Sphingomyelin synthase 2 (SMS2) is the synthetic enzyme of sphingomyelin (SM), which regulates membrane fluidity and microdomain structure. SMS2 plays a role in LPS-induced lung injury and inflammation; however, its role in inflammation-mediated tumorigenesis is unclear. We investigated the effect of SMS2 deficiency on dextran sodium sulfate (DSS)-induced murine colitis and found inhibition of DSS-induced inflammation in SMS2-deficient (SMS2 2/2 ) mice. DSS treatment induced a significant increase in ceramide levels, with a decrease of SM levels in SMS2 2/2 colon tissue, and demonstrated attenuation of the elevation of both inflammation-related gene expression and proinflammatory cytokines and chemokines, leukocyte infiltration, and MAPK and signal transducer and activator of transcription 3 activation. After undergoing transplantation of wild-type bone marrow, SMS2 2/2 mice also exhibited inhibition of DSS-induced inflammation in the colon, which suggested that SMS2 deficiency in bone marrow-derived immune cells was not involved in the inhibition of colitis. Finally, in an azoxymethane/DSS-induced cancer model, SMS2 deficiency significantly decreased tumor incidence in the colon. Our results demonstrate that SMS2 deficiency inhibits DSS-induced colitis and subsequent colitis-associated colon cancer via inhibition of colon epithelial cell-mediated inflammation; therefore, inhibition of SMS2 may be a potential therapeutic target for human colitis and colorectal cancer.-Ohnishi, T., Hashizume, C., Taniguchi, M., Furumoto, H., Han, J., Gao, R., Kinami, S., Kosaka, T., Okazaki, T. Sphingomyelin synthase 2 deficiency inhibits the induction of murine colitis-associated colon cancer. FASEB J. 31, 3816-3830 (2017). www.fasebj.orgIn the past decade, a positive correlation between inflammation and tumorigenesis has been identified, with supporting evidence from genetic, pharmacologic, and epidemiologic data in numerous organs, including colon, lungs, bladder, and ovaries (1, 2). Colorectal cancer (CRC) is one of the most common cancers worldwide. More than 1 million new cases of CRC are reported annually and the incidence rate has been increasing (3). Although most cases of CRC are sporadic, more than 20% of patients with inflammatory bowel disease (IBD), including ulcerative colitis and Crohn's disease, develop colitis-associated colon cancer (CAC) (4). Thus, IBD is recognized as an important risk factor for the development of CRC. Experimental evidence suggests that inflammatory changes create a favorable microenvironment for initiation of CAC and tumor progression (5); however, the pathogenic mechanism that links IBD and CAC is not fully understood.It has been reported that dysregulation of lipid metabolism is a crucial factor in cancer initiation and contributes to the development of CRC (6). Among lipids, sphingolipids, including sphingomyelin (SM), ceramide, and sphingosine-1-phosphate (S1P), are a class of lipids that share sphingoid base as a structural backbone. Sphingolipids have been known as structur...