“…Ceramide is present in small amounts in cell membranes, as intermediate in the metabolism of sphingolipids or as a result of sphingomyelinase activity, which produces ceramide from SM ( Kartal Yandim et al, 2013 ; Peetla et al, 2013 ). Altered ceramide metabolism in cancer has been described as an effective drug resistance mechanism: tumors have low levels of ceramide by increasing SM synthesis or by preventing its degradation ( Senchenkov et al, 2001 ; Lewis et al, 2018 ). One possible strategy is to increase ceramide membrane levels using short chain ceramide and use lipid rafts as platforms to enhance apoptosis, since in presence of an excess of ceramide, cholesterol is displaced from lipid rafts, inducing activation of Fas/CD95 pathway ( Selzner et al, 2001 ; Stover and Kester, 2003 ; Stover et al, 2005 ; Chiantia et al, 2007 ).…”