Ionizing radiation mediates cell death, in part, through chromosomal d
amage following one or more cell divisions, X-rays also induce program
med cell death (apoptosis) in some cell types both in vitro and in viv
o, Both neutral and acidic sphingomyelinases, which generate the lipid
second messenger ceramide, are reported to induce apoptosis following
ionizing radiation and other death signals such as tumor necrosis fac
tor Lu and Fas ligand, Herein we report that a loss of ceramide produc
tion from a neutral sphingomyelinase generates a radioresistant phenot
ype as measured by a marked decrease in apoptosis, A WEHI-231 subline
made deficient in ceramide production was found to be resistant to apo
ptosis compared with the parental subline following treatment with X-r
ays, The resistant subline underwent two to three subsequent cell divi
sions following X-irradiation, confirming that X-rays induce cell deat
h through both mitotic and apoptotic mechanisms, These data suggest th
at loss of ceramide production following X-rays represents an extranuc
lear mechanism for the development of radioresistance, Modulation of e
xtranuclear signals may increase tumor cell killing following radiatio
n and represent new cellular targets for cancer therapy.