Abstract:Atherosclerosis is caused by many factors, one of which is oxidative stress. We recently demonstrated that systemic oxidative stress increased secretory sphingomyelinase (sSMase) activity and generated ceramides in the plasma of diabetic rats. In addition, we also showed that the total ceramide level in human plasma correlated with the level of oxidized low-density lipoprotein. To investigate the relationship between ceramide species and atherogenesis during aging, we compared age-related changes in ceramide m… Show more
“…Hu et al ( 17 ) reported that STs were the only factor that discriminated control from ESRF groups in their study, and that they have promise as biomarkers for CKD. We observed a decrease in the level of Cer's in LDL from CKD patients; however, as increased sphingomyelinase activity and free Cer's are thought to be linked to atherogenesis ( 48,49 ), this does not appear to contribute to the proatherogenic profi le of CKD. Finally, it was also noted that there was a signifi cant increase in N-acyltaurines (NATs) in LDL from CKD patients.…”
Chronic kidney disease (CKD) is a serious and increasingly common condition ( 1 ). Patients with CKD have a greatly increased risk of CVD, which represents the most common cause of mortality and morbidity in these patients, to the extent that CKD is considered an independent risk factor for CVD ( 2, 3 ). In CKD, many conventional risk factors for CVD are prevalent, including hypertension, dyslipidemia, and insulin resistance. Underlying conditions that are typical of CVD also occur, such as heightened infl ammatory status, oxidative stress, endothelial dysfunction, and arterial stiffness ( 3, 4 ). Consequently, understanding the factors in CKD that could contribute to increased CVD risk is very important.In CVD there is a clearly established link between dyslipidemia (specifi cally hypercholesterolemia and hypertriglyceridemia) and atherosclerosis, an underlying pathology of most CVD ( 5, 6 ). In view of the clear cardiorenal relationship, there has been considerable interest in the possible contribution of hyperlipidemia to CKD-associated CVD ( 7,8 )
“…Hu et al ( 17 ) reported that STs were the only factor that discriminated control from ESRF groups in their study, and that they have promise as biomarkers for CKD. We observed a decrease in the level of Cer's in LDL from CKD patients; however, as increased sphingomyelinase activity and free Cer's are thought to be linked to atherogenesis ( 48,49 ), this does not appear to contribute to the proatherogenic profi le of CKD. Finally, it was also noted that there was a signifi cant increase in N-acyltaurines (NATs) in LDL from CKD patients.…”
Chronic kidney disease (CKD) is a serious and increasingly common condition ( 1 ). Patients with CKD have a greatly increased risk of CVD, which represents the most common cause of mortality and morbidity in these patients, to the extent that CKD is considered an independent risk factor for CVD ( 2, 3 ). In CKD, many conventional risk factors for CVD are prevalent, including hypertension, dyslipidemia, and insulin resistance. Underlying conditions that are typical of CVD also occur, such as heightened infl ammatory status, oxidative stress, endothelial dysfunction, and arterial stiffness ( 3, 4 ). Consequently, understanding the factors in CKD that could contribute to increased CVD risk is very important.In CVD there is a clearly established link between dyslipidemia (specifi cally hypercholesterolemia and hypertriglyceridemia) and atherosclerosis, an underlying pathology of most CVD ( 5, 6 ). In view of the clear cardiorenal relationship, there has been considerable interest in the possible contribution of hyperlipidemia to CKD-associated CVD ( 7,8 )
“…While neutral sphingomyelinase levels are unchanged in the liver and kidney, plasma S-ASM activity increases. These findings suggest that the induction of diabetes increases plasma ceramide levels by enhancing S-ASM activity (Kobayashi et al, 2013).…”
Section: S-asm In Diabetesmentioning
confidence: 71%
“…Irradiation induces increases in S-ASM activity in some but not all tumor patients, and a positive correlation between S-ASM activity and serum ceramide concentration has been observed (Sathishkumar et al, 2005). In rodents, increasing age is associated with increased S-ASM activity and a simultaneous increase in the concentration of individual ceramide species (Kobayashi et al, 2013). Other in vivo studies did not report the expected relationship between S-ASM activity and sphingolipid concentrations.…”
Section: In Vivo Effects Of S-asm Activity On Sphingolipid Levelsmentioning
confidence: 98%
“…At 65 weeks of age, C16:0 and C24:1 species are increased compared to WT mice. These findings indicate that an age-related increase in S-ASM activity, which results in an elevation of certain ceramide species, may contribute to age-related atherosclerosis (Kobayashi et al, 2013). When ApoE -/-mice are treated with a recombinant adeno-associated virus (AAV) that constitutively expresses high levels of human ASM in the liver and plasma, S-ASM levels are persistently elevated.…”
Acid sphingomyelinase (ASM), a key enzyme in sphingolipid metabolism, hydrolyzes sphingomyelin to ceramide and phosphorylcholine. In mammals, the expression of a single gene, SMPD1, results in two forms of the enzyme that differ in several characteristics. Lysosomal ASM (L-ASM) is located within the lysosome, requires no additional Zn 2+ ions for activation and is glycosylated mainly with high-mannose oligosaccharides. By contrast, the secretory ASM (S-ASM) is located extracellularly, requires Zn 2+ ions for activation, has a complex glycosylation pattern and has a longer in vivo half-life. In this review, we summarize current knowledge regarding the physiology and pathophysiology of S-ASM, including its sources and distribution, molecular and cellular mechanisms of generation and regulation and relevant in vitro and in vivo studies. Polymorphisms or mutations of SMPD1 lead to decreased S-ASM activity, as detected in patients with Niemann-Pick disease B. Thus, lower serum/ plasma activities of S-ASM are trait markers. No genetic causes of increased S-ASM activity have been identified. Instead, elevated activity is the result of enhanced release (e.g., induced by lipopolysaccharide and cytokine stimulation) or increased enzyme activation (e.g., induced by oxidative stress). Increased S-ASM activity in serum or plasma is a state marker of a wide range of diseases. In particular, high S-ASM activity occurs in inflammation of the endothelium and liver. Several studies have demonstrated a correlation between S-ASM activity and mortality induced by severe inflammatory diseases. Serial measurements of S-ASM reveal prolonged activation and, therefore, the measurement of this enzyme may also provide information on past inflammatory processes. Thus, S-ASM may be both a promising clinical chemistry marker and a therapeutic target.
“…However, we previously found that levels of CSF very long chain ceramides with chain lengths of C20–C26 were higher in APOE E4 carriers compared with noncarriers (Mielke et al ., 2014). Further, studies of Alzheimer (Bandaru et al ., 2009) and HIV dementia brains (Cutler et al ., 2004) and aortic tissue levels of APOE knockout mice (Kobayashi et al ., 2013) have found APOE genotype alters ceramide levels in these compartments. Thus, the relationship between ceramides and APOE genotype likely varies depending on the compartment and disease state.…”
SummaryIt has been increasingly recognized at the basic science level that perturbations in ceramide metabolism are associated with the development and progression of many age‐related diseases. However, the translation of this work to the clinic has lagged behind. Understanding the factors longitudinally associated with plasma ceramides and dihydroceramides (DHCer) at the population level and how these lipid levels change with age, and by sex, is important for the clinical development of future therapeutics and biomarkers focused on ceramide metabolism. We, therefore, examined factors cross‐sectionally and longitudinally associated with plasma concentrations of ceramides and DHCer among Baltimore Longitudinal Study of Aging participants (n = 992; 3960 total samples), aged 55 years and older, with plasma at a mean of 4.1 visits (range 2–6). Quantitative analyses were performed on a high‐performance liquid chromatography‐coupled electrospray ionization tandem mass spectrometer. Linear mixed models were used to assess the relationships between plasma ceramide and DHCer species and demographics, diseases, medications, and lifestyle factors. Women had higher plasma concentrations of most ceramide and DHCer species and showed steeper trajectories of age‐related increases compared to men. Ceramides and DHCer were more associated with waist–hip ratio than body mass index. Plasma cholesterol and triglycerides, prediabetes, and diabetes were associated with ceramides and DHCer, but the relationship showed specificity to the acyl chain length and saturation. These results demonstrate the importance of examining the individual species of ceramides and DHCer, and of establishing whether intra‐individual age‐ and sex‐specific changes occur in synchrony to disease onset and progression.
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