Revealing concealed cardioprotection by platelet Mfsd2b-released S1P in human and murine myocardial infarction

A. Polzin, L. Dannenberg, M. Benkhoff, M. Barcik, C. Helten, P. Mourikis, S. Ahlbrecht, L. Wildeis, J. Ziese, D. Zikeli, Daniel Metzen, H. Hu, L. Baensch, N. H. Schröder, P. Keul, S. Weske, P. Wollnitzke, D. Duse, S. Saffak, M. CramerF. Bönner, T. Müller, M. H. Gräler, T. Zeus, M. Kelm, B. Levkau

Research output: Contribution to journalArticlepeer-review

Abstract

Antiplatelet medication is standard of care in acute myocardial infarction (AMI). However, it may have obscured beneficial properties of the activated platelet secretome. We identify platelets as major source of a sphingosine-1-phosphate (S1P) burst during AMI, and find its magnitude to favorably associate with cardiovascular mortality and infarct size in STEMI patients over 12 months. Experimentally, administration of supernatant from activated platelets reduces infarct size in murine AMI, which is blunted in platelets deficient for S1P export (Mfsd2b) or production (Sphk1) and in mice deficient for cardiomyocyte S1P receptor 1 (S1P1). Our study reveals an exploitable therapeutic window in antiplatelet therapy in AMI as the GPIIb/IIIa antagonist tirofiban preserves S1P release and cardioprotection, whereas the P2Y12 antagonist cangrelor does not. Here, we report that platelet-mediated intrinsic cardioprotection is an exciting therapeutic paradigm reaching beyond AMI, the benefits of which may need to be considered in all antiplatelet therapies.
Original languageEnglish
Article number2404
Number of pages11
JournalNature Communications
Volume14
Issue number1
DOIs
Publication statusPublished - Dec 2023

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