Sphingolipid-metabolizing enzymes control the dynamic balance of the cellular levels of important bioactive lipids, including the apoptotic compound ceramide and the proliferative compound sphingosine 1-phosphate (S1P). Many growth factors and inflammatory cytokines promote the cleavage of sphingomyelin and ceramide leading to rapid elevation of S1P levels through the action of sphingosine kinases (SK1 and SK2). SK1 and SK2 are overexpressed in a variety of human cancers, making these enzymes potential molecular targets for cancer therapy. We have identified an aryladamantane compound, termed ABC294640 [3-(4-chlorophenyl)-adamantane-1-carboxylic acid (pyridin-4-ylmethyl)amide], that selectively inhibits SK2 activity in vitro, acting as a competitive inhibitor with respect to sphingosine with a K i of 9.8 M, and attenuates S1P formation in intact cells. In tissue culture, ABC294640 suppresses the proliferation of a broad panel of tumor cell lines, and inhibits tumor cell migration concomitant with loss of microfilaments. In vivo, ABC294640 has excellent oral bioavailability, and demonstrates a plasma clearance half-time of 4.5 h in mice. Acute and chronic toxicology studies indicate that ABC294640 induces a transient minor decrease in the hematocrit of rats and mice; however, this normalizes by 28 days of treatment. No other changes in hematology parameters, or gross or microscopic tissue pathology, result from treatment with ABC294640. Oral administration of ABC294640 to mice bearing mammary adenocarcinoma xenografts results in dose-dependent antitumor activity associated with depletion of S1P levels in the tumors and progressive tumor cell apoptosis. Therefore, this newly developed SK2 inhibitor provides an orally available drug candidate for the treatment of cancer and other diseases.Sphingolipids have become a focal point in biological research, with excellent rationale for their manipulation for the treatment of diseases, including cancer (reviewed in Ogretmen, 2006;Cuvillier, 2007; and Huwiler and ZangemeisterWittke, 2007). The parent lipid sphingomyelin is a structural component of cellular membranes, but also serves as the precursor for potent second messengers that have profound cellular effects. Stimulus-induced metabolism of these lipids is critically involved in cancer cell biology and inflammatory diseases; hence, this metabolic pathway offers exciting new molecular targets for drug development.In response to stimuli, including growth factors and inflammatory cytokines, sphingomyelin is enzymatically hydrolyzed to ceramide, which can be further hydrolyzed by the action of ceramidase to produce sphingosine. Ceramide and sphingosine induce apoptosis in cancer cells by mechanisms that remain to be elucidated. Sphingosine is rapidly phosphorylated by sphingosine kinase (SK) to produce sphingosine 1-phosphate (S1P), which is mitogenic and antiapoptotic. Through these conversions, a critical balance, i.e., a ceramide/S1P rheostat, has been hypothesized to determine the fate of the cell (Cuvillier e...