Differential iS1P and eS1P signaling in renal cells is associated with different types of kidney disease. Green arrows indicate repression, and red arrows indicate activation of gene expression. ABCC1, ATP-binding cassette transporter C1; CER, ceramide; CS, ceramide synthase; HD, hexadecenal; MFSD2B, major facilitator superfamily domain containing 2B; r-AAV, renal ANCA–associated vasculitis; RI-KI, radiation-induced kidney injury; SPNS2, sphingolipid transporter 2; SGPL1, sphingosine-1-phosphate lyase 1; SPH, sphingosine; SPHK, sphingosine kinase; SPP, sphingosine-1-phosphate phosphatase; S1PR, sphingosine-1-phosphate receptor.