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Endothelial S1P1 signaling counteracts infarct expansion in ischemic stroke

Circulation Research Dec 06, 2020

Nitzsche A, Poittevin M, Benarab A, et al. - Vascular functions in other organs are coordinated by sphingosine 1-phosphate (S1P) signaling, and S1P receptor-1 (S1P1) modulators, like fingolimod, are promising for the treatment of ischemic and hemorrhagic stroke. S1P1 also coordinates trafficking of lymphocytes, which are currently considered a key therapeutic target for S1P1 modulation in stroke, so researchers sought to assess functions and mechanisms of engagement of endothelial cell S1P1 in the naïve and ischemic brain and it’s potential as a target for cerebrovascular therapy. A critical vascular protective role for endothelial S1P1 in the mouse brain was seen using spatial modulation of S1P provision and signaling. This research provides genetic evidence to support the endothelium's crucial role in maintaining the ischemic penumbra's perfusion and microvascular patency that is coordinated by S1P signaling and can be harnessed with blood-brain barrier-penetrating S1P1 agonists for neuroprotection.

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