Most anticancer drugs have the ability to suppress proliferation of the cancer cells. However, these drugs also induce the suppressant effect on normal cells. In contrast, the molecular target drugs that inhibit the molecules related to cell growth, permeation, metastasis of cancer cells attack only cancer cells, and are expected to reduce damage for normal cells. Small molecule compounds and monoclonal antibodies to the molecular targets have been developed. It has been found that sphingolipid metabolism participates deeply in various cell functions such as cell proliferation, cell death and metastasis of cancer cells. In addition, many studies suggest that these inhibitors enhance the apoptosis of cancer cells. This review is an overview of our understanding of the role of sphingolipid metabolism including ceramide and sphingosine 1-phosphate in cell proliferation and cell death in cancer and provides the possibility that inhibition of the sphingolipid metabolism is a candidate for the molecular target drugs of cancer.
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