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Sphingomyelin phosphodiesterase acid-like 3B (SMPDL3B) is an enzyme highly expressed on the surface of macrophages and dendritic cells, influencing macrophage lipid composition and membrane fluidity. It acts as a negative regulator of innate immune signaling, controls Toll-like receptor signaling in podocytes, and is involved in various disease mechanisms including immune-related kidney disorders and certain cancers. Its structure features a unique substrate binding site, allowing activity on substrates like sphingomyelin and, potentially, CDP-choline, ATP, and ADP. Rituximab may modulate SMPDL3B activity, impacting kidney diseases where this molecule has biomarker and therapeutic implications.
Modulation of immune responses by enzymatic regulation of lipid mediators; Interference with Toll-like receptor signaling
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