“…Moreover, many antidepressants inhibit acid sphingomyelinases, such as tricyclic antidepressants, fluoxetine and sertraline, further suggesting a role of aSMase and ceramides in depression and depression treatment (Kornhuber et al, 2008 , 2010 ). In addition, sphingolipids are major constituents of eukaryotic cell membranes (Ordóñez et al, 2016 ) and, in addition to a structural role, some sphingolipids are bioactive and control vital biological functions by regulating signal transduction pathways involved in several processes (i.e., apoptosis, adhesion, autophagy, cell proliferation, differentiation, migration, and senescence)(Ordóñez et al, 2016 ). Kolesnick has reported that aSMase is activated in response to tumor necrosis factor (TNF-α) and other cytokines (Kolesnick and Kronke, 1998 ).…”