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Sphingosine 1-Phosphate: A Critical Mediator in Cell Signalling and Therapeutic Applications

Endocrinology Diagnostics

S1P Summary:

Molecular Characteristics:

  • Bioactive sphingolipid metabolite
  • Phosphorylated sphingosine
  • Synthesized by sphingosine kinases

Receptor Signalling:

  • 5 G-protein coupled receptors (S1P1-S1P5)
  • Triggers multiple cellular pathways
  • Regulates cell survival, proliferation

Physiological Functions:

  • Immune cell trafficking
  • Endothelial barrier maintenance
  • Vascular tone regulation
  • Angiogenesis control
  • Cardiac function modulation

Pathological Implications:

  • Autoimmune disorders
  • Cancer progression
  • Cardiovascular diseases
  • Metastasis
  • Treatment resistance

Therapeutic Potential:

  • Fingolimod (multiple sclerosis treatment)
  • Targeting approaches:
    • Receptor modulators
    • Enzyme inhibitors
    • Antibody-based strategies

Clinical Research Focus:

  • Autoimmune conditions
  • Cancer therapy
  • Fibrotic diseases
  • Inflammatory disorders

Key Mechanism: Balances cell survival through sphingolipid rheostat, influencing proliferation and apoptosis.

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