T and B lymphocytes, as well as endothelial cells, express distinctive profiles of G protein-coupled receptors for sphingosine 1-phosphate, which is a major regulator of T cell development, B and T cell recirculation, tissue homing patterns, and chemotactic responses to chemokines. The capacity of drugs that act on type 1 sphingosine 1-phosphate receptors to suppress organ graft rejection in humans and autoimmunity in animal models without apparent impairment of host defenses against infections suggests that this system is a promising target for new forms of immunotherapy.
Lysosphingolipids in the constellation of immunoregulatory lipidsLysophospholipids (LPLs) with biological mediator activity include lysoglycero-phospholipids, epitomized by lysophosphatidic acid (LPA), and lysosphingophospholipids, such as sphingosine 1-phosphate (S1P). The defining property of each LPL is an absence of 1 fatty acid from 1 of the 2 possible positions of acylation on the glycerol backbone. Both classes of LPLs share 3 important characteristics. First, their structures have a lipid domain and 1 or more polar charged substituents, and they are bound extensively in vivo by albumin and other plasma proteins. Second, they affect numerous functions of many types of cells, from proliferation and survival to migration and secretion. There is solid evidence for involvement of LPLs in processes as diverse as oxidative metabolism, angiogenesis, and carcinogenesis. Third, they all signal cells predominantly through structurally related G protein-coupled receptors (GPCRs). Of the known lipid biomediators, only leukotriene B 4 (LTB4), derived by 5-lipoxygenation of arachidonic acid, and S1P are considered major immune cytokines. As the effects of both S1P and LTB4 are transduced by GPCRs that are prime targets for drug development, normal and pathological contributions of the S1P and LTB4 systems are expected to be highly susceptible to pharmaceutical intervention.All immunoregulatory lipid mediators are produced predominantly by cells of the innate immune system, such as mast cells, macrophages, and granulocytes, and act on T and B cells of the adaptive immune system, as well as phagocytes and endothelial cells, through their respective GPCRs. Arachidonic acid-derived lipid mediators, such as COX-generated prostaglandin E2 and thromboxane A2, affect some aspects of B cell and T cell development and survival, as well as cytokine secretion with low to moderate potency (1). LTB4 is a potent and selective chemotactic factor for subsets of effector T cells, but not for naive T cells, and does not effect other lymphocyte functions (2, 3). The phospholipid platelet-activating factor (PAF) and PAF-like fragments of oxidized phosphatidylcholine are potent inflammatory mediators but have modest or restricted suppressive immune effects on adaptive immunity that have been recognized only in very specialized settings (4). In contrast, profound effects of S1P, LPA, and other LPLs are seen on diverse aspects of differentiation, survival, migration, tissue...