The initiation of apoptosis often transpires in the presence of agents
that regulate cell survival. This study evaluated the effects of stre
ss-induced ceramide on the anti-apoptotic activity of the phosphoinosi
tide-3 kinase [PI(3)K] pathway. PI(3)K activity is directly down-regul
ated by stress-induced ceramide in a dose-dependent manner with rapid
kinetics and high specificity. Ceramide inhibition of PI(3)K is depend
ent on acid-sphingomyelinase. Down-regulation of PI(3)K by ceramide re
sults in inhibition of the kinase Akt and decreased phosphorylation of
the death effector Bad. Thus, ceramide levels could act as a general
apoptotic rheostat controlling cell survival by regulating PI(3)K anti
-apoptotic effector mechanisms.