“…In mammals, including humans [35], the SB that contains a polar head group and a non-polar tail group may exist in five types: (1) sphingosine (S), ( 2) phytosphingosine (P), (3) 6-hydroxysphingosine (H), ( 4) dihydrosphingosine (DS), or (5) 4,14-sphingadiene (SD) [3,6,18,[43][44][45][46][47] (Figure 2B). The fatty acyl chain/FA moieties may exist in four types: (1) non-hydroxy fatty acyl chain (N), (2) α-hydroxy fatty acyl chain (A), (3) ω-hydroxy fatty acyl chain (O), or (4) esterified ω-hydroxy fatty acyl chain (EO) [3,6,18,[43][44][45][46][47] (Figure 2B). Therefore, the final CER molecule is designated by a shorthand nomenclature, CER [XY], where the first letter "X" indicates the fatty acyl chain, and the second letter "Y" designates the SB; for example, CER[EOP] (orange-shaded box) stands for CER (esterified ω-hydroxy fatty acyl phytosphingosine); CER[NP] (orange-shaded box) stands for CER (non-hydroxy fatty acyl phytosphingosine); and CER[AP] (orange-shaded box) stands for CER (α-hydroxy fatty acyl phytosphingosine) [6,18,22,45,46,48] (Figure 2B).…”