“…For example inhibitors of the de novo pathway or of neutral sphingomyelinase can inhibit apoptosis in response to several chemotherapeutic agents, angiotensin II, and B cell activation (Hannun and Luberto, 2000;Mathias et al, 1998, Kroesen et al, 2001. In some cell types, the formation of Cer in response to extracellular agents (such as retinoic acid, etoposide, angiotensin II, IgM, or daunorubicin) is inhibited by Fumonisin Bl (FBI), an inhibitor of Cer synthase (Bose et al, 1995;Kalen et al, 1992;Plo et al, 1999;Liao et al, 1999;Lehtonen et al, 1999;Xu et al, 1998). This inhibitor also attenuates the apoptotic response of these agents, strongly suggesting an important role for Cer in apoptosis; 3) Ionizing radiation has been shown to cause Cer formation through activation of an acid sphingomyelinase, and animals deficient in this sphingomyelinase become resistant to high doses of irradiation, again demonstrating an important role for Cer in apoptosis (Santana et al, 1996a); and 4) In recent studies (Lavie et al, 1997;Liu et al, 1999), Cabot and co-workers have shown clearly that overexpression of glucosylceramide synthase, which utilizes Cer to generate cerebroside, attenuates the formation of Cer in response to and to several chemotherapeutic agents.…”