Target intelligence / Profile preview

Ceramide synthase (CerS)

Target
CerS
Molecular classification
Enzyme, Transferase, Acyltransferase, Sphingolipid biosynthesis enzyme
01

Overview

Ceramide synthases (CerS) are a family of membrane-associated enzymes critical for the de novo, salvage, and recycling pathways of ceramide biosynthesis. They catalyze the acylation of a sphingoid long-chain base (sphinganine or sphingosine) with a fatty acyl-CoA, forming ceramide. Six mammalian isoforms (CerS1–CerS6) differ in their specificity for fatty acyl chain length, tissue distribution, and biological roles. The acyl chain composition of ceramide variants dictates their bioactivity: for instance, CerS6-driven C16:0 ceramide synthesis is implicated in obesity, insulin resistance, and liver disease. Ceramide synthases are attractive therapeutic targets for metabolic disorders, but selective targeting is required to avoid broad disruption of sphingolipid homeostasis. Several drugs and toxins (such as fumonisin B1) act as CerS inhibitors. Ceramide levels and isoform expression may function as disease biomarkers and guide targeted therapeutic approaches.

Other names
CerSLasssphinganine N-acyltransferase
02

Mechanism of action

Inhibition of ceramide synthase reduces synthesis of specific ceramides (notably C16:0), thereby modulating cellular lipid signaling and metabolism. Specific inhibitors block the N-acylation step, blocking downstream sphingolipid production. Fumonisin B1 forms a stable intermediate and irreversibly inhibits the enzyme.

03

Biological functions

Sphingolipid (ceramide) biosynthesisRegulation of cell differentiationRegulation of apoptosis (cell death)Regulation of cell proliferationCellular stress responseMetabolic regulation
04

Disease associations

Metabolic disease (obesity, insulin resistance, steatohepatitis, type 2 diabetes)CancerNeurodegenerative diseaseInflammatory diseaseLiver disease (NAFLD, NASH)
05

Safety considerations

Lipid homeostasis is critical; off-target or broad CerS inhibition may disrupt essential sphingolipid chemistry, risking neurotoxicity or immunosuppressionFumonisin B1 (a natural CerS inhibitor) is hepatotoxic and carcinogenic; related on-target toxicities possible with inhibitorsIsoform selectivity required to minimize side effects, as different CerS isoforms have non-redundant, tissue-dependent roles
06

Interacting drugs

Fumonisin B1 (FB1)

2 more in the full profile.

07

Biomarkers

Ceramide species (e.g., C16:0 ceramide) concentrations in tissues or plasma as surrogates for CerS activityCerS6 expression level (for patient stratification in metabolic diseases)

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