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Supplementary key words ceramide • diacylglycerol • imatinib mesylateSphingomyelin synthase (SMS) represents an important class of enzymes responsible for the biosynthesis of SM, a critical structural component of the plasma membrane. While producing SM from ceramide and phosphatidylcholine, SMSs also form diacylglycerol (DAG) (1-7). Therefore, the biological importance of SMSs may reside not only in the biosynthesis of SM but also in the regulation, in opposing directions, of the levels of ceramide, a bioactive molecule that mainly exerts a negative effect on cell proliferation, and DAG, a well-established mitogenic lipid (8).Indeed, increased SMS activity was observed in conditions of enhanced cell proliferation (e.g., regenerating rat liver or stimulation of quiescent astrocytes with basic FGF) (9, 10) and during cell transformation (such as hepatocellular carcinoma vs. normal liver and SV-40-transformed fibroblasts vs. their normal counterpart) (8, 11). Vice versa, inhibition of SMS activity, in a caspase-dependent manner, has been shown to precede the onset of apoptosis induced by either tumor necrosis factor in Kym-1 cells or FAS ligand in Jurkat T cells (12, 13).Two genes have been identifi ed as responsible for SMS activity in mammalian cells, SMS1 and SMS2 (14, 15). The aminoacidic sequence of the proteins encoded by these two genes mainly differs in their N-termini, with Sms1 carrying a sterile ␣ motif absent in Sms2. In agreement with previous biochemical studies assessing the intracellular Abstract Sphingomyelin synthase (SMS) produces sphingomyelin while consuming ceramide (a negative regulator of cell proliferation) and forming diacylglycerol (DAG) (a mitogenic factor). Therefore, enhanced SMS activity could favor cell proliferation. To examine if dysregulated SMS contributes to leukemogenesis, we measured SMS activity in several leukemic cell lines and found that it is highly elevated in K562 chronic myelogenous leukemia (