Plausible mechanism for S1P-mediated lymphangiogenesis. Extracellular S1P, which is derived from tumor or inflammatory cells, binds to its receptor S1P1 and stimulates the activation of coupled Gi proteins. Dissociation of active heterotrimeric Gi proteins from activated S1P1 stimulates PLC, which causes the release of intracellular Ca2+, resulting in the stimulation of HLEC migration and differentiation. Extracellular S1P activates lymphatic endothelial cells to induce lymphangiogenesis, as well as vascular endothelial cells to induce angiogenesis, for tumor metastasis or an immune response.