S1PR3 agonism and S1P lyase inhibition rescue mice in the severe state of experimental sepsis - 27/04/24
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Abstract |
Sepsis is characterized as life-threatening organ dysfunction caused by a dysregulated host response to an infection. Despite numerous clinical trials that addressed this syndrome, there is still no causative treatment available to dampen its severity. Curtailing the infection at an early stage with anti-infectives is the only effective treatment regime besides intensive care. In search for additional treatment options, we recently discovered the inhibition of the sphingosine 1-phosphate (S1P) lyase and subsequent activation of the S1P receptor type 3 (S1PR3) in pre-conditioning experiments as promising targets for sepsis prevention. Here, we demonstrate that treatment of septic mice with the direct S1P lyase inhibitor C31 or the S1PR3 agonist CYM5541 in the advanced phase of sepsis resulted in a significantly increased survival rate. A single dose of each compound led to a rapid decline of sepsis severity in treated mice and coincided with decreased cytokine release and increased lung barrier function with unaltered bacterial load. The survival benefit of both compounds was completely lost in S1PR3 deficient mice. Treatment of the murine macrophage cell line J774.1 with either C31 or CYM5541 resulted in decreased protein kinase B (Akt) and stress-activated protein kinase/c-Jun N-terminal kinase (SAPK/JNK) phosphorylation without alteration of the mitogen-activated protein kinase (MAPK) p38 and p44/42 phosphorylation. Thus, activation of S1PR3 in the acute phase of sepsis by direct agonism or S1P lyase inhibition dampened Akt and JNK phosphorylation, resulting in decreased cytokine release, improved lung barrier stability, rapid decline of sepsis severity and better survival in mice.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Increased survival rate by S1PR3 stimulation in the advanced phase of sepsis. |
• | Signaling via reduced Akt and JNK phosphorylation. |
• | Decrease of cytokine release and increase of lung barrier stability. |
• | Activity of S1PR3 agonist CYM5541 and S1P lyase inhibitor C31 in severe sepsis. |
• | S1PR3 agonists as potential treatment option in critically ill sepsis patients. |
Keywords : CYM5541, C31, Inflammation, Cytokine, Sphingosine, Receptor
Plan
Vol 174
Article 116575- mai 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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