Cardio-oncology & other

Abnormal Lymphatic Sphingosine-1-Phosphate Signaling Aggravates Lymphatic Dysfunction and Tissue Inflammation

CirculationPublished Mechanistic study

Authors' conclusion

This study suggests that reduction of the LEC S1P signaling aggravates lymphedema by enhancing LEC adhesion and amplifying pathogenic CD4 T-cell responses.

Study context

Population
Human and mouse lymphedema (mouse model: surgical ligation of tail lymphatics; Lymphatic endothelial cell (LEC)-specific S1pr1-deficient mice)

Main finding

As reported in the abstract

  • Human and experimental lymphedema tissues showed decreased LEC S1P signaling through S1PR1
  • LEC S1pr1 loss-of-function exacerbated lymphatic vascular insufficiency, tail swelling and CD4 T-cell infiltration in mouse lymphedema
  • LECs from S1pr1LECKO mice cocultured with CD4 T cells augmented lymphocyte differentiation
  • Inhibiting S1PR1 signaling in human dermal LECs promoted Th1 and Th2 differentiation through direct cell contact
  • Human dermal LECs with dampened S1P signaling showed enhanced P-selectin
  • In vitro P-selectin blockade reduced activation and differentiation of Th cells cocultured with shS1PR1-treated human dermal LECs
  • P-selectin-directed antibody improved tail swelling and reduced Th1/Th2 responses in mouse lymphedema

Original publication

Abnormal Lymphatic Sphingosine-1-Phosphate Signaling Aggravates Lymphatic Dysfunction and Tissue Inflammation. Circulation. Published 23 August 2023. doi:10.1161/circulationaha.123.064181

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