The purpose of this article is to review the various mechanistic hypot
heses for fumonisin-induced animal diseases; including porcine pulmona
ry edema, equine leukoencephalomalacia, nephrotoxicity and hepatotoxic
ity in several animal species, and liver cancer promotion activity in
rats. Disruption of sphingolipid metabolism is an early event that is
closely correlated with alterations in cell proliferation and increase
d cell death in most primary cell cultures and cell lines that have be
en examined. While primary rat hepatocytes and liver slices are very s
ensitive to fumonisin-induced disruption of sphingolipid metabolism, t
hey are relatively insensitive to the toxic effects of fumonisins. Non
etheless, the onset and progression of F. moniliforme-associated disea
ses in pigs, horses, rabbits, mice, and rats in vivo, are closely corr
elated with evidence for disruption of sphingolipid metabolism. Fumoni
sins also affect other aspects of lipid metabolism and sites of cellul
ar regulation that are reportedly independent of the disruption of sph
ingolipid metabolism. However disruption of sphingolipid metabolism an
d signal transduction pathways, mediated by lipid second messengers or
signaling pathways affected by disrupted sphingolipid metabolism, cou
ld be an important aspect of all the various proposed mechanisms of ac
tion.