Related Experiment Video
Updated: Nov 21, 2025

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
The antithetic role of ceramide and sphingosine-1-phosphate in cardiac dysfunction
Federica Cirillo1, Marco Piccoli1, Andrea Ghiroldi1
1Laboratory of Stem Cells for Tissue Engineering, IRCCS Policlinico San Donato, Milan, Italy.
Insights
Sphingolipids, like ceramide and sphingosine-1-phosphate (S1P), play opposing roles in heart cell function. Targeting the ceramide/S1P balance offers a promising new strategy for treating cardiovascular diseases (CVDs).
Area of Science:
- Biochemistry
- Cardiology
- Molecular Biology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality, posing significant challenges to healthcare systems.
- Sphingolipids (SLs) are increasingly recognized as bioactive compounds influencing critical cellular processes like proliferation, differentiation, and apoptosis.
- SLs' role in cardiac physiology and pathophysiology is gaining attention as a potential factor in CVD development.
Purpose of the Study:
- To review the opposing roles of ceramide and sphingosine-1-phosphate (S1P) in cardiomyocyte dysfunction.
- To highlight the therapeutic potential of modulating SL metabolism for cardiovascular disease management.
Main Methods:
- Literature review focusing on sphingolipid metabolism and cardiovascular pathophysiology.
- Analysis of studies investigating ceramide and S1P in cardiac cell function.
- Examination of therapeutic agents targeting SL metabolism, such as myriocin and FTY720.
Main Results:
- Ceramide and S1P exhibit antagonistic effects on the fate of cardiac cells.
- The balance between ceramide and S1P (the ceramide/S1P rheostat) is a critical factor in cardiovascular health.
- Modulation of SL metabolism presents a novel therapeutic avenue for CVDs.
Conclusions:
- The opposing actions of ceramide and S1P in cardiomyocytes underscore their importance in cardiovascular pathophysiology.
- Targeting the ceramide/S1P rheostat through specific metabolic modulators offers a promising therapeutic strategy for CVDs.
- Further research into SL metabolism could lead to improved treatments for cardiovascular conditions.
Abstract:
Cardiovascular diseases (CVDs) are the leading cause of death globally and the number of cardiovascular patients, which is estimated to be over 30 million in 2018, represent a challenging issue for the healthcare systems worldwide. Therefore, the identification of novel molecular targets to develop new treatments is an ongoing challenge for the scientific community. In this context, sphingolipids (SLs) have been progressively recognized as potent bioactive compounds that play crucial roles in the modulation of several key biological processes, such as proliferation, differentiation, and apoptosis. Furthermore, SLs involvement in cardiac physiology and pathophysiology attracted much attention, since these molecules could be crucial in the development of CVDs. Among SLs, ceramide and sphingosine-1-phosphate (S1P) represent the most studied bioactive lipid mediators, which are characterized by opposing activities in the regulation of the fate of cardiac cells. In particular, maintaining the balance of the so-called ceramide/S1P rheostat emerged as an important novel therapeutical target to counteract CVDs. Thus, this review aims at critically summarizing the current knowledge about the antithetic roles of ceramide and S1P in cardiomyocytes dysfunctions, highlighting how the modulation of their metabolism through specific molecules, such as myriocin and FTY720, could represent a novel and interesting therapeutic approach to improve the management of CVDs.
More Related Videos
10:41Cardiac Spheroids as in vitro Bioengineered Heart Tissues to Study Human Heart Pathophysiology
Published on: January 23, 2021
09:16Isolation and Characterization of Cardiac Mesenchymal Stromal Cells from Endomyocardial Bioptic Samples of Arrhythmogenic Cardiomyopathy Patients
Published on: February 28, 2018
Related Concept Videos
Pathophysiology of Heart Failure
Asymmetric Lipid Bilayer
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure II: Pathophysiology
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
Cardiomyopathy IV: Restrictive Cardiomyopathy