鞘氨醇-1-磷酸受体激动剂西尼莫德对血脑屏障功能障碍的保护作用。
Protective effect of the sphingosine-1 phosphate receptor agonist siponimod on disrupted blood brain barrier function.
机构信息
Department of Biomedical and Biotechnological Sciences, Section of Pharmacology, Catania, Italy.
Department of Neurology and Clinical Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
出版信息
Biochem Pharmacol. 2021 Apr;186:114465. doi: 10.1016/j.bcp.2021.114465. Epub 2021 Feb 10.
Sphingosine 1 phosphate (S1P) is a bioactive sphingolipid that exerts several functions in physiological and pathological conditions. The modulation of one of its receptors, S1P1, plays an important role in the egress of lymphocytes from lymph nodes and is a useful target in multiple sclerosis (MS) treatment. A new drug, siponimod (BAF-312) has been recently approved for the treatment of secondary progressive MS and has affinity for two S1P receptors, S1P1 and S1P5. The two receptors are expressed by endothelial cells that, as components of the blood-brain barrier (BBB), prevent the access of solutes and lymphocytes into the central nervous system, function often compromised in MS. Using an in vitro BBB model exposed to inflammatory cytokines (TNFα and IFNγ, 5 UI and 10 UI respectively), we evaluated the effects of BAF-312 (100 nM) on expression and function of endothelial tight junctional proteins (Zo-1 and claudin-5), regulation of transendothelial electrical resistance (TEER) and permeability to FITC-conjugated dextran. Zo-1 expression, as well as TEER values, were promptly recovered (24 h) when both S1P1 and S1P5 were activated by BAF-312. In contrast, at this time point, activation of S1P5 with the selective agonist UC-42-WP04 (300 nM) or with BAF-312, under blockade of S1P1 with the selective antagonist NIBR-0213 (1 μM), resulted in recovery of expression and localization of claudin-5 and reduction of TNFα/INFγ-induced expression of metalloproteinase 9. Only after a prolonged BAF-312 exposure (48 h), S1P1 was involved through activation of the PI3K/Akt pathway. The PI3K inhibitor LY294002 (10 µM) prevented in fact the effects of BAF-312 on all the parameters examined. In conclusion, BAF-312, by modulating both S1P1 and S1P5, may strengthen BBB properties, thus providing additional effects in the treatment of MS.
鞘氨醇 1 磷酸(S1P)是一种具有生物活性的鞘脂,在生理和病理条件下发挥多种功能。其受体之一 S1P1 的调节在淋巴细胞从淋巴结迁出中起着重要作用,是多发性硬化症(MS)治疗的有用靶点。一种新的药物,西尼莫德(BAF-312)最近被批准用于治疗继发进展性 MS,对两种 S1P 受体,S1P1 和 S1P5 具有亲和力。这两种受体均由内皮细胞表达,作为血脑屏障(BBB)的组成部分,防止溶质和淋巴细胞进入中枢神经系统,而这一功能在 MS 中经常受到损害。我们使用暴露于炎症细胞因子(TNFα 和 IFNγ,分别为 5 UI 和 10 UI)的体外 BBB 模型,评估了 BAF-312(100 nM)对内皮紧密连接蛋白(Zo-1 和 Claudin-5)表达和功能、跨内皮电阻(TEER)调节和 FITC 结合葡聚糖通透性的影响。当通过 BAF-312 同时激活 S1P1 和 S1P5 时,Zo-1 表达和 TEER 值在 24 小时内迅速恢复。相比之下,在此时点,用选择性激动剂 UC-42-WP04(300 nM)或在 S1P1 被选择性拮抗剂 NIBR-0213(1 μM)阻断的情况下用 BAF-312 激活 S1P5,导致 Claudin-5 的表达和定位恢复,并降低 TNFα/IFNγ 诱导的金属蛋白酶 9 的表达。只有在长时间暴露于 BAF-312(48 小时)后,S1P1 通过激活 PI3K/Akt 途径才参与其中。PI3K 抑制剂 LY294002(10 μM)实际上阻止了 BAF-312 对所有检查参数的影响。总之,BAF-312 通过调节 S1P1 和 S1P5,可能增强 BBB 的特性,从而在 MS 的治疗中提供额外的效果。