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Updated: Dec 11, 2025

A Pipeline to Investigate the Structures and Signaling Pathways of Sphingosine 1-Phosphate Receptors
Published on: June 8, 2022
The role of sphingosine 1-phosphate and its receptors in cardiovascular diseases
Jie Ouyang1,2, Zhihao Shu2, Shuhua Chen3
1Center for Experimental Medical Research, the Third Xiangya Hospital of Central South University, Changsha, China.
Insights
Sphingosine 1-phosphate (S1P) plays a critical role in cardiovascular diseases. Understanding S1P and its receptors (S1PRs) offers new therapeutic strategies for heart conditions.
Area of Science:
- Biochemistry
- Cardiology
- Pharmacology
Background:
- Cardiovascular diseases (CVDs) present a significant global health and economic challenge.
- Sphingosine 1-phosphate (S1P) is a lipid mediator with diverse roles in cellular signaling.
- The precise involvement of S1P and its receptors (S1PRs) in CVD pathogenesis requires further elucidation.
Purpose of the Study:
- To review the synthesis, release, and functions of S1P.
- To detail the roles of S1P and S1PRs in common cardiovascular diseases.
- To discuss controversial aspects and explore S1P-based therapeutic developments for CVDs.
Main Methods:
- Literature review of S1P and S1PR functions in cardiovascular contexts.
- Analysis of S1P and S1PR roles in various cardiovascular diseases.
- Examination of current and emerging S1P-targeting therapies.
Main Results:
- S1P is essential in both normal physiology and disease states within the circulatory system.
- Evidence suggests complex and sometimes conflicting roles of S1P and S1PRs in cardiovascular pathogenesis.
- S1P receptor modulators, like amiselimod and fingolimod, show potential for cardiovascular therapeutics.
Conclusions:
- Elucidating the multifaceted roles of S1P and S1PRs is crucial for understanding cardiovascular disease.
- Targeting the S1P pathway presents promising avenues for novel cardiovascular disease treatments.
- Further research into S1P-based therapies could lead to improved patient outcomes in cardiology.
Abstract:
There are many different types of cardiovascular diseases, which impose a huge economic burden due to their extremely high mortality rates, so it is necessary to explore the underlying mechanisms to achieve better supportive and curative care outcomes. Sphingosine 1-phosphate (S1P) is a bioactive lipid mediator with paracrine and autocrine activities that acts through its cell surface S1P receptors (S1PRs) and intracellular signals. In the circulatory system, S1P is indispensable for both normal and disease conditions; however, there are very different views on its diverse roles, and its specific relevance to cardiovascular pathogenesis remains elusive. Here, we review the synthesis, release and functions of S1P, specifically detail the roles of S1P and S1PRs in some common cardiovascular diseases, and then address several controversial points, finally, we focus on the development of S1P-based therapeutic approaches in cardiovascular diseases, such as the selective S1PR1 modulator amiselimod (MT-1303) and the non-selective S1PR1 and S1PR3 agonist fingolimod, which may provide valuable insights into potential therapeutic strategies for cardiovascular diseases.
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