Ceramides mediate crucial cellular processes including cell death and inflammation and have recently been implicated in inflammatory bowel disease. Ceramides consist of a sphingoid longâchain base to which fatty acids of various length can be attached. We now investigate the effect of alerting the ceramide acyl chain length on a mouse model of colitis. Ceramide synthase (CerS) 2 null mice, which lack veryâlong acyl chain ceramides with concomitant increase of long chain bases and C16âceramides, were more susceptible to dextran sodium sulphateâinduced colitis, and their survival rate was markedly decreased compared with that of wildâtype littermates. Using mixed boneâmarrow chimeric mice, we showed that the host environment is primarily responsible for intestinal barrier dysfunction and increased intestinal permeability. In the colon of CerS2 null mice, the expression of junctional adhesion moleculeâA was markedly decreased and the phosphorylation of myosin light chain 2 was increased. In vitro experiments using Cacoâ2 cells also confirmed an important role of CerS2 in maintaining epithelial barrier function; CerS2âknockdown via
CRISPRâCas9 technology impaired barrier function. In vivo myriocin administration, which normalized longâchain bases and C16âceramides of the colon of CerS2 null mice, increased intestinal permeability as measured by serum FITCâdextran levels, indicating that altered SLs including deficiency of veryâlongâchain ceramides are critical for epithelial barrier function. In conclusion, deficiency of CerS2 influences intestinal barrier function and the severity of experimental colitis and may represent a potential mechanism for inflammatory bowel disease pathogenesis.