Multiple sclerosis patients are treated with fingolimod (FTY720), a prodrug that acts as an immune modulator. FTY720 is first phosphorylated to FTY720-P and then internalizes sphingosine-1-phosphate receptors, preventing lymphocyte sequestration. IL-33 is released from necrotic endothelial cells and contributes to MS severity by coactivating T cells. Herein we analyzed the influence of FTY720, FTY720-P, and S1P on IL-33 induced formation of IL-2 and IFN-γ, by using IL-33 receptor overexpressing EL4 cells, primary CD8 + T cells, and splenocytes. EL4-ST2 cells released IL-2 after IL-33 stimulation that was inhibited dose-dependently by FTY720-P but not FTY720. In this system, S1P increased IL-2, and accordingly, inhibition of S1P producing sphingosine kinases diminished IL-2 release. In primary CD8 + T cells and splenocytes IL-33/IL-12 stimulation induced IFN-γ, which was prevented by FTY720 but not FTY720-P, independently from intracellular phosphorylation. The inhibition of IFN-γ by nonphosphorylated FTY720 was mediated via the SET/protein phosphatase 2A (PP2A) pathway, since a SET peptide antagonist also prevented IFN-γ formation and the inhibition of IFN-γ by FTY720 was reversible by a PP2A inhibitor. While our findings directly improve the understanding of FTY720 therapy in MS, they could also contribute to side effects of FTY720 treatment, like progressive multifocal leukoencephalopathy, caused by an insufficient immune response to a viral infection.Keywords: CD8 + T cells r Fingolimod (FTY720) r IL-33 r Multiple sclerosis r Protein phosphatase 2a (PP2A)Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionMultiple sclerosis is an autoimmune disorder, characterized by the destruction of the myelin sheath by autoreactive immune cells, leading to astrogliosis, demyelination, and increasing disability. Most patients are diagnosed between 20 and 40 years, Correspondence: Dr. Heinfried H. Radeke e-mail: radeke@em.uni-frankfurt.de with a 2:1 female to male ratio [1]. Fingolimod (2-amino-2-[2-(4-octylphenyl)ethyl]-propane-1,3-diol; FTY720) is an immunemodulating prodrug derived from the natural compound myriocin and was approved in 2010 as the first oral treatment for relapsing-remitting MS. Its phosphorylated derivative is an analog of the bioactive sphingolipid sphingosine-1-phosphate (S1P), which is involved in cellular processes such as cell cycle, apoptosis, or immune modulatory processes such as migration or the regulation of cytokine expression [2,3]. Extracellular lipophilic C 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu
942Florian Ottenlinger et al. Eur. J. Immunol. 2016. 46: 941-951 FTY720 or sphingosine easily passes the membrane of immune cells to the intracellular space. Here, sphingosine is phosphorylated by the sphingosine kinases (SphKs) SphK1 and SphK2 to S1P, whereas FTY720 is phosphorylated by SphK2 to FTY720-phosphate (FTY720-P) [4]. Once phosphorylated, the amphiphilic nature of FTY720-P or S1P prev...