The pathogenesis of renal
ischemia/reperfusion (I/R) injury involves activating several signal transduction cascade systems in endothelial cells.
Sphingosine 1-phospate (S1P) maintains endothelial cell integrity and inhibits lymphocyte egress via the specific S1P(1) receptor, and may play a role in reducing ischemic renal injury. We examined the protective effects of a newly identified S1P(1)-selective agonist,
SEW2871, on mouse renal I/R injury. Kidneys were harvested 1-4 days after I/R injury for histopathology, immunofluorescence studies, and quantitative real-time
reverse transcriptase-polymerase chain reaction analyses to assess the change in gene expression profiles of
inflammation-associated
cytokines and adhesion molecules.
SEW2871 improved renal function with a 40% reduction in plasma
creatinine levels (P<0.01) and a significant reduction in tubular
necrosis scores (I/R only: 4.3+/-0.2
vs I/R+SEW2871: 2.5+/-0.4, P<0.05) 24 h after
ischemia. These changes were accompanied by 69% reduction in circulating lymphocytes, and 77 and 66% reduction in infiltrating neutrophils and macrophages in renal outer medulla, respectively (all P<0.01). The
mRNA abundance of
tumor necrotic factor-alpha (
TNF-alpha),
P-selectin,
E-selectin, and
intercellular adhesion molecule-1 (ICAM-1) was markedly increased by I/R injury (3.5-, 4.1-, 3.5-, and 4.8-folds, respectively, all P<0.05 vs
sham).
SEW2871 treatment partially reversed the upregulation of
TNF-alpha,
P-selectin, and
ICAM-1 (47, 59, 54%, respectively,
vs I/R control: 100%, all P<0.05). The reduction in
protein expression of
TNF-alpha,
P-selectin, and
ICAM-1 was further confirmed with immunofluorescence studies. These results suggest that
SEW2871 ameliorates renal I/R injury by inhibiting lymphocyte egress and reducing pro-inflammatory molecules. This new class of renoprotective agent shows promise as a novel approach in preventing/treating ischemic
acute renal failure.