Advances in mass spectrometry have led to the realization that the number and combinatorial complexity of lipids, including sphingolipids, is much greater than previously appreciated. Sphingolipids are generated de novo by four enzymes, namely serine palmitoyltransferase, 3-ketodihydrosphingosine reductase, ceramide synthase, and dihydroceramide D4-desaturase 1.