“…Insightfully, a S1R/cholesterol microdomain has been proposed at the MAM/ER interface via a CARC [ 99 ] signature sequence in TM 1 that may create a lipid/protein “interactome” [ 12 , 98 ]. It should be possible to take advantage of the emergence of ceramide synthases and ceramidases as drug targets [ 63 , 100 , 101 , 102 ] in order to better understand the role(s) of ceramides, SPH, and sphingoid bases as S1R regulators in cellular homeostasis [ 90 ] and in ceramide-related diseased states. The steady-state levels of sphingosine and access to the S1R, therefore, will depend on local ceramide concentrations controlled by dihydroceramide desaturases, sphingomyelinases, ceramide synthases, ceramidases, flipases, methylases, kinases, and phosphatases in the MAM, ER, Golgi-derived, nucleoplasmic reticulum and the plasma membrane.…”