S1PR1-biased activation drives the resolution of endothelial dysfunction-associated inflammatory diseases by maintaining endothelial integrity

Nat Commun. 2025 Feb 20;16(1):1826. doi: 10.1038/s41467-025-57124-x.

Abstract

G protein-coupled sphingosine-1-phosphate receptor 1 (S1PR1), a drug target for inflammatory bowel disease (IBD), enables immune cells to egress from lymph nodes, but the treatment increases the risk of immunosuppression. The functional signaling pathway triggered by S1PR1 activation in endothelial cells and its therapeutic application remains unclear. Here, we showed that S1PR1 is highly expressed in endothelial cells of IBD patients and positively correlated with endothelial markers. Gi-biased agonist-SAR247799 activated S1PR1 and reversed pathology in male mouse and organoid IBD models by protecting the integrity of the endothelial barrier without affecting immune cell egress. Cryo-electron microscopy structure of S1PR1-Gi signaling complex bound to SAR247799 with a resolution of 3.47 Å revealed the recognition mode for the biased ligand. With the efficacy of SAR247799 in treating other endothelial dysfunction-associated inflammatory diseases, our study offers mechanistic insights into the Gi-biased S1PR1 agonist and represents a strategy for endothelial dysfunction-associated disease treatment.

MeSH terms

  • Animals
  • Cryoelectron Microscopy
  • Disease Models, Animal
  • Endothelial Cells* / drug effects
  • Endothelial Cells* / metabolism
  • Female
  • Humans
  • Inflammatory Bowel Diseases* / drug therapy
  • Inflammatory Bowel Diseases* / metabolism
  • Inflammatory Bowel Diseases* / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Signal Transduction / drug effects
  • Sphingosine-1-Phosphate Receptors* / agonists
  • Sphingosine-1-Phosphate Receptors* / genetics
  • Sphingosine-1-Phosphate Receptors* / metabolism

Substances

  • Sphingosine-1-Phosphate Receptors
  • S1PR1 protein, human
  • S1pr1 protein, mouse