Rationale:The role of sphingosine-1-phosphate (S1P) and its receptors in the pathogenesis of atherosclerosis has not been investigated.
Objective:We hypothesized that the S1P receptor 3 (S1P 3 ) plays a causal role in the pathogenesis of atherosclerosis.
Methods and Results:We examined atherosclerotic lesion development in mice deficient for S1P 3 and apolipoprotein (Apo)E. Although S1P 3 deficiency did not affect lesion size after 25 or 45 weeks of normal chow diet, it resulted in a dramatic reduction of the monocyte/macrophage content in lesions of S1P 3 ؊/؊ /ApoE ؊/؊ double knockout mice. To search for putative defects in monocyte/macrophage recruitment, we examined macrophagedriven inflammation during thioglycollate-induced peritonitis. Elicited peritoneal macrophages were reduced in S1P 3 -deficient mice and expressed lower levels of tumor necrosis factor-␣ and monocyte chemoattractant protein-1. Bone marrow-derived S1P 3 -deficient macrophages produced less MCP-1 in response to lipopolysaccharide stimulation. In vitro, S1P was chemotactic for wild-type but not S1P 3 -deficient peritoneal macrophages. In vivo, S1P concentration increased rapidly in the peritoneal cavity after initiation of peritonitis. Treatment with the S1P analog FTY720 attenuated macrophage recruitment to the peritoneum. Studies in bone marrow chimeras showed that S1P 3 in both hematopoietic and nonhematopoietic cells contributed to monocyte/macrophage accumulation in atherosclerotic lesions. Finally, S1P 3 deficiency increased the smooth muscle cell content of atherosclerotic lesions and enhanced neointima formation after carotid ligation arguing for an antiproliferative/antimigratory role of S1P 3 in the arterial injury response.
Conclusions:Our data suggest that S1P 3 mediates the chemotactic effect of S1P in macrophages in vitro and in vivo and plays a causal role in atherosclerosis by promoting inflammatory monocyte/macrophage recruitment and altering smooth muscle cell behavior. (Circ Res. 2011;108:314-323.)Key Words: sphingosine-1-phosphate (S1P) Ⅲ atherosclerosis Ⅲ macrophages Ⅲ inflammation Ⅲ vascular biology Ⅲ lipid metabolites S phingosine-1-phosphate (S1P) is a bioactive lipid with key functions in the immune, inflammatory, and cardiovascular systems. S1P is abundant in plasma (200 to 1000 nmol/L 1,2 ), where it is contained mainly in the high-density lipoprotein fraction 3 in a biologically active form. 4 Accordingly, plasma S1P levels correlate positively with plasma high-density lipoprotein cholesterol and apolipoprotein AI. 2 As a component of both plasma and interstitial fluid, S1P interacts with all vascular and nonvascular cell types that participate in the pathogenesis of atherosclerosis. All these cells have functional S1P receptors and respond to S1P in a number of different ways, 5 which has prompted the question whether S1P and its receptors may play a role in the pathogenesis of atherosclerosis. A positive association between serum S1P levels and the severity of coronary artery stenosis has been described in ...