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The Biological Role of Sphingosine-1-Phosphate and Its Association with Periodontal Diseases

Year 2025, Volume: 7 Issue: 3, 165 - 174, 28.10.2025

Abstract

Sphingosine-1-phosphate (S1P), a bioactive lipid derived from sphingolipid metabolism, plays pivotal roles in a wide array of biological processes, including cell proliferation, apoptosis, inflammation, vascular permeability, and immune cell trafficking. Acting both as an intracellular second messenger and as an extracellular ligand for G protein-coupled S1P receptors, S1P exerts complex regulatory functions across multiple physiological and pathological contexts. In recent years, accumulating evidence has implicated S1P in the pathogenesis of periodontitis. Notably, its capacity to enhance proinflammatory cytokine production, modulate immune cell chemotaxis, and stimulate osteoclast activity positions S1P as a potential contributor to periodontal tissue breakdown. This review aims to comprehensively outline the biosynthetic pathways and functional mechanisms of S1P, with a particular focus on its putative role in periodontal disease pathogenesis, while also identifying current gaps and directions for future research.

Ethical Statement

Since our study is a review article, no ethical committee approval is required.

Supporting Institution

Ondokuz Mayıs University, Faculty of Dentistry, Department of Periodontology

References

  • 1. Spiegel S, Merrill AH Jr. Sphingolipid metabolism and cell growth regulation. FASEB J 1996;10(12):1388-97.
  • 2. Moritz E, Jedlitschky G, Negnal J, et al. Increased sphingosine-1-phosphate serum concentrations in subjects with periodontitis: a matter of inflammation. J Inflamm Res 2021;14:2883-96.
  • 3. Sattler K, Levkau B. Sphingosine-1-phosphate as a mediator of high-density lipoprotein effects in cardiovascular protection. Cardiovasc Res 2009; 82(2):201-11.
  • 4. El Jamal A, Bougault C, Mebarek S, Magne D, Cuvillier O, Brizuela L. The role of sphingosine 1-phosphate metabolism in bone and joint pathologies and ectopic calcification. Bone 2020;130:115087.
  • 5. Skoura A, Hla T. Regulation of vascular physiology and pathology by the S1P2 receptor subtype. Cardiovasc Res 2009;82(2):221-8.
  • 6. Ryu Y, Takuwa N, Sugimoto N, et al. Sphingosine-1-phosphate, a platelet-derived lysophospholipid mediator, negatively regulates cellular Rac activity and cell migration in vascular smooth muscle cells. Circ Res 2002;90(3):325-32.
  • 7. Obinata H, Hla T. Sphingosine 1-phosphate and inflammation. Int Immunol 2019;31(9):617-25.
  • 8. Christoffersen C, Obinata H, Kumaraswamy SB, et al. Endothelium-protective sphingosine-1-phosphate provided by HDL-associated apolipoprotein M. Proc Natl Acad Sci U S A 2011;108(23):9613-8.
  • 9. Furuya H, Tamashiro PM, Shimizu Y, et al. Sphingosine kinase 1 expression in peritoneal macrophages is required for colon carcinogenesis. Carcinogenesis 2017;38(12):1218-27.
  • 10. Camerer E, Regard JB, Cornelissen I, et al. Sphingosine-1-phosphate in the plasma compartment regulates basal and inflammation-induced vascular leak in mice. J Clin Invest 2009;119(7):1871-9.
  • 11. Maceyka M, Spiegel S. Sphingolipid metabolites in inflammatory disease. Nature 2014;510(7503):58-67.
  • 12. Schwab SR, Cyster JG. Finding a way out: lymphocyte egress from lymphoid organs. Nat Immunol 2007;8(12):1295-301.
  • 13. Tiper IV, East JE, Subrahmanyam PB, Webb TJ. Sphingosine 1-phosphate signaling impacts lymphocyte migration, inflammation and infection. Pathog Dis 2016;74(6).
  • 14. Obinata H, Hla T. Sphingosine 1-phosphate in coagulation and inflammation. Semin Immunopathol 2012;34(1):73-91.
  • 15. Bryan AM, Del Poeta M. Sphingosine-1-phosphate receptors and innate immunity. Cell Microbiol 2018;20(5):e12836.
  • 16. Pitson SM, Pébay A. Regulation of stem cell pluripotency and neural differentiation by lysophospholipids. Neurosignals 2009;17(4):242-54.
  • 17. Burg N, Salmon JE, Hla T. Sphingosine 1-phosphate receptor-targeted therapeutics in rheumatic diseases. Nat Rev Rheumatol 2022;18(6):335-51.
  • 18. Seyedsadr MS, Weinmann O, Amorim A, et al. Inactivation of sphingosine-1-phosphate receptor 2 (S1PR2) decreases demyelination and enhances remyelination in animal models of multiple sclerosis. Neurobiol Dis 2019;124:189-201.
  • 19. Li Q, Li Y, Lei C, Tan Y, Yi G. Sphingosine-1-phosphate receptor 3 signaling. Clin Chim Acta 2021;519:32-9.
  • 20. Olesch C, Sirait-Fischer E, Berkefeld M, et al. S1PR4 ablation reduces tumor growth and improves chemotherapy via CD8+ T cell expansion. J Clin Invest 2020;130(10):5461-76.
  • 21. Olesch C, Ringel C, Brüne B, Weigert A. Beyond immune cell migration: the emerging role of the sphingosine‐1‐phosphate receptor S1PR4 as a modulator of innate immune cell activation. Mediators Inflamm 2017;2017:6059203.
  • 22. Kunkel GT, Maceyka M, Milstien S, Spiegel S. Targeting the sphingosine-1-phosphate axis in cancer, inflammation and beyond. Nat Rev Drug Discov 2013;12(9):688-702.
  • 23. van Doorn R, Lopes Pinheiro MA, Kooij G, et al. Sphingosine 1-phosphate receptor 5 mediates the immune quiescence of the human brain endothelial barrier. J Neuroinflammation 2012;9(1):133.
  • 24. O’Sullivan C, Schubart A, Mir AK, Dev KK. The dual S1PR1/S1PR5 drug BAF312 (Siponimod) attenuates demyelination in organotypic slice cultures. J Neuroinflammation 2016;13(1):31.
  • 25. Spiegel S, Milstien S. Sphingosine-1-phosphate: an enigmatic signalling lipid. Nat Rev Mol Cell Biol 2003;4(5):397-407.
  • 26. Pyne S, Adams DR, Pyne NJ. Sphingosine 1-phosphate and sphingosine kinases in health and disease: recent advances. Prog Lipid Res 2016;62:93-106.
  • 27. Nakajima N, Cavalli AL, Biral D, et al. Expression and characterization of Edg-1 receptors in rat cardiomyocytes: calcium deregulation in response to sphingosine 1-phosphate. Eur J Biochem 2000;267(18):5679-86.
  • 28. Sugiyama A, Yatomi Y, Ozaki Y, Hashimoto K. Sphingosine 1-phosphate induces sinus tachycardia and coronary vasoconstriction in the canine heart. Cardiovasc Res 2000;46(1):119-25.
  • 29. Saba JD, Hla T. Point-counterpoint of sphingosine 1-phosphate metabolism. Circ Res 2004;94(6):724-34.
  • 30. Tian L, Wu Y, Choi HJ, et al. S1P/S1PR1 signaling differentially regulates the allogeneic response of CD4 and CD8 T cells by modulating mitochondrial fission. Cell Mol Immunol 2022;19(11):1235-50.
  • 31. Romani R, Manni G, Donati C, et al. S1P promotes migration, differentiation and immune regulatory activity in amniotic-fluid-derived stem cells. Eur J Pharmacol 2018;833:173-82.
  • 32. Zehra Okus F, Busra Azizoglu Z, Canatan H, Eken A. S1P analogues SEW2871, BAF312 and FTY720 affect human Th17 and Treg generation ex vivo. Int Immunopharmacol 2022;107:108665.
  • 33. Gong L, Shen Y, Wang S, et al. Nuclear SPHK2/S1P induces oxidative stress and NLRP3 inflammasome activation via promoting p53 acetylation in lipopolysaccharide-induced acute lung injury. Cell Death Discov 2023;9(1):12.
  • 34. Fettel J, Kühn B, Guillen NA, et al. Sphingosine-1-phosphate (S1P) induces potent anti-inflammatory effects in vitro and in vivo by S1P receptor 4-mediated suppression of 5-lipoxygenase activity. FASEB J 2019;33(2):1711-26.
  • 35. Kluk MJ, Hla T. Role of the sphingosine 1-phosphate receptor EDG-1 in vascular smooth muscle cell proliferation and migration. Circ Res 2001;89(6):496-502.
  • 36. Ishii M, Kikuta J, Shimazu Y, Meier-Schellersheim M, Germain RN. Chemorepulsion by blood S1P regulates osteoclast precursor mobilization and bone remodeling in vivo. J Exp Med 2010;207(13):2793-8.
  • 37. Eskan MA, Rose BG, Benakanakere MR, Lee MJ, Kinane DF. Sphingosine 1-phosphate 1 and TLR4 mediate IFN-β expression in human gingival epithelial cells. J Immunol 2008;180(3):1818-25.
  • 38. Eskan MA, Rose BG, Benakanakere MR, et al. TLR4 and S1P receptors cooperate to enhance inflammatory cytokine production in human gingival epithelial cells. Eur J Immunol 2008;38(4):1138-47.
  • 39. Lee MJ, et al. Sphingosine-1-phosphate as a regulator of angiogenic and inflammatory responses. Biochim Biophys Acta Mol Cell Biol Lipids 2012.
  • 40. Sar JIC, Yang CJ, Tsai YS, et al. Sphingosine-1-phosphate stimulated connective tissue growth factor expression in human buccal fibroblasts: inhibition by epigallocatechin-3-gallate. J Formos Med Assoc 2015;114(9):860-4.
  • 41. Ishii M, Egen JG, Klauschen F, et al. Sphingosine-1-phosphate mobilizes osteoclast precursors and regulates bone homeostasis. Nature 2009;458(7237):524-8.
  • 42. Ishii M, Kikuta J, Shimazu Y, Meier-Schellersheim M, Germain RN. Chemorepulsion by blood S1P regulates osteoclast precursor mobilization and bone remodeling in vivo. J Exp Med 2010;207(13):2793-8.
  • 43. Sato C, Iwasaki T, Kitano S, Tsunemi S, Sano H. Sphingosine 1-phosphate receptor activation enhances BMP-2-induced osteoblast differentiation. Biochem Biophys Res Commun 2012;423(1):200-5.
  • 44. Pederson L, Ruan M, Westendorf JJ, Khosla S, Oursler MJ. Regulation of bone formation by osteoclasts involves Wnt/BMP signaling and the chemokine sphingosine-1-phosphate. Proc Natl Acad Sci U S A 2008;105(52):20764-9.
  • 45. Moritz E, Jedlitschky G, Negnal J, et al. Increased sphingosine-1-phosphate serum concentrations in subjects with periodontitis: a matter of inflammation. J Inflamm Res 2021;14:2883-96.
  • 46. Sartawi Z, Schipani E, Ryan KB, Waeber C. Sphingosine 1-phosphate (S1P) signalling: role in bone biology and potential therapeutic target for bone repair. Pharmacol Res 2017;125:232-45.
  • 47. Zhang L, Dong Y, Wang Y, Hu W, Dong S, Chen Y. Sphingosine-1-phosphate (S1P) receptors: promising drug targets for treating bone-related diseases. J Cell Mol Med 2020;24(8):4389-401.

Sfingozin-1-Fosfatın Biyolojik Rolü ve Periodontal Hastalıklarla İlişkisi

Year 2025, Volume: 7 Issue: 3, 165 - 174, 28.10.2025

Abstract

Sfingozin-1-fosfat (S1P), sfingolipid metabolizmasının önemli bir ürünü olup hücre proliferasyonu, apoptoz, inflamasyon, damar geçirgenliği ve bağışıklık hücrelerinin göçü gibi birçok biyolojik süreçte kritik roller üstlenmektedir. S1P, hem hücre içi sinyal ileticisi hem de G proteinine bağlı S1P reseptörleri aracılığıyla hücre dışı etkiler oluşturan bir lipid mediatörüdür. Son yıllarda yapılan çalışmalar, S1P’nin periodontitis patogenezinde de önemli bir rol oynayabileceğini göstermektedir. Özellikle proinflamatuar sitokinlerin üretimini artırması, bağışıklık hücrelerinin kemotaksisini düzenlemesi ve osteoklast aktivitesini teşvik etmesi, bu molekülü periodontal doku yıkımı ile ilişkilendirmektedir. Bu derlemenin amacı, S1P’nin biyosentezi ve etkilerini özetleyerek, periodontal hastalıkların patogenezindeki olası rolünü değerlendirmek ve bu alandaki bilgi eksikliklerini ortaya koymaktır.

Ethical Statement

Çalışmamız derleme türünde bir çalışma olduğu için etik kurul iznine gerek yoktur.

Supporting Institution

Ondokuz Mayıs Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı

References

  • 1. Spiegel S, Merrill AH Jr. Sphingolipid metabolism and cell growth regulation. FASEB J 1996;10(12):1388-97.
  • 2. Moritz E, Jedlitschky G, Negnal J, et al. Increased sphingosine-1-phosphate serum concentrations in subjects with periodontitis: a matter of inflammation. J Inflamm Res 2021;14:2883-96.
  • 3. Sattler K, Levkau B. Sphingosine-1-phosphate as a mediator of high-density lipoprotein effects in cardiovascular protection. Cardiovasc Res 2009; 82(2):201-11.
  • 4. El Jamal A, Bougault C, Mebarek S, Magne D, Cuvillier O, Brizuela L. The role of sphingosine 1-phosphate metabolism in bone and joint pathologies and ectopic calcification. Bone 2020;130:115087.
  • 5. Skoura A, Hla T. Regulation of vascular physiology and pathology by the S1P2 receptor subtype. Cardiovasc Res 2009;82(2):221-8.
  • 6. Ryu Y, Takuwa N, Sugimoto N, et al. Sphingosine-1-phosphate, a platelet-derived lysophospholipid mediator, negatively regulates cellular Rac activity and cell migration in vascular smooth muscle cells. Circ Res 2002;90(3):325-32.
  • 7. Obinata H, Hla T. Sphingosine 1-phosphate and inflammation. Int Immunol 2019;31(9):617-25.
  • 8. Christoffersen C, Obinata H, Kumaraswamy SB, et al. Endothelium-protective sphingosine-1-phosphate provided by HDL-associated apolipoprotein M. Proc Natl Acad Sci U S A 2011;108(23):9613-8.
  • 9. Furuya H, Tamashiro PM, Shimizu Y, et al. Sphingosine kinase 1 expression in peritoneal macrophages is required for colon carcinogenesis. Carcinogenesis 2017;38(12):1218-27.
  • 10. Camerer E, Regard JB, Cornelissen I, et al. Sphingosine-1-phosphate in the plasma compartment regulates basal and inflammation-induced vascular leak in mice. J Clin Invest 2009;119(7):1871-9.
  • 11. Maceyka M, Spiegel S. Sphingolipid metabolites in inflammatory disease. Nature 2014;510(7503):58-67.
  • 12. Schwab SR, Cyster JG. Finding a way out: lymphocyte egress from lymphoid organs. Nat Immunol 2007;8(12):1295-301.
  • 13. Tiper IV, East JE, Subrahmanyam PB, Webb TJ. Sphingosine 1-phosphate signaling impacts lymphocyte migration, inflammation and infection. Pathog Dis 2016;74(6).
  • 14. Obinata H, Hla T. Sphingosine 1-phosphate in coagulation and inflammation. Semin Immunopathol 2012;34(1):73-91.
  • 15. Bryan AM, Del Poeta M. Sphingosine-1-phosphate receptors and innate immunity. Cell Microbiol 2018;20(5):e12836.
  • 16. Pitson SM, Pébay A. Regulation of stem cell pluripotency and neural differentiation by lysophospholipids. Neurosignals 2009;17(4):242-54.
  • 17. Burg N, Salmon JE, Hla T. Sphingosine 1-phosphate receptor-targeted therapeutics in rheumatic diseases. Nat Rev Rheumatol 2022;18(6):335-51.
  • 18. Seyedsadr MS, Weinmann O, Amorim A, et al. Inactivation of sphingosine-1-phosphate receptor 2 (S1PR2) decreases demyelination and enhances remyelination in animal models of multiple sclerosis. Neurobiol Dis 2019;124:189-201.
  • 19. Li Q, Li Y, Lei C, Tan Y, Yi G. Sphingosine-1-phosphate receptor 3 signaling. Clin Chim Acta 2021;519:32-9.
  • 20. Olesch C, Sirait-Fischer E, Berkefeld M, et al. S1PR4 ablation reduces tumor growth and improves chemotherapy via CD8+ T cell expansion. J Clin Invest 2020;130(10):5461-76.
  • 21. Olesch C, Ringel C, Brüne B, Weigert A. Beyond immune cell migration: the emerging role of the sphingosine‐1‐phosphate receptor S1PR4 as a modulator of innate immune cell activation. Mediators Inflamm 2017;2017:6059203.
  • 22. Kunkel GT, Maceyka M, Milstien S, Spiegel S. Targeting the sphingosine-1-phosphate axis in cancer, inflammation and beyond. Nat Rev Drug Discov 2013;12(9):688-702.
  • 23. van Doorn R, Lopes Pinheiro MA, Kooij G, et al. Sphingosine 1-phosphate receptor 5 mediates the immune quiescence of the human brain endothelial barrier. J Neuroinflammation 2012;9(1):133.
  • 24. O’Sullivan C, Schubart A, Mir AK, Dev KK. The dual S1PR1/S1PR5 drug BAF312 (Siponimod) attenuates demyelination in organotypic slice cultures. J Neuroinflammation 2016;13(1):31.
  • 25. Spiegel S, Milstien S. Sphingosine-1-phosphate: an enigmatic signalling lipid. Nat Rev Mol Cell Biol 2003;4(5):397-407.
  • 26. Pyne S, Adams DR, Pyne NJ. Sphingosine 1-phosphate and sphingosine kinases in health and disease: recent advances. Prog Lipid Res 2016;62:93-106.
  • 27. Nakajima N, Cavalli AL, Biral D, et al. Expression and characterization of Edg-1 receptors in rat cardiomyocytes: calcium deregulation in response to sphingosine 1-phosphate. Eur J Biochem 2000;267(18):5679-86.
  • 28. Sugiyama A, Yatomi Y, Ozaki Y, Hashimoto K. Sphingosine 1-phosphate induces sinus tachycardia and coronary vasoconstriction in the canine heart. Cardiovasc Res 2000;46(1):119-25.
  • 29. Saba JD, Hla T. Point-counterpoint of sphingosine 1-phosphate metabolism. Circ Res 2004;94(6):724-34.
  • 30. Tian L, Wu Y, Choi HJ, et al. S1P/S1PR1 signaling differentially regulates the allogeneic response of CD4 and CD8 T cells by modulating mitochondrial fission. Cell Mol Immunol 2022;19(11):1235-50.
  • 31. Romani R, Manni G, Donati C, et al. S1P promotes migration, differentiation and immune regulatory activity in amniotic-fluid-derived stem cells. Eur J Pharmacol 2018;833:173-82.
  • 32. Zehra Okus F, Busra Azizoglu Z, Canatan H, Eken A. S1P analogues SEW2871, BAF312 and FTY720 affect human Th17 and Treg generation ex vivo. Int Immunopharmacol 2022;107:108665.
  • 33. Gong L, Shen Y, Wang S, et al. Nuclear SPHK2/S1P induces oxidative stress and NLRP3 inflammasome activation via promoting p53 acetylation in lipopolysaccharide-induced acute lung injury. Cell Death Discov 2023;9(1):12.
  • 34. Fettel J, Kühn B, Guillen NA, et al. Sphingosine-1-phosphate (S1P) induces potent anti-inflammatory effects in vitro and in vivo by S1P receptor 4-mediated suppression of 5-lipoxygenase activity. FASEB J 2019;33(2):1711-26.
  • 35. Kluk MJ, Hla T. Role of the sphingosine 1-phosphate receptor EDG-1 in vascular smooth muscle cell proliferation and migration. Circ Res 2001;89(6):496-502.
  • 36. Ishii M, Kikuta J, Shimazu Y, Meier-Schellersheim M, Germain RN. Chemorepulsion by blood S1P regulates osteoclast precursor mobilization and bone remodeling in vivo. J Exp Med 2010;207(13):2793-8.
  • 37. Eskan MA, Rose BG, Benakanakere MR, Lee MJ, Kinane DF. Sphingosine 1-phosphate 1 and TLR4 mediate IFN-β expression in human gingival epithelial cells. J Immunol 2008;180(3):1818-25.
  • 38. Eskan MA, Rose BG, Benakanakere MR, et al. TLR4 and S1P receptors cooperate to enhance inflammatory cytokine production in human gingival epithelial cells. Eur J Immunol 2008;38(4):1138-47.
  • 39. Lee MJ, et al. Sphingosine-1-phosphate as a regulator of angiogenic and inflammatory responses. Biochim Biophys Acta Mol Cell Biol Lipids 2012.
  • 40. Sar JIC, Yang CJ, Tsai YS, et al. Sphingosine-1-phosphate stimulated connective tissue growth factor expression in human buccal fibroblasts: inhibition by epigallocatechin-3-gallate. J Formos Med Assoc 2015;114(9):860-4.
  • 41. Ishii M, Egen JG, Klauschen F, et al. Sphingosine-1-phosphate mobilizes osteoclast precursors and regulates bone homeostasis. Nature 2009;458(7237):524-8.
  • 42. Ishii M, Kikuta J, Shimazu Y, Meier-Schellersheim M, Germain RN. Chemorepulsion by blood S1P regulates osteoclast precursor mobilization and bone remodeling in vivo. J Exp Med 2010;207(13):2793-8.
  • 43. Sato C, Iwasaki T, Kitano S, Tsunemi S, Sano H. Sphingosine 1-phosphate receptor activation enhances BMP-2-induced osteoblast differentiation. Biochem Biophys Res Commun 2012;423(1):200-5.
  • 44. Pederson L, Ruan M, Westendorf JJ, Khosla S, Oursler MJ. Regulation of bone formation by osteoclasts involves Wnt/BMP signaling and the chemokine sphingosine-1-phosphate. Proc Natl Acad Sci U S A 2008;105(52):20764-9.
  • 45. Moritz E, Jedlitschky G, Negnal J, et al. Increased sphingosine-1-phosphate serum concentrations in subjects with periodontitis: a matter of inflammation. J Inflamm Res 2021;14:2883-96.
  • 46. Sartawi Z, Schipani E, Ryan KB, Waeber C. Sphingosine 1-phosphate (S1P) signalling: role in bone biology and potential therapeutic target for bone repair. Pharmacol Res 2017;125:232-45.
  • 47. Zhang L, Dong Y, Wang Y, Hu W, Dong S, Chen Y. Sphingosine-1-phosphate (S1P) receptors: promising drug targets for treating bone-related diseases. J Cell Mol Med 2020;24(8):4389-401.
There are 47 citations in total.

Details

Primary Language Turkish
Subjects Periodontics
Journal Section Periodontology
Authors

Can Aydın 0009-0001-3424-4404

Müberra Deniz 0009-0007-6128-9329

Publication Date October 28, 2025
Submission Date September 13, 2025
Acceptance Date September 30, 2025
Published in Issue Year 2025 Volume: 7 Issue: 3

Cite

Vancouver Aydın C, Deniz M. Sfingozin-1-Fosfatın Biyolojik Rolü ve Periodontal Hastalıklarla İlişkisi. Dent & Med J - R. 2025;7(3):165-74.




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