Sphingosine-1-phosphate (S1P) activates STAT3 to protect against de novo acute heart failure (AHF)

Gaurang P Deshpande1, Aqeela Imamdin1, Sandrine Lecour1

  • 1Hatter Institute for cardiovascular Research in Africa, Department of Medicine, University of Cape Town, South Africa.

Life Sciences
|January 27, 2018
PubMed

Insights

Sphingosine-1-phosphate (S1P) protects hearts in acute heart failure (AHF) by activating signal transducer and activator of transcription 3 (STAT3). This finding supports S1P as a potential therapy for AHF patients.

Area of Science:

  • Cardiovascular Research
  • Molecular Cardiology
  • Pharmacology

Background:

  • Acute heart failure (AHF) presents a significant clinical challenge due to high mortality and re-hospitalization rates.
  • Previous research indicated that sphingosine-1-phosphate (S1P) offers cardioprotection in an ex-vivo AHF model, but the underlying mechanisms required further investigation.

Purpose of the Study:

  • To investigate the role of the signal transducer and activator of transcription 3 (STAT3) pathway in mediating the cardioprotective effects of S1P in acute heart failure.
  • To elucidate the molecular mechanisms by which S1P improves functional recovery in an ex-vivo model of AHF.

Main Methods:

  • Isolated rat hearts underwent a 35-minute hypotensive acute heart failure (AHF) insult followed by a 30-minute recovery period.
  • Sphingosine-1-phosphate (S1P) was administered during either the hypotensive or recovery phase, with or without the STAT3 inhibitor AG490.
  • Functional parameters, including heart rate and left ventricular developed pressure, were continuously monitored.

Main Results:

  • S1P administration during the recovery phase significantly improved heart rate (175.2 ± 30.7 BPM vs. 71.6 ± 27.4 BPM, p < 0.05) compared to controls, without altering left ventricular developed pressure.
  • This cardioprotective effect was correlated with increased levels of phosphorylated STAT3 in the heart's nucleus.
  • Inhibition of STAT3 with AG490 abolished the beneficial effects of S1P on heart rate (42.3 ± 17.1 BPM vs. 148.8 ± 26.4 BPM for S1P, p < 0.05).

Conclusions:

  • The findings demonstrate that S1P confers cardioprotection in an ex-vivo rat heart model of AHF through the activation of the STAT3 signaling pathway.
  • These results provide compelling evidence supporting the potential therapeutic utility of S1P for managing patients with acute heart failure.
Abstract

Related Concept Videos

Acute Respiratory Failure-I01:21

Acute Respiratory Failure-I

Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
1.1K
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
1.2K
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
519
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
1.0K
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
4.0K
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
966