RT Journal Article T1 Inhibition of acid sphingomyelinase increases SMN levels and connects sphingolipid metabolism to Spinal Muscular Atrophy A1 Brokate Llanos, Ana María A1 Beltrán, María A1 Garzón, Andrés A1 Garcera, Ana A1 Miralles, María P. A1 Celma-Nos, Ferrán A1 Campoy-López, Alejandro A1 Soler, Rosa M. A1 Muñoz Ruiz, Manuel Jesús A1 Pérez-Pulido, Antonio J. K1 Spinal muscular atrophy K1 Expression profile K1 Drug repurposing K1 Sphingolipids K1 Caenorhabditis elegans AB Spinal Muscular Atrophy (SMA) is a moderately rare disease that causes progressive motor neuron degeneration and presents the highest neonatal death rate of all human genetic diseases. It is associated with the deletion or mutation of the SMN1 gene, encoding the SMN protein, mainly involved in the assembly of a ribonucleoprotein complex called Sm ring, essential for the splicing of mRNA molecules. In humans, there are usually multiple copies of another gene virtually identical in sequence, SMN2, which produces 10 % of complete SMN protein. It is known that increased expression of SMN2 improves the SMA phenotype. We have developed a multidisciplinary protocol, by which negative regulatory genes of SMN2 were discovered through an in silico approach based on analysis of gene expression profiles obtained from public transcriptomics experiments. We then knockdown these candidate genes in a Caenorhabditis elegans strain where the amount of SMN can be measured by fluorescence temporally and spatially. Thus, we have found that when a homolog of human SMPD1, a gene involved in sphingolipid metabolism, is inhibited by RNAi or specific drugs, SMN levels increase. We have also used motor neuron cultures of SMA patients, finding that the levels of SMPD1 mRNA and protein are increased in these cells. Furthermore, when they are treated with the SMPD1 inhibitor clomipramine, SMN levels also increase and a significant decrease in neurite degeneration is observed. Those results propose new therapeutic avenues for this devastating disease and represent a new method of finding modifiers and drugs for human diseases. PB Elsevier YR 2025 FD 2025-11 LK https://hdl.handle.net/10433/25489 UL https://hdl.handle.net/10433/25489 LA en NO Ana M. Brokate-Llanos, María Beltran, Andrés Garzón, Ana Garcera, María P. Miralles, Ferrán Celma-Nos, Alejandro Campoy-López, Rosa M. Soler, Manuel J. Muñoz, Antonio J. Pérez-Pulido, Inhibition of acid sphingomyelinase increases SMN levels and connects sphingolipid metabolism to Spinal Muscular Atrophy, Biomedicine & Pharmacotherapy, Volume 192, 2025, 118610, ISSN 0753-3322, https://doi.org/10.1016/j.biopha.2025.118610 NO Universidad Pablo de Olavide. Departamento de Biología Molecular e Ingeniería Bioquímica NO Centro Andaluz de Biología del Desarrollo DS RIO RD Apr 23, 2026