The process of apoptosis or programmed cell death has been the subject
of intense study due to the realization of its importance in a wide v
ariety of biological and pathological conditions, including developmen
t, ischemia, cancer and neurodegenerative disorders. Although a vast n
umber of inducers of this process and several critical components have
been identified, the signal transduction pathways regulating apoptosi
s ave poorly understood. Recently, a pathway involving sphingolipid tu
rnover and the production of the lipid mediator ceramide, has emerged
as a candidate regulator of apoptosis. This review provides a summary
of the evidence implicating ceramide as a mediator of apoptosis and th
e stress response.