S1P1-selective agonist SEW2871 exacerbates reperfusion arrhythmias.

Sphingosine-1-phosphate (S1P) has been considered to play an important role in ischemia/reperfusion (I/R) injury. We used SEW2871 (SEW), a novel receptor-selective agonist for S1P1, to elucidate the role of S1P1 in myocardial I/R. Isolated perfused rat hearts exposed to S1P (1 and 10 mM) or SEW (1 and 0.1 mM) were subjected to 30 minutes of global no-flow ischemia and 2 hours of reperfusion. S1P at 1 and 10 mM significantly reduced infarct size and CK release compared with vehicle-control. The effect of 0.1 mM SEW on infarct size was modest. After I/R, S1P at both doses and SEWat 0.1 mM improved developed pressure (LVDP). SEWat 1 mM significantly prolonged the duration of ventricular tachycardia and ventricular fibrillation, leading to irreversible reperfusion tachyar- rhythmias in 60% of the hearts. This is the first demonstration of the critical role of the S1P1 receptor in I/R injury.