Sphingosine 1-phosphate signaling at the blood-brain barrier

Trends Mol Med. 2015 Jun;21(6):354-63. doi: 10.1016/j.molmed.2015.03.006. Epub 2015 May 1.

Abstract

The characterization of molecular pathways that modulate blood-brain barrier (BBB) function and integrity has been fueled by a growing body of literature implicating BBB dysfunction in a wide range of neurologic diseases. Sphingosine 1-phosphate (S1P) is a pleiotropic signaling molecule that has been effectively targeted by the immunomodulatory S1P1 functional antagonist fingolimod in the treatment of multiple sclerosis (MS). Investigation into the pathways modulated by S1P has revealed its important role in regulating BBB integrity via signaling through receptor isoforms on astrocytes and endothelial cells (ECs). Current evidence supports a significant role for S1P signaling as a key determinant of BBB permeability and hence as a potential pathogenic player or therapeutic target in diseases characterized by BBB dysfunction.

Keywords: astrocyte; blood–brain barrier; fingolimod; multiple sclerosis; neuroinflammation; sphingosine 1-phosphate.

MeSH terms

  • Animals
  • Astrocytes / drug effects
  • Astrocytes / immunology
  • Astrocytes / metabolism
  • Astrocytes / pathology
  • Blood-Brain Barrier / drug effects
  • Blood-Brain Barrier / immunology
  • Blood-Brain Barrier / metabolism*
  • Blood-Brain Barrier / pathology*
  • Capillary Permeability / drug effects
  • Endothelial Cells / drug effects
  • Endothelial Cells / immunology
  • Endothelial Cells / metabolism
  • Endothelial Cells / pathology
  • Fingolimod Hydrochloride / pharmacology
  • Humans
  • Immunologic Factors / pharmacology
  • Lysophospholipids / immunology
  • Lysophospholipids / metabolism*
  • Multiple Sclerosis / drug therapy
  • Multiple Sclerosis / immunology
  • Multiple Sclerosis / pathology
  • Receptors, Lysosphingolipid / immunology
  • Receptors, Lysosphingolipid / metabolism
  • Signal Transduction* / drug effects
  • Sphingosine / analogs & derivatives*
  • Sphingosine / immunology
  • Sphingosine / metabolism

Substances

  • Immunologic Factors
  • Lysophospholipids
  • Receptors, Lysosphingolipid
  • sphingosine 1-phosphate
  • Fingolimod Hydrochloride
  • Sphingosine