Sphingomyelin

Medical research has become increasingly interested in understanding the process of cell death. In the wake of the virulent retrovirus that triggered the AIDS pandemic, millions of research dollars have been poured into unpacking the mechanics of how cells respond to the invasion of potentially lethal viruses. At the center of this research is a keen interest in the function of sphingomyelin (SPHin-go-my-ah-lin), lipids that are found only in animal cell membranes, particularly in nerve cells. Sphingomyelin might hold the key to the process of cell death and in turn might lead to breakthroughs in containing not only AIDS, but also a variety of cancers and Parkinson’s disease.

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Overview

Scientists have long understood that the body is prolific in cell production, manufacturing millions of cells to defend against any pathogens that destroy cells. Sphingomyelin itself was first catalogued by German biochemist Johann Ludwig Wilhelm Thudichum (1829-1901) as part of his pioneering research into the chemical properties of the central nervous system. Thudichum observed that sphingomyelin, although found in all types of cells, was particularly abundant in the cell membrane sheaths insulating nerve cells. Initially, sphingomyelin was considered crucial to the cell’s intricate network of communication relays, although its specific function was not defined. Researchers in the early twentieth century traced some medical conditions to an excess of sphingomyelin. When it accumulates in the liver, spleen, or lungs of a newborn, it can result in Niemann-Pick disease, a rare and nearly always fatal genetic condition. Such an accumulation in adults, however, is seldom fatal; it usually only causes stomach distress and loss of appetite. When sphingomyelin accumulates in the central nervous system, however, it results slurred speech, a loss of balance, difficulty in swallowing, and loss of motor control of extremities.

Beginning in the early 1990s, during the global research to find a cure for AIDS, researchers began to posit a greater understanding of sphingomyelin. Cells die much the way people do—something kills them or they kill themselves. When cells are damaged by some intrusive force such as physical trauma, toxins, or disease, they die in a drawn-out process known as necrosis. However, cells can also kill themselves in a process that mimics a kind of suicide in self-defense, a process known as apoptosis. Apoptosis is far quicker and is generally a healthy and predictable phenomenon (it is, for instance, the process responsible for shedding the natural webbing between the fingers of a fetus as birth approaches and such webbing is no longer needed). The cell acts in a way intended to protect it. When the cell is threatened by a virus that promises catastrophic destruction, the sphingomyelin may actually relay a kind of suicide note, telling the cell’s critical components to cease working as a way to control the potential spread of the invading virus. Ironically, when it comes to viruses such as AIDS or some types of cancer, this form of cell suicide actually ensures the spread of the virus. Aborting that message, research virologists believe, may help contain the spread of the virus as well.

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