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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Cardiol. May 26, 2026; 18(5): 120519
Published online May 26, 2026. doi: 10.4330/wjc.v18.i5.120519
S1PR1 knockdown protects endothelial cells from oxidized low-density lipoprotein-induced injury via reducing interleukin-1β and tumor necrosis factor-α expression
Fu-Ying Chu, Meng-Han Yao, Le-Ming Gu, Hua Cai, Ya-Nan Li, Xiang Chen, Xin-Xin Xu
Fu-Ying Chu, Le-Ming Gu, Ya-Nan Li, Xiang Chen, Department of Laboratory Medicine, Nantong First People’s Hospital, Southeast University, Nantong 226000, Jiangsu Province, China
Meng-Han Yao, Medical School, Nantong University, Nantong 226000, Jiangsu Province, China
Hua Cai, Xin-Xin Xu, Department of Laboratory Medicine, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Co-first authors: Fu-Ying Chu and Meng-Han Yao.
Author contributions: Chu FY and Yao MH contributed equally to this manuscript as co-first authors; Xu XX conceived and designed this research; Yao MH and Gu LM performed the experiments; Cai H collected important background information; Li YN and Chen X performed the statistical analysis. Chu FY and Xu XX edited the manuscript. All authors read and approved the final manuscript.
Supported by Wu Jieping Medical Foundation, No. 320.6750.2024-03-70.
Institutional review board statement: Approved by Nantong First People’s Hospital's Medical Ethics Committee (approval No. 2024-KT228-01).
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The author stated that the data of this study can be obtained by contacting the corresponding author under reasonable circumstances.
Corresponding author: Xin-Xin Xu, Department of Laboratory Medicine, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Chongchuan District, Nantong 226000, Jiangsu Province, China. xxxin891119@163.com
Received: March 9, 2026
Revised: April 1, 2026
Accepted: April 24, 2026
Published online: May 26, 2026
Processing time: 73 Days and 0 Hours
Abstract
BACKGROUND

Coronary atherosclerotic heart disease (CAHD) is a prevalent cardiovascular condition. Recent research has uncovered the significant role of sphingosine-1-phosphate receptor 1 (S1PR1) in cardiovascular disorders, including atherosclerosis, acute myocardial infarction, myocardial ischemia, and reperfusion.

AIM

To explore the clinical relevance, diagnostic utility, and molecular mechanisms of S1PR1 in CAHD.

METHODS

The expression of S1PR1 was examined by quantitative real-time polymerase chain reaction. Cytokines in serum were detected by flow cytometry using a twelve-cytokine detection kit. Receiver operating characteristic curves were employed to assess the diagnostic value of S1PR1, interleukin (IL)-1β, and tumor necrosis factor (TNF)-α in CAHD. The cell counting kit-8 assay was utilized to determine cell viability, and flow cytometry was used to detect cell apoptosis. Western blot analysis was conducted to detect the protein levels of S1PR1.

RESULTS

S1PR1 was highly expressed in CAHD, with significantly higher levels observed in the high Gensini score group (≥ 40) compared to the low score group (< 40). Compared with the healthy control group, the CAHD group exhibited significantly increased levels of IL-1β and TNF-α, no significant difference in IL-2 and IL-6 levels, and a significant decrease in the levels of other cytokines. Furthermore, a correlation was observed between S1PR1 and both IL-1β and TNF-α in CAHD. The receiver operating characteristic curve analysis demonstrated that the combined detection of S1PR1, IL-1β, and TNF-α exhibited superior diagnostic value for CAHD compared to individual tests. Additionally, in oxidized low-density lipoprotein-treated human umbilical vein endothelial cells, the expressions of S1PR1, IL-1β, and TNF-α were increased. However, knockdown of S1PR1 resulted in decreased expression of IL-1β and TNF-α, accompanied by enhanced cell viability and attenuated apoptosis.

CONCLUSION

S1PR1 could act as a new diagnostic and monitoring biomarker for CAHD. Knockdown of S1PR1 protected human umbilical vein endothelial cells from oxidized low-density lipoprotein-induced injury, which is mediated through regulation of IL-1β and TNF-α expression.

Keywords: Sphingosine-1-phosphate receptor 1; Coronary atherosclerotic heart disease; Oxidized low-density lipoprotein; Interleukin-1β; Tumor necrosis factor-α

Core Tip: In this study, sphingosine-1-phosphate receptor 1 (S1PR1) is upregulated in coronary atherosclerotic heart disease and positively correlates with interleukin-1β and tumor necrosis factor-α. It serves as a promising diagnostic biomarker, and combined detection with inflammatory cytokines enhances diagnostic performance. S1PR1 knockdown alleviates oxidized low-density lipoprotein-induced endothelial cell injury via modulating inflammatory responses, highlighting S1PR1 as a potential target for coronary atherosclerotic heart disease diagnosis and intervention.

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