Sphingolipids have been implicated in the regulation of cell growth, d
ifferentiation, and programmed cell death. The current paradigm for th
eir action is that complex sphingolipids such as gangliosides interact
with growth factor receptors, the extracellular matrix, and neighbori
ng cells, whereas the backbones-sphingosine and other long-chain or ''
sphingoid'' bases, ceramides, and sphingosine 1-phosphate-activate or
inhibit protein kinases and phosphatases, ion transporters, and other
regulatory machinery. Tumor necrosis factor-alpha, interleukin Ip, and
nerve growth factor, for example, induce sphingomyelin hydrolysis to
ceramide. Other agonists, such as platelet-derived growth factor, trig
ger further hydrolysis of ceramide to sphingosine and activate sphingo
sine kinase to form sphingosine 1-phosphate. These metabolites either
stimulate or inhibit growth and may be cytotoxic (in some cases via in
duction of apoptosis), depending on which products are formed (or adde
d exogenously), the cellular levels (and possibly intracellular locali
zation), and the cell type. In Swiss 3T3 cells, for example, sphingosi
ne and sphingosine 1-phosphate are growth stimulatory at low concentra
tions via calcium mobilization from intracellular stores and activatio
n of the mitogen-activated protein kinase (MAP kinase) pathway and tra
nscription factors (AP-1), but are toxic at high concentrations. High
levels of endogenous sphingoid bases are also produced by inhibition o
f ceramide synthase by fumonisins, mycotoxins produced by Fusarium mon
iliforme, resulting in growth stimulation or toxicity. Thus, sphingoli
pid metabolites appear to serve as second messengers for growth factor
s, cytokines, and other ''physiological'' agonists and, when elevated
abnormally, to lead to disease.