The ApoM/S1P-complex: its role in vascular inflammatory disease and interaction with S1P-receptors

Cecilia Frej

Research output: ThesisDoctoral Thesis (compilation)

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Abstract

HDL is believed to be protective against cardiovascular disease (CVD) via the reverse cholesterol transport and anti-inflammatory actions in the vessel. Apolipoprotein M (apoM) is an apolipoprotein mainly associated with HDL. Recently ApoM was proven to
be the main carrier of Sphingosine 1-phosphate (S1P) in circulation. SIP is a signaling phospholipid involved in the immune system, exerting most of its effects through signaling via 5-G-protein coupled receptors; SlPl-5.

The aim of this thesis is to investigate the role of the apoM/SlP-complex in vascular inflammatory diseases such as atherosclerosis and sepsis. We also want to study the interaction between the apoM/SlP-complex and the SlP-receptors.

We developed a liquid chromatography-tandem mass spectrometry method for SlP-quantification in plasma and cell extracts. We found that plasma levels of SIP and apoM were decreased in sepsis, levels reflecting the severity of the disease. The apoM/SlP-complex contributes to the anti-inflammatory effects exerted by HDL as shown in vitro by its inhibiting potential of pro-inflammatory adhesion molecules on the endothelial surface and by its increment of the endothelial barrier function. Plasma levels of apoM and SIP in type-l-diabetes (TlD)- patients (who have increased risk of developing CVD) were not altered compared to healthy controls. However, HDL-particles from TlD showed decreased anti-inflammatory effects which were not related to reduced presence of apoM and S1P. The apoM/S1P-complex could interact with all SlP-receptors as shown by internalization of
fluorescently labelled S1P-receptors overexpressed in HEK293-cells. Interestingly, extracellular levels of apoM and SIP could detemine which receptor was available at the cellular surface.

ln conclusion, our data suggest apoM and SlP to have a role in acute and chronic inflammation. Future research could help us clarify how the apoM/SlP-complex signals through the different SlP-receptors in different inflammatory disorders and hence contribute in developing new therapies against diseases in the vasculature.
Original languageEnglish
QualificationDoctor
Awarding Institution
  • Department of Translational Medicine
Supervisors/Advisors
  • Dahlbäck, Björn, Supervisor
  • Happonen, Kaisa, Supervisor
Award date2016 Dec 2
Place of PublicationLund
Publisher
ISBN (Print)978-91-7619-368-6
Publication statusPublished - 2016

Bibliographical note

Defence details
Date: 2016-12-02
Time: 13:00
Place: Jubileumsaulan, Skånes Universitetssjukhus i Malmö.
External reviewer(s)
Name: von Eckardstein, Arnold
Title: professor
Affiliation: University Hospital in Zürich
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ISSN: 1652-8220
Lund University, Faculty of Medicine Doctoral Dissertation Series 2016:141

Subject classification (UKÄ)

  • Medical and Health Sciences

Free keywords

  • lipoproteins
  • Apolipoproteins
  • Phospholipids
  • sepsis
  • Atherosclerosis

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