BACKGROUND
<em>Sphingosine</em> kinases (SphKs) <em>1</em> and 2 regulate the synthesis of the bioactive sphingolipid <em>sphingosine</em>-<em>1</em>-<em>phosphate</em> (S<em>1</em>P), an important lipid mediator that promotes cell proliferation, migration, and angiogenesis.
OBJECTIVE
We aimed to examine whether SphKs and their product, S<em>1</em>P, play a role in the development of pulmonary arterial hypertension (PAH).
METHODS
SphK<em>1</em>(-/-), SphK2(-/-), and S<em>1</em>P lyase heterozygous (Sgpl<em>1</em>(+/-)) mice, a pharmacologic SphK inhibitor (SKI2), and a S<em>1</em>P receptor 2 (S<em>1</em>PR2) antagonist (JTE0<em>1</em>3) were used in rodent models of hypoxia-mediated pulmonary hypertension (HPH). S<em>1</em>P levels in lung tissues from patients with PAH and pulmonary arteries (PAs) from rodent models of HPH were measured.
RESULTS
mRNA and protein levels of SphK<em>1</em>, but not SphK2, were significantly increased in the lungs and isolated PA smooth muscle cells (PASMCs) from patients with PAH, and in lungs of experimental rodent models of HPH. S<em>1</em>P levels were increased in lungs of patients with PAH and PAs from rodent models of HPH. Unlike SphK2(-/-) mice, SphK<em>1</em>(-/-) mice were protected against HPH, whereas Sgpl<em>1</em>(+/-) mice were more susceptible to HPH. Pharmacologic SphK<em>1</em> and S<em>1</em>PR2 inhibition prevented the development of HPH in rodent models of HPH. Overexpression of SphK<em>1</em> and stimulation with S<em>1</em>P potentially via ligation of S<em>1</em>PR2 promoted PASMC proliferation in vitro, whereas SphK<em>1</em> deficiency inhibited PASMC proliferation.
CONCLUSIONS
The SphK<em>1</em>/S<em>1</em>P axis is a novel pathway in PAH that promotes PASMC proliferation, a major contributor to pulmonary vascular remodeling. Our results suggest that this pathway is a potential therapeutic target in PAH.