marrow-mesenchymal stromal cells induce tumor S1PR1 expression, conferring chemotherapy resistance to NB cells.
- Targeting S1PR1 with shRNA enhances etoposide-induced apoptosis and abrogates EMDR in NB.
- S1PR1 overexpression protects NB cells from multidrug-induced apoptosis via JAK-STAT3 activation.
- Elevated S1PR1 and STAT3 activation correlate with acquired etoposide resistance in human NB cells.
- FTY720 treatment sensitizes drug-resistant NB cells to etoposide in vitro and in vivo.
Conclusions:
- S1PR1 is identified as a critical mediator of both environment-mediated drug resistance (EMDR) and acquired chemoresistance in neuroblastoma.
- Targeting S1PR1 represents a promising strategy to enhance the efficacy of chemotherapy in drug-resistant neuroblastoma.
- FTY720 demonstrates potential as a therapeutic agent to overcome chemoresistance in NB.
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