Sphingolipids are typically formed by the condensation of serine and palmitoyl-CoA, a reaction catalyzed by the serine-palmitoyltransferase (SPT) enzyme. Besides these canonical substrates, SPT can use other acyl-CoAs, but also alanine or glycine, as substrates, which then form a category of atypical 1-deoxysphingolipids (1-deoxySLs) that lack the C1-OH group of canonical sphingolipids (1, 2).Several missense mutations in SPT, which are associated with the rare inherited neuropathy, HSAN1, induce a permanent shift in the substrate specificity of the enzyme resulting in increased 1-deoxySL formation. HSAN1 is a rare autosomal and dominantly inherited axonopathy and is clinically characterized by a progressive loss of pain and Abstract The 1-deoxysphingolipids (1-deoxySLs) are formed by an alternate substrate usage of the enzyme, serine-palmitoyltransferase, and are devoid of the C1-OHgroup present in canonical sphingolipids. Pathologically elevated 1-deoxySL levels are associated with the rare inherited neuropathy, HSAN1, and diabetes type 2 and might contribute to cell failure and the diabetic sensory neuropathy. In analogy to canonical sphingolipids, it was assumed that 1-deoxySLs also bear a (4E) double bond, which is normally introduced by sphingolipid delta(4)-desaturase 1. This, however, was never confirmed. We therefore supplemented HEK293 cells with isotope-labeled D 3 -1-deoxysphinganine and compared the downstream formed D 3 -1-deoxysphingosine (1-deoxySO) to a commercial synthetic SPH m18:1(4E)(3OH) standard. Both compounds showed the same m/z, but differed in their RPLC retention time and atmospheric pressure chemical ionization in-source fragmentation, suggesting that the two compounds are structural isomers. Using dimethyl disulfide derivatization followed by MS 2 as well as differential-mobility spectrometry combined with ozone-induced dissociation MS, we identified the carbon-carbon double bond in native 1-deoxySO to be located at the (14) position. Comparing the chromatographic behavior of native 1-deoxySO to chemically synthesized SPH m18:1(14Z) and (14E) stereoisomers assigned the native compound to be SPH m18:1(14Z). This indicates that 1-deoxySLs are metabolized differently than canonical