Target intelligence / Profile preview

Sphingomyelin synthase (SMS)

Target
SMS
Molecular classification
Enzyme, Transferase, Lipid phosphate phosphatase superfamily, Cholinephosphotransferase, Sphingolipid-metabolizing enzyme
01

Overview

Sphingomyelin synthase is an enzyme that catalyzes the synthesis of sphingomyelin by transferring a phosphocholine moiety from phosphatidylcholine to ceramide, simultaneously producing diacylglycerol. The mammalian SMS family comprises three members: SMS1, SMS2, and SMSr. SMS1 localizes primarily to the Golgi apparatus, while SMS2 is found at both the Golgi and plasma membrane through S-palmitoylation. SMSr possesses ceramide phosphoethanolamine synthase activity rather than sphingomyelin synthase activity. The enzyme contains a catalytic pentad (E-H/D-H-D) positioned at the interface between lipophilic and hydrophilic segments of its reaction chamber. SMS operates through a two-step synthesis process involving phospholipase C hydrolysis followed by phosphoethanolamine transfer to ceramide. The enzyme sits at the crossroads of sphingomyelin, ceramide, and diacylglycerol metabolism, regulating lipid messengers critical for cell survival, apoptosis, membrane properties, and receptor signaling. SMS modulates protein kinase D recruitment to the Golgi through diacylglycerol production, thereby influencing protein trafficking and cellular secretion pathways.

Other names
SM synthasephosphatidylcholine:ceramide cholinephosphotransferaseceramide:phosphatidylcholine cholinephosphotransferaseSMS1SMS2SMSr (SMS-related)
02

Mechanism of action

SMS inhibitors target the catalytic activity of the enzyme to reduce sphingomyelin synthesis, potentially modulating ceramide and diacylglycerol levels for therapeutic benefit in metabolic diseases and cancer.

03

Biological functions

Sphingomyelin biosynthesisLipid metabolismMembrane organizationLipid raft formationProtein trafficking and secretionSignal transductionRegulation of diacylglycerol productionCeramide metabolismTrans Golgi network to plasma membrane traffickingInsulin secretionEndocytosis regulationReceptor-mediated ligand uptakeIon channel functionProtein sorting
04

Disease associations

Cardiovascular disease (independent risk factor for atherogenesis)Metabolic diseases (fatty liver, type 2 diabetes)AtherosclerosisColorectal cancerOsteoporosis and skeletal dysplasia (SMS2 pathogenic variants)Breast cancer (aggressive phenotypes)
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Safety considerations

Pathogenic SMS2 variants that retain enzymatic activity but remain trapped in the endoplasmic reticulum disrupt sphingomyelin/cholesterol gradients and lipid order in the secretory pathway, leading to severe bone phenotypes.Complete inhibition may affect critical cellular processes including protein trafficking, secretion, membrane organization, and insulin release.
06

Interacting drugs

Ginkgolic acid C15:1 (SMS inhibitor with IC50 of 5.5 μM for SMS1 and 3.6 μM for SMS2)
07

Biomarkers

Sphingomyelin levels in plasma membrane and Golgi apparatusCeramide to sphingomyelin ratioDiacylglycerol levels at Golgi apparatus

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