Related Experiment Video
Updated: Jan 26, 2026

The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma
Published on: April 16, 2019
Clinical application of ceramide in cancer treatment
Kazuki Moro1, Masayuki Nagahashi2, Emmanuel Gabriel3
1Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata, 951-8510, Japan.
Abstract:
Development of innovative strategies for cancer treatment is a pressing public health issue. Despite recent advances, the mechanisms of cancer progression and the resistance to cancer treatment have not been fully elucidated. Sphingolipids, including ceramide and sphingoshin-1-phosphate, are bioactive mediators that regulate cancer cell death and survival through the dynamic balance of what has been termed the 'sphingolipid rheostat'. Specifically, ceramide, which acts as the central hub of sphingolipid metabolism, is generated via three major pathways by many stressors, including anti-cancer treatments, environmental stresses, and cytokines. We have previously shown in breast cancer patients that elevated ceramide correlated with less aggressive cancer phenotypes, leading to a prognostic impact. Recent studies showed that ceramide have the possibility of becoming the reinforcing agent of cancer treatment as well as other roles such as nanoparticles and diagnostic biomarker. We review ceramide as one of the key molecules to investigate in overcoming resistance to current drug therapies and in becoming one of the newest cancer treatments.
Insights
Ceramides, key sphingolipids, regulate cancer cell fate and may overcome treatment resistance. Research highlights their potential as novel cancer therapeutics and diagnostic biomarkers.
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Cancer treatment innovation is crucial due to incomplete understanding of progression and resistance mechanisms.
- Sphingolipids, like ceramide, are bioactive mediators influencing cancer cell survival and death via the 'sphingolipid rheostat'.
- Ceramide metabolism is central, with generation influenced by various stressors, including anti-cancer therapies.
Purpose of the Study:
- To review the multifaceted roles of ceramide in cancer.
- To explore ceramide's potential in overcoming drug resistance.
- To highlight ceramide as a target for novel cancer treatments and diagnostics.
Main Methods:
- Literature review of sphingolipid metabolism and cancer.
- Analysis of ceramide's role in cancer cell death and survival pathways.
- Investigation of ceramide's association with cancer phenotypes and treatment outcomes.
Main Results:
- Elevated ceramide levels in breast cancer patients correlated with less aggressive phenotypes, indicating prognostic value.
- Ceramide is implicated in regulating cancer cell fate through the sphingolipid rheostat.
- Emerging evidence suggests ceramide's utility as a diagnostic biomarker and in nanoparticle-based drug delivery.
Conclusions:
- Ceramide is a key molecule for understanding and overcoming cancer treatment resistance.
- Ceramide holds significant promise as a novel therapeutic agent and diagnostic biomarker in oncology.
- Further investigation into ceramide metabolism and function is warranted for developing innovative cancer strategies.
Related Concept Videos
Treatment Resistant Cancers
Clinical Applications of Epidermal Stem Cells
Local Anesthetics: Clinical Application as Spinal Anesthesia
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

