CERAMIDE is an important regulatory participant of programmed cell dea
th (apoptosis) induced by tumour-necrosis factor (TNF)-alpha and Fas l
igand, members of the TNF superfamily(1-6). Conversely, sphingosine an
d sphingosine-1-phosphate, which are metabolites of ceramide, induce m
itogenesis(7) and have been implicated as second messengers in cellula
r proliferation induced by platelet-derived growth factor and serum(8,
9). Here we report that sphingosine-1-phosphate prevents the appearanc
e of the key features of apoptosis, namely intranucleosomal DNA fragme
ntation and morphological changes, which result from increased concent
rations of ceramide. Furthermore, inhibition of ceramide-mediated apop
tosis by activation of protein kinase C results from stimulation of sp
hingosine kinase and the concomitant increase in intracellular sphingo
sine-l-phosphate. Finally sphingosine-1-phosphate not only stimulates
the extracellular signal-regulated kinase (ERK) pathway(10), it counte
racts the ceramide-induced activation of stress-activated protein kina
se (SAPK/JNK). Thus, the balance between the intracellular levels of c
eramide and sphingosine-1-phosphate and their regulatory effects on di
fferent family members of mitogen-activated protein kinases determines
the fate of the cell.