Selective sphingosine 1-phosphate 1 receptor activation reduces ischemia-reperfusion injury in mouse kidney

The mechanisms involved in renal ischemia-reperfusion injury (IRI) are complex and appear to involve the early participation of bone marrow-derived cells. T-lymphocytes participate in the pathogenesis of IRI. Sphingosine 1-phosphate (S1P) induces peripheral T cell depletion. Therefore, we hypothesized that S1[P.sub.1] receptor activation protects kidney from IRI FTY-720, a non-receptor-selective sphingosine analog, was given intraperitoneally to C57BL/6 mice, and animals were subjected to ischemia for 32 min followed by reperfusion for 24 h. Plasma creatinine, blood count, myeloperoxidase (MPO) activity, and renal histology were determined. IRI led to a marked increase in plasma creatinine, MPO activity, leukocyte infiltration, and vascular permeability. FTY-720 significantly decreased plasma creatinine in a doseresponse manner with a maximal reduction of ~73 and ~69% with doses of 240 and 48 [micro]g/kg, respectively. MPO, leukocyte infiltration, vascular permeability, and peripheral blood lymphocyte counts were markedly decreased with FTY-720 treatment. The protective effect of FTY-720 was reversed with VPC-44116, a selective S1[P.sub.1] receptor antagonist. Furthermore, SEW-2871, a selective S1[P.sub.1] agonist, significantly decreased plasma creatinine in a dose-response manner with a maximal reduction of ~70% with a dose of 10 mg/kg. Analysis of kidneys by light microscopy revealed minimal histological signs of ischemic injury with FTY-720 or SEW-2871 treatment compared with the vehicle group. Using RT-PCR, we found a time-dependent increase in the S1[P.sub.1] mRNA expression following IRI that begins after 2 h with the maximum expression at ~4 h. We conclude that the protective effect of FTY-720 is due primarily to activation of S1[P.sub.1] receptors. The mechanism of protection is not known but may be related to peripheral lymphocyte depletion or direct effects on kidney cells expressing S1[P.sub.1] receptor. FTY-720; inflammation; lymphocyte; acute renal failure