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. 2021 May 13;81(9):985–1002. doi: 10.1007/s40265-021-01528-8

Table 1.

Characteristics and physiological functions of G protein-coupled S1P receptor subtypes (SPR1-5) and modulator drugs under evaluation [3, 6, 22]

S1PR1 S1PR2 S1PR3 S1PR4 S1PR5
Expression B, T, and dendritic cells, heart tissue, neurons, endothelium Endothelium, heart tissue, smooth muscle vessels, tumoral cells, lung fibroblasts Smooth muscle vessels, endothelium, heart tissue, lung fibroblasts T cells, dendritic cells; breast tumoral cells Natural killer, endothelial cells, oligodendrocytes
Signaling Akt, ERK, Rac Akt, NFkB Rho/ROCK NFkB ERK Akt, Rho/ROCK
Clinical relevance Immune modulation, bradycardia, tumor maintenance, theoretical breast cancer prognosis Kidney injury, tumor maintenance, fibroblast contraction Hypertension, tumor maintenance Immune modulation Immune modulation, myelination
Vascular system Endothelial barrier integrity, heart rate control, angiogenesis Regulates vascular tone and endothelial barrier Modulates endothelial barrier, vasoconstriction, heart rate control. Might induces vasorelaxation Vasoconstriction
Immune system Lymphocyte and dendritic cell migration. Might induce suppression of T Reg cells, promoting Th1 development and Th17 polarization B cell migration in the follicle promoting the local confinement of germinal center B cells Location of immature B cells and progenitors within the bone marrow

Regulation of DC function and Th17 differentiation

Neutrophil trafficking

Inhibition of effector cytokines, secretion of IL-10

Natural killer trafficking
Nervous system Neural and oligodendrocyte function Neural migration and cell function Blood brain integrity, oligodendrocyte function
Other outcomes Nociception, proliferation Fibrosis, inhibition of B-cell survival, proliferation Fibrosis, proliferation
S1PR agonists AMG 369, amiselimod, ASP0028, ASP4058, AUY954, cenerimod. ceralifimod, CS-077, CS-2100, CYM544, etrasimod, fingolimod, GSK1842799, GSK2018682, mocravimod, ozanimod, Ponesimod, RP-001, SEW2871, siponimod, ST-968, ST-1071, Syl948, TC-G 1006, TC-SP14, amgen 8,14 Fingolimod, ST-968, ST-1071 Amiselimod, etrasimod, fingolimod A-971432, AMG 369, amiselimod, ASP0028, ASP4058, cerafimod, etrasimod, fingolimod, GSK2018682, ozanimod, siponimod
S1PRs antagonists AD2900, Ex26, NIBR-0213, TASP0277308, VPC23019, W146 AB1, AD2900, JTE-013 7H9, AD2900, CAY10444, SPM-354, TY-52156, VPC23019 AD2900 AD2900

ERK extracellular signal-regulated kinases, Akt protein kinase B, Rac subfamily of the Rho family of GTPases, Rho/ROCK Rho-associated kinase is an effector of the small GTPase, NFkB nuclear factor kappa light-chain enhancer of activated B cells, Treg regulatory T cell, Th T helper cell, STAT-3 signal transducer and activator of transcription 3, IL-10 interleukin 10