The apolipoprotein E gene knockout (apoE ؊ / ؊ ) mouse develops atherosclerosis that shares many features of human atherosclerosis. Increased levels of glycosphingolipid (GSL) have been reported in human atherosclerotic lesions; however, GSL levels have not been studied in the apoE ؊ / ؊ mouse. Here we used HPLC methods to analyze serum and aortic GSL levels in apoE ؊ / ؊ and C57BL/6J control mice. The concentrations of glucosyl ceramide (GlcCer), lactosyl ceramide (LacCer), GalNAc  1-4Gal  1-4Glc-Cer (GA2), and ceramide trihexoside (CTH) were increased by approximately 7-fold in the apoE ؊ / ؊ mouse serum compared with controls. The major serum ganglioside, N -glycolyl GalNAc  1-4[NeuNAc ␣ 2-3]Gal  1-4Glc-Cer ( N -glycolyl GM2), was increased in concentration by approximately 3-fold. A redistribution of GSLs from HDL to VLDL populations was also observed in the apoE ؊ / ؊ mice. These changes were accompanied by an increase in the levels of GSLs in the aortic sinus and arch of the apoE ؊ / ؊ mice. The spectrum of gangliosides present in the aortic tissues was more complex than that found in the lipoproteins, with the latter represented almost entirely by N -glycolyl GM2 and the former comprised of NeuNAc ␣ 2-3Gal  1-4Glc-Cer (GM3), GM2, N -glycolyl GM2, GM1, GD3, and GD1a. In conclusion, neutral GSL and ganglioside levels were increased in the serum and aortae of apoE ؊ / ؊ mice compared with controls, and this was associated with a preferential redistribution of GSL to the proatherogenic lipoprotein populations. The apoE ؊ / ؊ mouse therefore represents a useful model to study the potential role of GSL metabolism in atherogenesis. -Garner, B.