“…In addition, PDMP is a classic glucosylceramide synthase and lactosylceramide synthase inhibitor targeting beta-1,4-galactosyltransferase 5/6 (B4GALT5/6), which is critical in regulating the biosynthesis of lactosylceramide, a common precursor of lactose series of glycosphingolipids, including gangliosides [60]. PDMP prevented the conversion of ceramide into glycosylated ceramides such as glucosylceramide [61], lactosylceramide [61], monosialo gangliosides GM1 [62] and GM3 [63,64], and disialo ganglioside [61], while induced the content of ceramide [61,65,66] or had limited effects on its conversion into sphingomyelin [67,68] and sphingosine [69]. Ceramide as the central molecule of sphingolipid metabolism has been reported to play a pro-apoptotic and anti-proliferative role in chronic liver diseases such as NASH [70], alcoholic steatohepatitis [71], and hepatic ischemia reperfusion injury [59].…”