Sphingosine 1-phosphate (S1P) is a key bioactive lipid that regulates a myriad of physiological and pathophysiological processes, including endothelial barrier function, vascular tone, vascular inflammation, and angiogenesis. Various S1P receptor subtypes have been suggested to be involved in the regulation of these processes, whereas the contribution of intracellular S1P (iS1P) through intracellular targets is little explored. In this study, we used the human cerebral microvascular endothelial cell line HCMEC/D3 to stably downregulate the S1P lyase (SPL-kd) and evaluate the consequences on endothelial barrier function and on the molecular factors that regulate barrier tightness under normal and inflammatory conditions. The results show that in SPL-kd cells, transendothelial electrical resistance, as a measure of barrier integrity, was regulated in a dual manner. SPL-kd cells had a delayed barrier build up, a shorter interval of a stable barrier, and, thereafter, a continuous breakdown. Contrariwise, a protection was seen from the rapid proinflammatory cytokine-mediated barrier breakdown. On the molecular level, SPL-kd caused an increased basal protein expression of the adherens junction molecules PECAM-1, VE-cadherin, and β-catenin, increased activity of the signaling kinases protein kinase C, AMP-dependent kinase, and p38-MAPK, but reduced protein expression of the transcription factor c-Jun. However, the only factors that were significantly reduced in TNFα/SPL-kd compared to TNFα/control cells, which could explain the observed protection, were VCAM-1, IL-6, MCP-1, and c-Jun. Furthermore, lipid profiling revealed that dihydro-S1P and S1P were strongly enhanced in TNFα-treated SPL-kd cells. In summary, our data suggest that SPL inhibition is a valid approach to dampenan inflammatory response and augmente barrier integrity during an inflammatory challenge.
Zusammenfassung Durch eine fehlregulierte Wirtsantwort infolge einer Infektion entwickeln sich bei der Sepsis lebensbedroh- liche Organdysfunktionen. Neben der Makrohämodynamik wird auch die Mikrozirkulation stark gestört. Die physiologischerweise autoregulierte Perfusion der Arteriolen, Kapillaren und Venolen wird durch ein Ablösen der Glykokalyx des Endothels, heterogene Vasokonstriktion, Mikrothrombenbildung und Inflam- mation beeinträchtigt, woraus Gewebehypoxie resultiert. Diese Beeinträchtigung kann weitere Organe schädigen und scheint einen Einfluss auf die Mortalität zu haben. Neben Surrogatparametern des endothe- lialen Schadens werden mobile Videomikroskope als Möglichkeiten zur Diagnostik von Mikrozirkulations- störungen erprobt. Eine Volumen- und Pharmakotherapie der Sepsis können die Mikrozirkulation unter- schiedlich beeinflussen. Zur Abschätzung der prognostischen Relevanz der Mikrozirkulationsstörung, Vali- dierung neuer diagnostischer Verfahren sowie Erforschung therapeutischer Optionen werden randomisier- te kontrollierte Studien benötigt. Schlüsselwörter Sepsis; Mikrozirkulation; Endothel; Biomarker
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