Gangliosides are glycosphingolipids present in mammalian cell membranes, playing important structural and functional roles. Human studies on the health benefits of gangliosides are increasing, but knowledge gaps regarding ganglioside analysis exist. The study aimed to investigate blood sample type (serum/plasma), storage conditions, diurnal, day-to-day variation and acute effects of consuming bovine-derived gangliosides on circulating monosialylated gangliosides. Seventy-one women (18-40 yrs, 20-≤30.0 kg/m 2 ) were enrolled and 61 completed the intervention. They visited the clinic three times following overnight fasting. Serum/plasma gangliosides were analyzed over 2 h (visit-1), 8 h (visit-2) and 8 h following either zero or high ganglioside meals (visit-3). Samples stored at −20 • C and −70 • C were analyzed at 3-, 6-, 12-and 18-months. Plasma and serum GM3-gangliosides did not differ, plasma GM3 did not change diurnally, from day-to-day, in response to a high vs. low ganglioside meal or after 7-days low ganglioside vs. habitual diet (P > 0.05). GM3 concentrations were lower in samples stored at −70 • C vs. −20 • C from 6-months onwards and decreased over time with lowest levels at 12-and 18-months stored at −70 • C. In conclusion, either serum/plasma stored at −20or −70 • C for up to 6 months, are acceptable for GM3-ganglioside analysis. Blood samples can be collected at any time of the day and participants do not have to be in the fasted state.Nutrients 2020, 12, 711 2 of 18 neural cell membranes, comprising 10% of the total lipid mass in brain [5]. From their positioning in membrane microdomains, including lipid rafts and caveolae, they play important structural and functional roles and have been implicated in regulating cell-cell interactions and modulating signal transduction [5]. Ganglioside profiles differ significantly between tissues and stages of development [6]. The role of each individual ganglioside is not yet clarified but it is generally assumed that gangliosides play important roles within the tissues they appear. Gangliosides are consumed in the form of GM3 and GD3 which reaches the intestinal tract mostly intact [4]. Once absorbed in the intestine, they may be remodeled in enterocytes inducing changes in total membrane ganglioside content [6]. GM3 and GD3 are the dominant gangliosides in gut tissue while GM3 is the dominant ganglioside in the circulation of humans [6] and favored for placental transfer [4]. The major gangliosides in the brain are GM1, GD1a, DG1b and GT1b (representing >90% of gangliosides) [7]. A growing body of scientific evidence is emerging linking dietary gangliosides to a variety of bioactivities such as neurological development, intestinal maturation, intestinal immunity development and gut-barrier function [1,4,[8][9][10].However, despite an increase in research activity demonstrating the health benefits of dietary gangliosides, key knowledge gaps, important for designing robust human clinical studies, exist that limit their application and utilization. These methodolo...