Several physiologic and pathophysiologic processes in which sphingomyelinas
es (SMases) have been implicated may involve extracellular sphingomyelin (S
M) hydrolysis. A candidate enzyme for these processes is a recently discove
red SMase called secretory SMase, or S-SMase. S-SMase arises from the acid
sphingomyelinase (ASM) gene via differential protein trafficking of a commo
n protein precursor; this precursor can be targeted to either lysosomes or
the Golgi secretory pathway. S-SMase is activated by physiologic levels of
Zn2+, although the S-SMase from endothelial cells, which secrete abundant a
mounts of the enzyme, is partially Zn2+-independent. S-SMase functions best
at acid pH but can hydrolyze certain physiologic substrates, such as ather
ogenic lipoproteins, at neutral pH. In endothelial cells, the secretion of
S-SMase is regulated at the level of protein trafficking by inflammatory cy
tokines. Current work implicates a role for S-SMase in atherogenesis, and f
uture work will be directed at understanding the potential roles of S-SMase
in other processes, such as ceramide-mediated cell-signaling and the host
inflammatory response. (C) 1999 Elsevier Science Ireland Ltd. All rights re
served.