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J Biol Chem, Vol. 273, Issue 23, 14550-14559, June 5, 1998
Sphingomyelin Synthase, a Potential Regulator of Intracellular
Levels of Ceramide and Diacylglycerol during SV40 Transformation
DOES SPHINGOMYELIN SYNTHASE ACCOUNT FOR THE PUTATIVE
PHOSPHATIDYLCHOLINE-SPECIFIC PHOSPHOLIPASE C?*
Chiara
Luberto and
Yusuf A.
Hannun
From the Departments of Medicine and Cell Biology, Duke University,
Durham, North Carolina 27710
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ABSTRACT |
Sphingomyelin synthase (SMS), an
enzyme involved in sphingomyelin (SM) and ceramide metabolism, can
potentially regulate, in opposite directions, the levels of ceramide
and diacylglycerol. In this study SMS activity was investigated in
normal and SV40-transformed human lung fibroblasts (WI38). The addition
of [3H]C2-ceramide to cells resulted in
a time-dependent formation of
[3H]C2-SM. At 24 h after treatment,
normal WI38 cells cleared 17% of
[3H]C2-ceramide producing
[3H]C2-SM, which accounted for 13% of total
radioactivity. On the other hand, SV40-transformed cells cleared 45%
of [3H]C2-ceramide and produced
C2-SM, which accounted for 24% of total radioactivity.
This enhanced production of C2-SM was also supported by an
increase in the total SMS activity of cells (measured in vitro), such that SV40-transformed cells had SMS activity of 222 pmol/mg of protein/h, whereas wild type cells had 78 pmol/mg of protein/h of activity. Additional studies aimed at examining the SMS
activity directed at ceramide produced in the plasma membrane. Treatment of cells with exogenous bacterial sphingomyelinase (SMase) for 25 min resulted in cleavage of 90-95% of total SM and the concomitant generation of ceramide. After bacterial SMase treatment, wild type WI38 cells cleared ceramide very slowly (19.2 pmol of ceramide/nmol of phosholipid Pi after 6 h of
incubation) and hardly regenerated any SM. On the other hand,
SV40-transformed cells cleared ceramide much faster (41.1 pmol/nmol of
Pi after 6 h of incubation) and regenerated
approximately 80% of the original SM. These results show that the
enhanced SMS activity of transformed cells is particularly pronounced
when ceramide is produced in the plasma membrane.
Finally, several observations led us to consider the relationship of
SMS to the "putative" phosphatidylcholine-specific phospholipase C
(PC-PLC). We, therefore, tested the effects of D609, a purported PC-PLC-specific inhibitor on the activity of SMS. D609 inhibited SMS
activity in vitro. In addition, cellular studies showed
that SMS activity was dramatically inhibited by concentrations of D609 used previously to study PC-PLC (10-50 µg/ml). These results suggest SMS as an important biochemical target for D609, and they raise the
distinct possibility that many of the roles of PC-PLC, especially in
cell transformation, may be attributable to SMS.
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INTRODUCTION |
Lipid molecules play a central role in signal transduction and
regulation of cell growth and viability. Indeed, it is now becoming
obvious that the biological relevance of lipid molecules transcends
their structural functions as components of cellular organelles, as it
has been shown that lipids also exert an active role in the complex
network of reactions that regulate cellular physiology. The concept of
lipids as signaling and regulatory factors was first applied to the
glycerophospholipids and the products of their metabolism. Thus,
molecules such as diacylglycerol (DAG),1 inositol
trisphosphate, arachidonate, phosphatidate, and platelet-activating factor have been associated with the regulation of basic events that
control intracellular homeostasis and intercellular communications, including cell proliferation and inflammation (1-3).
Given these crucial functions for lipid molecules, the regulation of
the enzymes that control their metabolism and therefore modulate their
intracellular levels assumes a critical role. Altered control of these
enzymes may result in serious problems in maintaining the appropriate
homeostasis and balance between intracellular lipid signals, which
regulate overlapping or opposing cellular functions such as cell
proliferation and growth arrest or apoptosis. A growing body of
evidences sets the general process of cell transformation in such a
scenario, where the whole network of cellular proliferation, survival,
and differentiation processes do not respond properly to the incoming
stimuli, and lipid-mediated signaling may be involved in this
event.
Among the signaling lipid molecules, DAG and, more recently, ceramide
have been a target for a large number of studies with particular
relevance to the regulation of cell growth/viability and
transformation. Elevation of DAG levels has been observed in response
to mitogenic stimuli such as growth factors, ras, and other
oncogenic or transforming agents (4-9). The most studied pathway for
DAG generation is through phosphoinositide breakdown, whereby the
concomitant increase in DAG and intracellular Ca2+,
secondary to inositol trisphosphate generation, synergistically activate protein kinase C (10-12). Other main mechanisms of DAG production are mediated by the consecutive action of
phosphatidylcholine (PC)-specific phospholipase D and phosphatidate
phosphohydrolase and by PC hydrolysis through a PC-specific PLC
(PC-PLC) (for reviews, see Refs. 13 and 14).
On the other hand, increased ceramide levels are associated with the
induction of cellular growth arrest and apoptosis. These increases in
ceramide are seen in response to a variety of stimuli (tumor necrosis
factor- , interleukin-1, interferon , vitamin D3,
serum deprivation) and in several different cell lines (15-23). Intracellular regulation of ceramide levels is controlled by a complex
system of metabolic reactions, including the action of different
sphingomyelinases (SMases), ceramidases, ceramide kinase, glucosyltransferase, ceramide synthase, and possibly dihydroceramide desaturase (for reviews, see Refs. 24-26).
One of the most intriguing enzymes that regulate ceramide levels is the
phosphatidylcholine:ceramide phosphocholine transferase (sphingomyelin
synthase; SMS), which transfers the phosphocholine group from PC to
ceramide generating sphingomyelin (SM) and DAG (27-33). This enzyme
therefore has the important ability to directly regulate, in opposite
directions, ceramide and DAG levels within the cells, potentially
controlling opposite cellular processes such as cell proliferation,
growth arrest, and apoptosis (34). Despite the great biological
potential of SMS, very little is known about the enzyme. The largest
effort has been spent on studying its intracellular localization
(28-51), but its exact location and distribution remains to be
elucidated. Moreover, few, if any, reports are available in the
literature on the regulation of this enzyme.
In this study, we investigated the SMS activity in normal and
SV40-transformed human lung fibroblasts (WI38). We provide evidence of
an enhanced SMS activity in SV40-transformed WI38 compared with normal
WI38. In particular, in the SV40-WI38, we show the presence of a SMS
activity that utilizes ceramide produced in the plasma membrane; this
activity is almost completely absent in normal WI38. We also discuss
the fascinating possibility that SMS activity could account for many of
the functions that have been proposed for PC-PLC, given the similar
properties of the two enzymes.
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EXPERIMENTAL PROCEDURES |
Materials--
Dulbecco's modified Eagle's medium, minimum
essential medium (MEM), all MEM solutions, and trypsin-EDTA were from
Life Technologies, Inc. Fetal bovine serum (FBS) was from Summit
Technology. [methyl-3H]Choline chloride (1 mCi/ml, 85 mCi/mmol), L- -dipalmitoyl
[choline-methyl-3H]phosphatidylcholine
(50 Ci/mmol, 1 mCi/ml), [ -32P]ATP (10 mCi/ml, 3000 Ci/mmol), and EN3HANCETM spray were from NEN Life Science
Products. L- -Phosphatidylcholine, sphingomyelin, and
1-oleoyl-2-acetylglycerol were from Avanti Polar Lipids.
C2-sphingomyelin and
D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol-HCl were from Matreya. Ceramide type III, bacterial sphingomyelinase (from
Staphylococcus aureus), and fatty acid-free BSA were from Sigma chemical company. D609 was from Calbiochem. Silica Gel 60 thin-layer chromatography plates were from Whatman. Scintillation mixture Safety Solve was from Research Products International. All
solvents were of AR grade and were from Mallinckrodt.
Cell Culture--
Both normal and SV40-transformed human lung
fibroblasts (WI38) were obtained from the NIA Aging Cell Repository.
Normal human lung fibroblasts (WI38) were routinely grown in
Dulbecco's modified Eagle's medium with 4.5 g/liter glucose, buffered
with Hepes and supplemented with 10% FBS. WI38 cells were used up to
passage number 24-26. SV40-transformed fibroblasts (SV40 WI38) were
maintained in MEM supplemented with MEM solutions of vitamins,
essential and nonessential amino acids, and 10% FBS. Cells were
maintained at 5% CO2 at 37 °C.
Synthesis of [3H]
D-Erythro-C2-ceramide--
The compound was
synthesized by acylation of (2S,3R)-sphingosine
with [3H](CH3CO)2O and purified
by thin layer chromatography (TLC) (chloroform:methanol:2 N
NH4OH). The specific activity of the obtained
[3H]D-erythro-C2-ceramide was
adjusted to 8.7 × 103 cpm/nmol (10 mM
stock solution in ethanol) by dilution with unlabeled 10 mM
D-erythro-C2-ceramide.
(2S,3R)-D-Erythrosphingosine was prepared in stereo-selective synthesis from L-serine (52,
53).
Metabolic Labeling of Cellular SM and PC Pools and Treatment of
Cells with Bacterial Sphingomyelinase (bSMase)--
Cells were seeded
at 2 × 105 cells/plate in 100-mm Petri dishes. After
2 days, medium was changed and cells were labeled with [methyl-3H]choline chloride (final specific
activity: 0.5 µCi/ml) for 60 h. After this time, cells were
washed once with phosphate-buffered saline (PBS) and chased for 2 h. After washing with PBS again, cells were treated with 100 milliunits/ml bSMase for 25 min (10 ml of medium). Then, cells were
washed twice with PBS and fresh complete medium (10 ml) was added to
continue the incubation for up to additional 24 h. In some
experiments, 10-50 µg/ml D609 (aqueous solution) were added to the
medium. All manipulations were in 10% FBS-supplemented medium.
Measurements of [3H]Choline-labeled SM and
PC--
After removing the medium, cells were washed and scraped in
PBS. The suspensions were centrifuged at 350 × g for 5 min at 4 °C, and the pellets were stored at 70 °C. On the day
of the measurements, pellets were resuspended in distilled water and briefly sonicated to obtain an homogeneous lysate. Part of it was used
for protein determination (54) and part for lipid extraction with 2.5 ml of chloroform:methanol (2:1) (55). Total lipid extract was subjected
to mild base hydrolysis (56), and [3H]phosphatidylcholine
was quantitated by measuring the radioactivity in the aqueous phase.
[3H]Sphingomyelin was determined by TLC analysis in
chloroform:methanol:acetic acid:H2O (50:30:8:5), followed
by scraping and counting the radioactivity by liquid scintillation.
Mass Measurements of Cellular PC and SM--
Total lipids were
extracted from the cells according to the Bligh and Dyer method (57)
starting from the same amount of proteins. PC and SM were separated by
TLC using chloroform:methanol:acetic acid:H2O (50:30:8:5).
Lipids were visualized by exposure of the TLC plate to iodine vapors,
and PC and SM were identified by comparison with authentic standards.
PC and SM were scraped and eluted from the silica gel by an extraction
according to the Bligh and Dyer protocol (this procedure gave us 99%
elution efficiency). PC and SM levels were determined by measuring the
amount (nmol) of inorganic phosphate (Pi) present in the
organic phase (58) and were normalized to total phosphate initially
present.
Ceramide and Diacylglycerol Measurements--
Cells were
harvested in methanol, and lipids were extracted using the Bligh and
Dyer method (57). One ml and 0.3 ml (in duplicates) of chloroform out
of the organic phase were aliquoted separately, dried down, and used,
respectively, for ceramide and phosphate measurements (58). Ceramide
levels were evaluated using the Escherichia coli
diacylglycerol kinase assay (59, 60). Briefly, the lipids were
incubated at room temperature for 30 min in the presence of
-octylglucoside/dioleoyl-phosphatidyl glycerol micelles, 2 mM dithiothreitol, 5 µg of proteins from the
diacylglycerol kinase membranes, and 2 mM ATP (mixed with [ -32P]ATP) in a final volume of 100 µl. After the
lipids were extracted by the Bligh and Dyer method, the reaction
products were separated by TLC in chloroform:acetone:methanol:acetic
acid:H2O (50:20:15:10:5), and the radioactivity associated
with the phosphatidic acid and the ceramide-P was measured. Ceramide
and diacylglycerol levels were quantitated by using external standards
and were normalized to phosphate.
Incubation of WI38 Fibroblasts with
[3H]C2-ceramide and Analysis of
3H-Labeled Lipids--
Cells were seeded at 5 × 105 cells/plate in regular medium supplemented with 10%
FBS. After 2 days, medium was changed and after additional 12 h
the cells (about 1.5-2 × 106 cells/plate) were
incubated with 5 µM
[3H]C2-ceramide (specific activity: 8.7 × 104 cpm/10 nmol) in 1% FBS-supplemented medium up to
24 h. [3H]C2-ceramide was delivered in
ethanol solution (0.05% ethanol in the medium). At the time points
indicated in the figures, medium was removed and cells were washed
twice with PBS. After centrifugation at 350 g for 5 min, medium
and PBS were both checked for radioactivity. Cells were scraped on ice
into glass extraction tubes with 2 ml of methanol. Lipids were
extracted as indicated by Bligh and Dyer (57). Total lipid extracts
were resuspended in chloroform:methanol (2:1) and separated by TLC in a
solvent system of chloroform:methanol:15 mM anhydrous
CaCl2 (60:35:8). The TLC plates were sprayed with EN3HANCE and exposed to film at 70 °C for 4-5 days.
Using the autoradiography as a guide, bands were scraped from the plate
and the associated radioactivity quantitated by liquid scintillation
counting. The identity of 3H-labeled C2-Cer and
C2-SM was confirmed by comigration with authentic standards.
SM Synthase Assay--
WI38 and SV40 WI38 were collected after
quick trypsinization. The cells were washed twice with PBS and
homogenized in ice-cold lysis buffer by 10-15 passages through a
27-gauge × 0.5-inch needle. The lysis buffer contained 25 mM Tris-HCl (pH 7.4), 5 mM EDTA, 1 mM phenylmethylsulfonyl fluoride, and 20 µg/ml each of
chymostatin, leupeptin, antipain, and pepstatin. The cell lysates were
first centrifuged at 1000 × g for 10 min at 4 °C in
order to remove all the unbroken cells and nuclei. The postnuclear
homogenates were then centrifugated at 100,000 × g for
1 h at 4 °C in order to get a whole cellular membrane
preparation (pellet). Membrane proteins (150 µg) were preincubated
for 10 min at 37 °C in a total final volume of 0.5 ml of incubation
buffer containing 50 mM Tris-HCl (pH 7.4), 25 mM KCl, and 0.5 mM EDTA (36). The reaction was started by addition of [3H]C2-ceramide (20 nmol) as an equimolar complex with fatty acid free BSA (dBSA) (complex
specific activity: ~ 9 × 103 cpm/nmol) and
proceeded for up to 60 min. When the effect of D609 on the SM synthase
activity was tested, the compound was preincubated with the membranes
for 20 min and the reaction was started with 20 nmol of
[3H]C2-ceramide as ethanol solution (0.2%
ethanol in the incubation mixture). The reaction was stopped by
addition of 3 ml of chloroform:methanol (1:2); the mixture was vortexed
and kept on ice. Lipids were extracted as indicated by the Bligh and
Dyer method (57) and resolved by TLC in chloroform:methanol:15
mM anhydrous CaCl2 (60:35:8). The
[3H]C2-SM produced was detected by
autoradiography, scraped from the plates and quantitated by liquid
scintillation counting. Values for blanks were subtracted from total
values of [3H]C2-SM to yield the amount of
[3H]C2-SM produced. In some experiments SV40
WI38 membranes were incubated in the presence of
[3H]phosphatidylcholine (50-100 nmol; equimolar complex
with dBSA; complex specific activity: ~1 × 104
cpm/nmol) instead of [3H]C2-ceramide; the
incubation proceeded in the same experimental conditions as described
above.
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RESULTS |
Uptake and Metabolism of [3H]C2-ceramide
in Normal and SV40-transformed WI38 Cells--
We treated the normal
human lung fibroblast cell line, WI38, with 5 µM
[3H]C2-ceramide in 1% FBS-supplemented
medium for 24 h. Under these experimental conditions, the
concentration of C2-ceramide used did not induce cell death
(trypan blue exclusion assay; data not shown), consistent with a
previous study on the selective induction of senescence by ceramide in
this cell line (61). This short chain ceramide analog easily diffuses
into the cells, overcoming permeability-related problems. We found
that, after 15 min of incubation, over 50% of the total radioactivity
was detected within the cells (Fig.
1A). The maximum level of
radioactivity in the cells occurred after 5 h of incubation (about
70% of the total radioactivity), but decreased with time to 50% after
24 h of incubation.

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Fig. 1.
Effects of treatment of WI38 and SV40 WI38
with 5 µM [3H]C2-ceramide.
A, cells (1.5-2 × 106 cells/plate) were
treated with 5 µM
[3H]C2-ceramide in 1% FBS-supplemented
medium. At the time points indicated in the figure, medium was
collected and cells were washed with PBS. Cells were scraped in
methanol, and cellular lipids were extracted according to the Bligh and
Dyer method (56). Radioactivity present in the medium or in the cells
was measured and expressed as percentage of the total radioactivity.
B, cellular lipids were separated by TLC in
chloroform:methanol:15 mM anhydrous CaCl2 and
[3H]C2-ceramide metabolites were visualized
by autoradiography. Radioactivity associated with
[3H]C2-ceramide (C),
[3H]C2-glucosylceramide (D), and
[3H]C2-sphingomyelin (E) present
in the cells was measured and expressed as percentage of the total
cellular radioactivity. Results reported are representative of two or
three independent experiments.
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During incubation, a significant portion of the
[3H]C2-ceramide taken up by the cells was
converted into two major products (Fig. 1B). After TLC
analysis of the cellular lipids present in the organic phase after
Bligh and Dyer extraction (57), two compounds were present in addition
to the [3H]C2-ceramide; the first one had an
RF = 0.24 and identified as
[3H]C2-SM by comparison with an authentic
standard (Matreya), and the second compound had an
RF = 0.52, and could be inhibited by
D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol-HCl treatment (data not shown), and is therefore thought to belong to the
cerebroside family (most likely C2-glucosyl ceramide) (43, 62). [3H]C2-ceramide metabolism was the most
rapid during the first 2 h of incubation, and then it slowed down
during the remaining incubation time (Fig. 1C). Concurrently,
C2-SM (Fig. 1E) and probably C2-GlCer (Fig. 1D) were produced at a maximum
rate within the first 2 h of incubation. After this time
C2-SM was synthesized at a higher rate than the
cerebroside, and by 24 h of incubation C2-SM and
C2-GlCer accounted for about 13% and 9%, respectively, of
the total radioactivity within the cell.
Interestingly, when comparing the effects of a similar treatment in
SV40-transformed WI38 cells (SV40 WI38) with normal WI38 cells (WI38),
a different situation was observed. First, whereas the maximum level of
radioactivity detected inside the cell was the same (70% of the total
radioactivity), it occurred within 2 h after labeling the
SV40-transformed WI38 cells. Noticeably, the levels decreased more
rapidly compared with the normal fibroblasts (40% after 24 h of
incubation) (Fig. 1A). At the same time, the [3H]C2-ceramide that entered the cells was
converted into the same products found for the normal WI38 fibroblasts.
However, the metabolic rate was higher than that observed in the normal
cell line. After 24 h of incubation,
[3H]C2-ceramide accounted for only 53% of
the total cellular radioactivity, whereas C2-SM (Fig.
1E) and C2-GlCer (Fig. 1D) accounted
for 24.5% and 22.5% of the total counts/min, respectively.
These results suggest the presence of SMS (Fig. 1E) and
UDP-glucose:ceramide-glucosyl transferase (Fig. 1D)
enzymatic activities in both normal and SV40-transformed WI38 cells. In
the latter, the two activities appear significantly higher compared
with the normal cell line. SMS activity has been reported in different cellular compartments such as cis/medial Golgi and plasma
membrane (28-51). Because the short carbon chain ceramide analogs
easily diffuse through the membranes, they can rapidly (probably
minutes) reach different sites within the cell (43-45, 62). Therefore, it is likely that the SMS activity that occurs during in
vivo [3H]C2-ceramide treatment (Fig.
1E) is a sum of the total enzymatic activity in the
cell.
Treatment of Normal and SV40-transformed Fibroblasts with Bacterial
Sphingomyelinase Reveals Presence of SMS--
In order to specifically
study the SMS activity associated with plasma membrane SM, normal and
SV40 WI38 cells (1.5-2 × 106 cells/plate) were
treated with bSMase (100 milliunits/ml) in 10% FBS-supplemented medium
(Figs. 2 and
3). The presence of
the bSMase in the medium induced
hydrolysis of the SM located in the outer leaflet of the plasma
membrane, with concomitant ceramide formation. After 25 min, the bSMase
was removed with two washes in PBS, and fresh medium was added to the
plates and incubated for an additional 24 h. As shown in Fig. 2,
after 25 min of treatment with bSMase, massive SM hydrolysis was
induced both in normal and transformed-WI38 cells as expected. In
normal WI38 cells, 11% of SM (about 9.7 pmol of SM/nmol of
Pi) could be recovered after bSMase treatment and 5.5-7%
of SM (about 3 pmol of SM/nmol of Pi) in transformed WI38
(Figs. 2 and 3C). At the same time, the ceramide content
dramatically increased (Fig. 2). In normal WI38 fibroblasts, it was
elevated from 18 to 98 pmol/nmol of Pi (a change of about
80 pmol/nmol of Pi), whereas in the transformed WI38 it was
elevated from 4.8 to 56.2 pmol/nmol of Pi (a change of
about 50 pmol/nmol of Pi), corresponding to changes of
approximately 5- and 11-fold, respectively. These changes in ceramide
levels account for the amount of SM hydrolyzed in the two cell lines, respectively (Fig. 2).

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Fig. 2.
Sphingomyelin synthase activity in response
to bSMase treatment in normal and SV40-transformed WI38: mass changes
of ceramide and SM levels. Cells (1.5-2 × 106
cells/plate) were incubated with 100 milliunits/ml bSMase for 25 min in
10% FBS-supplemented medium. After this time (indicated by the
arrows on the x axis) cells were washed twice
with PBS and were incubated with fresh regular medium for additional
24 h. Ceramide (cer) and SM levels were measured at the
time indicated in the figures as described under "Experimental
Procedures." The values reported are representative of two or three
independent experiments.
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Fig. 3.
Sphingomyelin synthase activity in response
to bSMase treatment in normal and SV40-transformed WI38: changes as
percent of basal levels. Cells were treated as indicated in the
legend of Fig. 2. Ceramide (A), DAG (B), SM
(C), and PC (D) levels were measured at the time
indicated in the figures as described under "Experimental
Procedures." The values reported are representative of two or three
independent experiments.
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Importantly, after generation of these very high levels of ceramide
from SM hydrolysis, we observed two distinct responses of the two cell
types in the further metabolism of ceramide and SM. Therefore, we
investigated the ability of the two cell lines to clear the high levels
of ceramide after washing out the bSMase. As shown in Table
I, normal WI38 fibroblasts metabolized
2.2 pmol of ceramide/nmol of Pi and 19.2 pmol/nmol of
Pi within 2 and 6 h, respectively, after washing out
the bSMase. On the other hand, SV40-transformed WI38 cells were able to
metabolize 26.1 pmol of ceramide/nmol of Pi and 41.1 pmol/nmol of Pi after 2 and 6 h, respectively,
following washing away the bSMase enzyme. These results demonstrate a
significant difference between normal and SV40-transformed WI38 in
their ability to handle the ceramide produced after bSMase treatment.
In the first 2 h, normal WI38 were almost unable to metabolize the
produced ceramide compared with the efficient activity shown by the
SV40 WI38, which were able to reduce the ceramide levels by half.
Moreover, it is also important to note that bSMase treatment did not
induce cell death or any major morphological changes appreciable by
optical microscopy analysis, consistent with the inability of ceramide
to induce death in this cell line, and consistent with the reported
inability of exogenous bSMase to cause death in many cell types (63,
64). Thus, we proceeded to investigate the mechanisms that induced the
different metabolic behavior.
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Table I
Ceramide clearance and SM production 2 and 6 h after washing out
bSMase in both normal and SV40 WI38 cells
Cells were treated with bSMase as described in the legend of Fig. 2.
The values reported in the table are representative of one out of three
independent experiments.
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We considered the possibility that SMS could be involved in this
phenomenon. For this, we measured the changes in the levels of SM after
treatment with bSMase in both normal and SV40 WI38. Fig. 2 shows the SM
measurements at the same time points as the changes in ceramide levels
previously considered. Whereas the normal WI38 fibroblasts synthesized
0.7 pmol of SM/nmol of Pi in 2 h and 1.7 pmol/nmol of
Pi in 6 h after washing out the bSMase, the
SV40-transformed fibroblasts produced 26.2 pmol of SM/nmol of
Pi after 2 h and 40.6 pmol/nmol of Pi
after 6 h (Table I and Fig. 2). This demonstrated that the WI38
and SV40 WI38 respond in a completely different way to the bSMase
stimulus when the changes in SM levels were analyzed. In fact, very
little SM production was observed in normal WI38, whereas massive SM
formation was detected in SV40 WI38. Therefore, it could be concluded
that normal WI38 cells slowly metabolize the ceramide present in the
plasma membrane, but it appears that very little if any of it is used for the resynthesis of SM. This indicated to us the possibility that
normal WI38 could be devoid of SMS activity able to utilize the
specific pool of ceramide produced after bSMase treatment. SV40 WI38
cells, on the other hand, were extremely active in reducing the levels
of ceramide, almost completely converting it back to SM (after 6 h, 41.6 pmol of ceramide/nmol of Pi cleared and 40.6 pmol
of SM/nmol of Pi produced).
Because the biochemical reaction catalyzed by the SMS also involves the
consumption of PC and the production of DAG (27-31), we evaluated the
levels of these compounds in response to the bSMase treatment (Fig. 3,
B and D). The DAG level in the SV40 WI38
increased moderately during the 25-min treatment with bSMase, and it
continued to increase up to a peak at 30 min after washing out the
bSMase (Fig. 2D, inset). After the 30-min time
point, DAG levels steadily decreased, possibly because of the rapid
metabolism of this molecule in the cell.
The changes in the levels of PC were barely detectable in the treated
cells, with a progressive drop in labeling during the chase period seen
in both cell lines (Fig. 3D). The lack of significant changes in PC levels is reasonable if we consider that the cellular concentration of this phospholipid is very high (Table III) (about 400 pmol/nmol of Pi in both normal and SV40 WI38) compared with SM (89 and 54 pmol/nmol of Pi, respectively, in normal and
SV40 WI38). Furthermore, PC turnover is more rapid than that observed for SM. In fact, about 60% of radioactive PC is lost within 24 h
after [3H]choline labeling, whereas the loss of
radioactivity associated to SM is hardly appreciable during this time
(Fig. 3, C versus D, controls).
In Vitro Measurement of SM Synthase Activity in Normal and
Transformed WI38 Cells--
In order to further verify the differences
in the SM synthase activity between normal and SV40-transformed cells
observed after in vivo treatments, we measured in
vitro basal SM synthase activity in the two cell lines. We used a
modified protocol from Futerman and Pagano (36).
[3H]C2-ceramide was added as the labeled
substrate for the reaction, as used for the in vivo
treatment (Fig. 1). Under our experimental conditions, the enzymatic
activity was linear with time and with the amount of membrane proteins
(data not shown). Therefore, 150 µg of total membrane proteins,
isolated both from normal or SV40-transformed WI38 cells, were
incubated with 20 nmol of [3H]C2-ceramide
(specific activity: ~1 × 104 cpms/nmol) (Fig.
4). The reaction proceeded at 37 °C
for 20, 30 and 60 min after 10 min of preincubation. The levels of
[3H]C2-SM produced by the transformed cell
line were higher compared with those obtained from the normal WI38
cells, for each time point examined and for all the membrane protein
concentrations used (data not shown). After 20 min of incubation,
normal WI38 fibroblasts produced 26 pmol of SM/mg of protein and
transformed-WI38 cells produced 74 pmol/mg of protein. This difference
in the synthase activity between the two cell lines is similar in
magnitude to the results observed for the in vivo
[3H]C2-ceramide treatment (Fig.
1E). It is important to note that for the in
vitro measurements we are actually monitoring a total membrane
extract, which may contain different forms of SM synthase.

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Fig. 4.
In vitro measurement of basal
sphingomyelin synthase activity in normal and SV40-transformed
WI38. After homogenization, whole membrane fraction was collected
as described under "Experimental Procedures." Normal
(WI38) and SV40-transformed WI38 (SV40 WI38)
membrane proteins (150 µg) were incubated for up to 60 min with 20 nmol of [3H]C2-ceramide at 37 °C.
[3H]C2-ceramide was added to the reaction
mixture as an equimolar complex with dBSA. The amount of
[3H]C2-SM produced during the different
incubations as a measure of SM Synthase activity was evaluated by
measuring its radioactivity as described under "Experimental
Procedures." The experiment in the figure is representative of two or
three independent incubations.
|
|
In Vitro Measurements of Basal SM Synthase Activity in Liver and
Morris Hepatoma 3924A--
Given the different SMS activity between
normal and SV40 WI38, we wanted to verify if any difference could be
detected in other experimental models, comparing normal and transformed
conditions. Therefore, we measured the basal SMS activity of normal
liver and Morris hepatoma 3924A (a highly malignant tumor with a rapid growth rate) obtained from Aci/T rats. Liver and hepatoma samples were
homogenized (10% w/v) in 0.25 M sucrose, 25 mM
KCl, 50 mM Tris-HCl, 0.5 mM EDTA (pH 7.4) using
a Potter-Elvehjem homogenizer. The homogenate was filtered through four
layers of gauze and centrifuged at 1000 × g for 10 min. After a 10-min preincubation at 37 °C of the postnuclear
homogenates (600 µg), the reaction was started by addition of 10 nmol
of [3H]C2-ceramide as an equimolar complex
with dBSA. SMS activity was evaluated as a function of
[3H]C2-SM production after 30 and 60 min of
incubation, as described earlier. As shown in Table
II, the homogenate obtained from the Morris hepatoma specimens showed a significantly higher SMS activity than the one detected in the homogenate prepared from normal liver. In
fact, after 30 and 60 min of incubation, the hepatoma homogenates synthesized approximately 7 times more
[3H]C2-SM than normal liver homogenates.
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Table II
In vitro measurements of basal SMS activity in liver and Morris
hepatoma 3924A as a function of [3H]C2-SM production
The values reported in the table represent the means of three
independent measurements. "Blank" refers to counts (cpm) in the
absence of enzyme.
|
|
Determination of Ceramide, DAG, SM, and PC Basal Levels in Normal
and SV40 WI38 Fibroblasts--
SM synthase transfers the
phosphorylcholine moiety from phosphatidylcholine to ceramide with the
formation of SM and the production of DAG. Given the difference in the
SMS activity we found in vivo and in vitro
between normal and SV40-transformed WI38 cells, we wondered if this
could affect, in the two cell lines, the basal cellular levels of
ceramide, PC, SM, and DAG, the substrates and products of the reaction
regulated by SMS. Therefore, the basal amount of the four lipids was
measured in both normal and SV40-transformed WI38 fibroblasts (Table
III). We found that DAG levels were
approximately 40% higher in the transformed cell line than in the
normal fibroblasts, whereas ceramide levels were 3.5-fold higher in
normal WI38 cells compared with the transformed cells. Because DAG and
ceramide may have opposing biological functions (17, 65), it is of particular significance to evaluate the results as DAG/ceramide ratio.
In this case, the data are even more striking; the DAG/ceramide ratio
is over 5-fold higher in transformed than in normal cells. The results
are less clear when measuring the cellular levels of PC and SM. PC
levels did not appear to be very different between the two cell lines,
whereas the SM levels were higher in the normal than in the
SV40-transformed cells. However, when considering the SM/ceramide
ratio, it was still over 2-fold higher in the transformed than in the
normal cells, consistent with the differences in SMS activity.
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Table III
Ceramide, DAG, SM, and PC basal levels in normal and SV40 WI38
The values reported in the table correspond to the means of two to
three independent measurements.
|
|
In Vitro and in Vivo Inhibition of SM Synthase Activity by the
Putative "PC-PLC-specific inhibitor" D609--
From the data
shown, it became evident that SM synthase activity was elevated in
SV40-transformed WI38 cells compared with the normal counterpart. It
has been reported that the activity of a PC-PLC may play an important
role in the process of cellular transformation (4, 13, 66-70). Because
this enzyme is thought to cleave PC with the production of DAG and
choline-P, we investigated the possibility that PC-PLC activity could
have been also relevant in inducing the differences we found between
the two WI38 cell lines. For this, we evaluated any
[3H]choline-P production during in vitro
incubation of total membrane extract (150 µg of proteins), isolated
from SV40-transformed WI38 cells, in the presence of
[3H-choline]phosphatidylcholine (Table
IV). After 1 h of incubation at
37 °C, in the presence of either 50 or 100 nmol of labeled PC, no
production of labeled choline-P was detected. Instead, when checking
for production of labeled SM under the same experimental conditions, we
found significant activity with both amounts of labeled PC used (160 and 331 cpm of generated SM with 50 and 100 nmol of PC, respectively).
Thus, we could not detect any PC-PLC activity in the SV40-transformed
WI38.
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Table IV
[choline-methyl-3H]Sphingomyelin and -choline-P production
using [choline-methyl-3H]phosphatidylcholine as substrate for
in vitro SM synthase assay
The values reported in the table are representative of one out of two
independent experiments. ND, not detected.
|
|
When comparing substrates and products of the reactions catalyzed by SM
synthase and PC-PLC, it is interesting to note that for both reactions
PC is used as substrate and DAG is one of the products (see Fig. 6).
Besides, both enzymes may be localized to the plasma membrane and both
of them appear to be differently regulated in normal and transformed
cells. Moreover, there has been little documentation of genuine PC-PLC
activity at a biochemical level in mammalian cells. Because of the
intriguing similarities between PC-PLC and SMS, we wondered whether
many (or at least some) of the reported effects and regulators of
PC-PLC might not be more directly attributable to SMS. It seemed to us
particularly interesting to study the effect of the purported
PC-PLC-specific inhibitor, D609 (71, 72), on SM synthase activity. For
this, we incubated different concentrations of D609 (from 50 up to 200 µg/ml) with a total membrane extract (150 µg of proteins) isolated from SV40-transformed WI38 fibroblasts (Fig.
5A). Before the addition of 20 nmol of [3H]C2-ceramide in ethanol solution
(0.2% EtOH in the incubation mixture), we preincubated the membrane
suspension for 20 min at 37 °C. Then, we measured the
[3H]C2-SM production after 60 min of
incubation. The addition of D609 induced inhibition (about 30%) of SM
synthase activity at the lowest concentration used (50 µg/ml).
Increasing D609 concentrations caused increasing levels of inhibition
of SM synthase: 55.5% and 90.5% inhibition of
[3H]C2-SM production, respectively, with 100 µg/ml and 200 µg/ml D609 (Fig. 5A). Because D609
inhibited SM synthase activity in vitro, we wanted to verify
the effect of an in vivo treatment in SV40-transformed WI38
cells using concentrations of D609 claimed to be specific for
inhibition of PC-PLC (Fig. 5B). For this, we treated the
cells with bSMase (100 milliunits/ml) for 25 min as shown previously
(Fig. 2), in order to monitor maximum SM synthase activity. After
washing out the bSMase, 25 µg/ml D609 was added to the medium, and
cell samples were collected after 2, 4, and 6 h of incubation. SM
levels were evaluated; addition of D609 totally inhibited SM production
after 2 h of incubation, and it was still inhibitory by 75-80%
after 6 h. Very similar results were obtained when concentrations
of 10 and 50 µg/ml D609 were similarly tested on SMS activity (data
not shown).

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Fig. 5.
Inhibitory effect of the PC-PLC-specific
inhibitor D609 on SM synthase activity. A, membranes (150 µg) isolated from SV40 WI38 were preincubated for 20 min in the
absence or in the presence of different concentrations of D609 (50-200
µg/ml). The reaction was started with the addition of 20 nmol of
[3H]C2-ceramide and continued at 37 °C for
60 min. The samples were processed as described under "Experimental
Procedures." B, SV40 WI38 were incubated for 25 min in the
presence of bSMase as described under "Experimental Procedures" and
in the legend of Fig. 2. After washing out the enzyme, the cells were
incubated in the absence or in the presence of 25 µg/ml of D609
(aqueous solution). The values are representative of two or three
independent experiments.
|
|
 |
DISCUSSION |
In the present study, SMS activity was investigated in normal and
SV40-transformed human lung fibroblasts (WI38). Our results show that
SV40-transformed WI38 cells contain a significantly higher SMS activity
than normal WI38. Our results further suggest the existence of a
specific SMS activity that acts on ceramide generated in the plasma
membrane. This activity is almost absent in wild type cells but highly
enriched in transformed cells. The properties of this enzyme raise the
tantalizing possibility that it could account for some or many of the
proposed functions of the purported, but elusive, mammalian PC-PLC.
Evidence for the increased activity of SMS in SV40 WI38 was provided by
multiple lines of evidence. First, SMS activity was investigated
in vivo as the ability of the cells to metabolize radiolabeled C2-Cer producing labeled C2-SM. In
this case, SV40-transformed WI38 were able to produce twice the amount
of C2-SM as the normal WI38. Second, very similar results
were obtained when SMS activity was assayed in vitro. Whole
membrane preparations isolated from cellular lysates of WI38 and SV40
WI38 were incubated with C2-Cer, and C2-SM
production was followed. The SMS activity present in the SV40 WI38
membrane fraction was double the activity monitored in the normal WI38
membrane fraction. Third, and in agreement with the presence of an
enhanced SMS activity, cellular ceramide and DAG levels measured in
SV40 WI38 were lower and higher, respectively, compared with the levels
of the same lipids present in normal WI38. These results clearly show
that SMS activity is present in both cell lines, and that it is 2-fold
higher in the SV40-transformed WI38 than in normal WI38.
Interestingly, when elevation of a specific pool of cellular ceramide
was induced in both fibroblasts by treatment with bSMase, a
dramatically different SMS activity profile was observed in the two
cell lines, and the difference between the two cell lines became almost
absolute. Thus, WI38 were hardly able to metabolize the ceramide
produced in the plasma membrane by the bSMase treatment, and they were
almost completely unable to produce SM from it. On the other hand, SV40
WI38 actively metabolized this ceramide converting it back to SM.
The results from the treatment of normal and SV40 WI38 with bSMase led
us to consider the interesting possibility that the main difference in
SMS activity between these two cell lines is perhaps due to a form of
the enzyme that resides in the plasma membrane or in functional
proximity to it (enzyme that can act on ceramide generated in the
plasma membrane). On the other hand, the treatment with
C2-Cer does not allow us to discern between SM synthesis
occurring in different cellular compartments, inasmuch as
C2-Cer, like other short chain ceramide analogs, is readily taken up by cells and probably diffuses very quickly reaching different
sites within the cells (43-45, 62). Because of this, C2-SM
production would be a measure of total SMS activity present in the
cells. In this case, the difference between normal and transformed WI38
is not as dramatic as it is after bSMase treatment. Similarly, there
were more moderate differences when SMS activity was assayed in
vitro using the whole cellular membrane fraction as source of the
enzyme, because this procedure includes total SMS activity. Based on
these and other results, one may hypothesize the presence of at least
two SMSs, one more directly involved in the de novo
synthesis and the second SMS more connected preferentially to plasma
membrane ceramide. Indeed, the data available in the literature from
subcellular fractionation studies seem to localize most of the SMS
activity in the cis/medial Golgi (36, 37, 41, 43-45, 47)
with a component of the activity in the plasma membrane (28, 30, 31,
36, 46, 50, 51), endoplasmic reticulum (29, 49), and mitochondria (48),
whereas it seems absent in the endosomes (73). Additionally, it has
been proposed that the SMS activities present in different cellular
compartments may be involved in different biological processes. In
particular, it has been already suggested that the SMS localized in the
Golgi could be more specifically responsible for the de novo
synthesis of SM, whereas the form localized in the plasma membrane
could play a more specific role in signal transduction events (58, 74).
The difference in the SMS activity between normal and SV40-transformed
WI38 raises the important possibility of a role for SMS in the
regulation of cell growth and function through the modulation of the
levels of ceramide and DAG. Through its reaction (Fig.
6), the enzyme has the ability to
regulate, in opposite directions, the intracellular levels of ceramide
and DAG. Both of these molecules have been shown to be important
bioeffector or second messenger lipids. Ceramide has been shown to
mediate and mimic the ability of some effectors (such as tumor necrosis factor- , vitamin D3, interleukin-1) to induce apoptosis,
growth arrest and other metabolic and signaling functions (15-26).
DAG, on the other hand, has been shown to play an antiapoptotic and stimulatory role for cell proliferation in addition to other signaling functions (for reviews, see Refs. 13 and 14). Thus, it appears that
these two lipids exert different, if not opposite, roles in controlling
the processes that lead cells to undergo cell death or growth arrest or
to progress in the cell cycle (65). It seems to us that the regulation
of the ratio between intracellular ceramide and DAG levels may be an
important "biostat" in the regulation of cell viability/cell death
and possibly other functions. If that is the case, SMS may be a
component in the direct regulation of this balance. In this
perspective, the 5-fold increase of the DAG/ceramide levels ratio in
SV40-transformed WI38 with respect to normal WI38 and the complete
absence of the plasma membrane-related SMS activity in the latter
provide a promising starting point for further investigation in this
direction.

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Fig. 6.
Scheme of the enzymatic reaction regulated by
sphingomyelin synthase. SM synthase catalyzes the transfer of the
phosphoryl choline moiety from one molecule of PC to one molecule of
ceramide. This leads to the formation of one molecule of SM and one of
DAG.
|
|
It should also be noted that the difference in SMS activity between the
two cell lines, while reversing the ratio of DAG/Cer, was not
associated with a major difference in PC or SM levels. We could
hypothesize that the SMS in endoplasmic reticulum/Golgi is the primary
determinant of steady state levels of SM through regulation of de
novo synthesis whereas the SMS directed at ceramide generated in
the plasma membrane may be a primary regulator of the DAG/ceramide
ratio.
The unexpected inhibition of SMS activity by the specific PC-PLC
inhibitor D609 makes the whole argument even more intriguing. PC-PLC
and SMS share several biochemical, topological and biological characteristics. PC-PLC hydrolyzes PC with subsequent DAG and choline-P
production, even if genuine biochemical studies are missing; on the
other hand, SMS is also able to convert PC into DAG (Fig. 6). Both
enzymes seem to function at neutral pH, and both appear to localize to
the plasma membrane. Moreover, elevated activity of both enzymes seems
to be associated with the transformed phenotype. For example, enhanced
PC-PLC activity was observed in ras- or
src-transformed cell lines (4, 66-70, 72), whereas SMS
enhanced activity (as evaluated by changes in PC and DAG) is correlated
in this case to SV40 transformation and to other neoplastic conditions
such as hepatomas. In particular, it has been reported by several
authors that both the molar percentage of SM and the SM/PC ratio are
increased in Morris hepatomas (74-78). In our hands, in
vitro measurements show a dramatic increase (about 7-fold) of SMS
activity in homogenates prepared from Morris hepatomas 3924A compared
with those prepared from normal livers (Table II). These results
support a previous report on SMS activity in hepatomas (79). In that
study, utilizing subfractionation procedures, SMS activity was found
predominantly in the plasma membrane and it was elevated
(1.5-3.0-fold) compared with host liver.
All the similarities between PC-PLC and SMS and, most importantly, the
susceptibility of SMS activity to the specific PC-PLC inhibitor, D609,
led us to consider the possibility that some of the observations
reported in the literature claiming PC-PLC involvement in signal
transduction events, based either on the inhibitory effect of D609 or
on the changes in PC and DAG levels, should be carefully reconsidered.
In fact, as it appears from our data, these parameters are not
sufficient to discern between the two enzymatic activities. In this
perspective, nuclear translocation of NF- B (71), activation of
MAPK/ERK kinases or activation of the atypical protein kinases C (in
particular and ) (80-82) are all plausible downstream targets
of SMS activation as they have been suggested to be downstream targets
of PC-PLC based on studies with D609.
A final consideration relates to the upstream regulation of the SMS.
What are the factors and modalities by which the enzyme is induced in
transformed cells? Little information is available to address this
question. However, there are several possibilities including a possible
role for p53 and Rb (targets for large T of SV40), serine/threonine
phosphatases (targets for small t), or other modulators of cell
transformation that may be targeted by SV40.
In conclusion, we show that an increased SMS activity, possibly due to
a plasma-membrane related form of the enzyme, is associated with the
SV40-transformed phenotype in human lung WI38 fibroblasts and in other
neoplastic conditions. This activity shows many similarities with
PC-PLC and it is efficiently inhibited by the PC-PLC inhibitor, D609.
These data raise the question whether the biological events that until
now have been attributed to the PC-PLC may be due partially to the SMS.
More importantly, these results support a role for SMS in cell
regulation and transformation through its ability to modulate the
levels of ceramide and DAG.
 |
ACKNOWLEDGEMENTS |
We thank Dr. Alicia Bielawska for the
synthesis of radiolabeled ceramide and Dr. Joanna Y. Lee for expert
advice. We thank the Institute of General Pathology at the Catholic
University of Rome (Rome, Italy) for kindly providing the liver and
hepatoma specimens. We also thank Drs. Joanna Y. Lee and David K. Perry for careful review of the manuscript.
 |
FOOTNOTES |
*
This work was supported in part by National Institutes of
Health Grant GM-43825 and by Department of Defense Grant AIBS-516.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
To whom correspondence should be addressed. Present address:
Dept. of Biochemistry, Medical University of South Carolina, 171 Ashley
Ave., Charleston, SC 29425. Tel.: 843-792-4321; Fax: 843-792-4322;
E-mail: hannun{at}musc.edu.
1
The abbreviations used are: DAG, diacylglycerol;
SM, sphingomyelin; SMS, SM sythase; PBS, phosphate-buffered saline;
Cer, ceramide; GlCer, glucosyceramide; PC, phosphatidylcholine; PLC, phospholipase C; FBS, fetal bovine serum; MEM, minimum essential medium; bSMase, bacterial SMase; BSA, bovine serum albumin; dBSA, delipidated BSA; SMase, sphingomyelinase.
 |
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J.-O. Hindenes, W. Nerdal, W. Guo, L. Di, D. M. Small, and H. Holmsen
Physical Properties of the Transmembrane Signal Molecule, sn-1-Stearoyl 2-Arachidonoylglycerol. ACYL CHAIN SEGREGATION AND ITS BIOCHEMICAL IMPLICATIONS
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H. Sawai, N. Domae, N. Nagan, and Y. A. Hannun
Function of the Cloned Putative Neutral Sphingomyelinase as Lyso-platelet Activating Factor-Phospholipase C
J. Biol. Chem.,
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A. M. Martelli, R. Bortul, R. Bareggi, G. Tabellini, V. Grill, G. Baldini, and P. Narducci
The Pro-Apoptotic Drug Camptothecin Stimulates Phospholipase D Activity and Diacylglycerol Production in the Nucleus of HL-60 Human Promyelocytic Leukemia Cells
Cancer Res.,
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P. P. Ruvolo, X. Deng, T. Ito, B. K. Carr, and W. S. May
Ceramide Induces Bcl2 Dephosphorylation via a Mechanism Involving Mitochondrial PP2A
J. Biol. Chem.,
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H. Komori, S. Ichikawa, Y. Hirabayashi, and M. Ito
Regulation of Intracellular Ceramide Content in B16 Melanoma Cells. BIOLOGICAL IMPLICATIONS OF CERAMIDE GLYCOSYLATION
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M. M. Monick, A. B. Carter, G. Gudmundsson, R. Mallampalli, L. S. Powers, and G. W. Hunninghake
A Phosphatidylcholine-Specific Phospholipase C Regulates Activation of p42/44 Mitogen-Activated Protein Kinases in Lipopolysaccharide-Stimulated Human Alveolar Macrophages
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S. Bourteele, H. Doppler, J. Horn-Muller, C. Ropke, G. Schwarzmann, K. Pfizenmaier, and G. Muller
Tumor Necrosis Factor Induces Ceramide Oscillations and Negatively Controls Sphingolipid Synthases by Caspases in Apoptotic Kym-1 Cells
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L. M. Neri, P. Borgatti, S. Capitani, and A. M. Martelli
Nuclear Diacylglycerol Produced by Phosphoinositide-specific Phospholipase C Is Responsible for Nuclear Translocation of Protein Kinase C-alpha
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Q. Zhao and C. R. Morales
Identification of a Novel Sequence Involved in Lysosomal Sorting of the Sphingolipid Activator Protein Prosaposin
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J. Aragones, D. R. Jones, S. Martin, M. A. S. Juan, A. Alfranca, F. Vidal, A. Vara, I. Merida, and M. O. Landazuri
Evidence for the Involvement of Diacylglycerol Kinase in the Activation of Hypoxia-inducible Transcription Factor 1 by Low Oxygen Tension
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L. Riboni, P. Viani, R. Bassi, P. Giussani, and G. Tettamanti
Basic Fibroblast Growth Factor-induced Proliferation of Primary Astrocytes. EVIDENCE FOR THE INVOLVEMENT OF SPHINGOMYELIN BIOSYNTHESIS
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Copyright © 1998 by the American Society for Biochemistry and Molecular Biology.
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