Postoperative
ileus, a major cause of morbidity after abdominal surgery, is characterized by intestinal dysmotility and
inflammation. The aim was to investigate the involvement of
sphingolipids in postoperative intestinal
inflammation using a standardized rat model of intestinal surgical manipulation.
Sphingolipid analysis (ESI-MS) of intestinal muscularis after manipulation revealed a time-dependent increase of
sphingosine 1-phosphate (S1P) and of
ceramide 1-phosphate (C1P). We therefore established a culture system of primary rat intestinal smooth muscle cells and examined the potential role of these
sphingolipids in intestinal
inflammation. Incubation of cells with either of the two
sphingolipid-
phosphates resulted in an elevated production of
PGE(2). Further analysis revealed that S1P enhances
cyclooxygenase 2 (COX-2) expression whereas C1P increases release of
arachidonic acid, indicating an enhanced
phospholipase A(2) activity. S1P-induced COX-2 expression was
pertussis toxin sensitive, suggesting the involvement of Gi/o
protein-coupled S1P receptors. Further downstream mediators of S1P induced COX-2 expression appear to be extracellular regulated
kinase (ERK) and
p38 mitogen-activated protein kinase (MAPK). Collectively, our results demonstrate that intestinal smooth muscle cells represent a major target for both C1P and S1P activity. Thus, the sustained elevated concentration of the two bioactive
sphingolipids in this tissue could at least in part explain postoperative intestinal dysmotility.