We recently discovered that endothelial Nogo-B, a
membrane protein of the ER, regulates vascular function by inhibiting the rate-limiting
enzyme,
serine palmitoyltransferase (SPT), in de novo
sphingolipid biosynthesis. Here, we show that endothelium-derived
sphingolipids, particularly
sphingosine-1-phosphate (S1P), protect the heart from
inflammation,
fibrosis, and dysfunction following pressure overload and that Nogo-B regulates this paracrine process. SPT activity is upregulated in banded hearts in vivo as well as in TNF-α-activated endothelium in vitro, and loss of Nogo removes the brake on SPT, increasing local S1P production. Hence, mice lacking Nogo-B, systemically or specifically in the endothelium, are resistant to the onset of pathological
cardiac hypertrophy. Furthermore, pharmacological inhibition of SPT with
myriocin restores permeability,
inflammation, and heart dysfunction in Nogo-A/B-deficient mice to WT levels, whereas
SEW2871, an
S1P1 receptor agonist, prevents myocardial permeability,
inflammation, and dysfunction in WT banded mice. Our study identifies a critical role of endothelial
sphingolipid biosynthesis and its regulation by Nogo-B in the development of pathological
cardiac hypertrophy and proposes a potential therapeutic target for the attenuation or reversal of this clinical condition.