Sphingosine-1-phosphate promotes liver fibrosis in metabolic dysfunction-associated steatohepatitis

PLoS One. 2024 May 16;19(5):e0303296. doi: 10.1371/journal.pone.0303296. eCollection 2024.

Abstract

Aim: Metabolic dysfunction-associated steatohepatitis (MASH) is one of the most prevalent liver diseases and is characterized by steatosis and the accumulation of bioactive lipids. This study aims to understand the specific lipid species responsible for the progression of liver fibrosis in MASH.

Methods: Changes in bioactive lipid levels were examined in the livers of MASH mice fed a choline-deficient diet (CDD). Additionally, sphingosine kinase (SphK)1 mRNA, which generates sphingosine 1 phosphate (S1P), was examined in the livers of patients with MASH.

Results: CDD induced MASH and liver fibrosis were accompanied by elevated levels of S1P and increased expression of SphK1 in capillarized liver sinusoidal endothelial cells (LSECs) in mice. SphK1 mRNA also increased in the livers of patients with MASH. Treatment of primary cultured mouse hepatic stellate cells (HSCs) with S1P stimulated their activation, which was mitigated by the S1P receptor (S1PR)2 inhibitor, JTE013. The inhibition of S1PR2 or its knockout in mice suppressed liver fibrosis without reducing steatosis or hepatocellular damage.

Conclusion: S1P level is increased in MASH livers and contributes to liver fibrosis via S1PR2.

MeSH terms

  • Animals
  • Choline Deficiency / complications
  • Choline Deficiency / metabolism
  • Endothelial Cells / metabolism
  • Endothelial Cells / pathology
  • Fatty Liver* / metabolism
  • Fatty Liver* / pathology
  • Hepatic Stellate Cells* / metabolism
  • Hepatic Stellate Cells* / pathology
  • Humans
  • Liver / metabolism
  • Liver / pathology
  • Liver Cirrhosis* / etiology
  • Liver Cirrhosis* / genetics
  • Liver Cirrhosis* / metabolism
  • Liver Cirrhosis* / pathology
  • Lysophospholipids* / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Phosphotransferases (Alcohol Group Acceptor)* / genetics
  • Phosphotransferases (Alcohol Group Acceptor)* / metabolism
  • Pyrazoles
  • Pyridines
  • Receptors, Lysosphingolipid / genetics
  • Receptors, Lysosphingolipid / metabolism
  • Sphingosine* / analogs & derivatives
  • Sphingosine* / metabolism
  • Sphingosine-1-Phosphate Receptors* / metabolism

Substances

  • sphingosine 1-phosphate
  • Sphk1 protein, mouse
  • sphingosine-1-phosphate receptor-2, mouse
  • sphingosine kinase
  • JTE 013

Grants and funding

This study was supported by grants from the JSPS KAKENHI to Y.O. (21K08014) and H.K. (23K15507), IUHW Research Grant to Y.O., the Japan Agency for Medical Research and Development (AMED, 23fk0210091h0003) to T.K. and H.S., the National Center for Global Health and Medicine, Intramural Research Fund (22T001) to H.S., and a Grant-in-Aid for Research from the National Center for Global Health and Medicine (20A1001 to T.K., and 22A1012 to K.Y.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.