Sphingosine 1-phosphate receptor 1signaling in macrophages reduces atherosclerosis in LDL receptor-deficient mice

Francesco Potì1,2, Enrica Scalera3,4, Renata Feuerborn4

  • 1Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, Italy.

JCI Insight
|November 12, 2024
PubMed

Insights

Sphingosine 1-phosphate receptor 1 (S1P1) signaling in macrophages promotes an antiatherogenic M2 phenotype. This polarization reduces atherosclerotic lesion development in mice, revealing a novel therapeutic mechanism for cardiovascular disease.

Area of Science:

  • Immunology
  • Cardiovascular Research
  • Molecular Biology

Background:

  • Sphingosine 1-phosphate (S1P) is a bioactive lipid with known antiatherogenic effects.
  • The precise molecular mechanisms by which S1P exerts its protective functions against atherosclerosis are not fully understood.
  • Macrophage polarization plays a critical role in the development and progression of atherosclerotic lesions.

Purpose of the Study:

  • To investigate the role of Sphingosine 1-phosphate receptor 1 (S1P1) in macrophages during atherosclerosis development.
  • To elucidate the molecular mechanisms by which S1P1 signaling influences macrophage phenotype and function.
  • To evaluate the therapeutic potential of modulating S1P1 activity in preventing atherosclerosis.

Main Methods:

  • Utilized LDL receptor-deficient mice fed a cholesterol-rich diet, with varying levels of S1P1 overexpression in macrophages.
  • Administered a selective S1P1 agonist (KRP203) to assess its impact on macrophage phenotype.
  • Analyzed gene expression, transcription factor activity (PU.1, IRF8, LXR), M2 macrophage markers, cholesterol efflux, efferocytosis, and apoptosis.
  • Investigated downstream signaling pathways including PKA, AKT, and mTOR complex 1.

Main Results:

  • S1P1 overexpression in macrophages skewed them towards an M2-like phenotype, characterized by increased IL-10, IL-1RA, and IL-5 production.
  • S1P1-overexpressing macrophages exhibited enhanced cholesterol efflux, efferocytosis, and reduced apoptosis.
  • S1P1 signaling modulated transcription factor activity and downstream signaling pathways (AKT, mTORC1).
  • Administration of an S1P1 agonist mimicked these beneficial macrophage changes.
  • Significant reduction in atherosclerotic lesion size was observed in mice with S1P1-overexpressing macrophages.

Conclusions:

  • S1P1 signaling in macrophages is a key driver of antiatherogenic M2 polarization.
  • Modulation of S1P1 activity represents a promising therapeutic strategy for mitigating atherosclerosis.
  • The study reveals novel molecular targets and pathways involved in S1P-mediated protection against cardiovascular disease.