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Szulc, Medical University of South Carolina) as an internal standard. Samples were then evaporated under a nitrogen stream, redissolved in 1M KOH in 90% methanol and heated at 90��C for 60 minutes to convert ceramide into sphingosine. This digestion procedure does not convert complex sphingolipids, such as sphingomyelin, galactosylceramide or glucosylceramide, into free sphingoid bases [17]. Samples were then partitioned by the addition of chloroform and water and the upper phase was discarded. The lower phase was evaporated under nitrogen and then redissolved in ethanol. The content of free sphingosine liberated from ceramide was then analyzed by means of HPLC as described above. The calibration curve was prepared using N-palmitoylsphingosine (Avanti Polar Lipids) as a standard. Cell Cycle inhibitor The chloroform extract used for the analysis of ceramide contains small amounts of free sphingoid bases. Therefore, the concentration of ceramide was corrected for the level of free sphingosine determined in the same sample. All data are presented as means �� SEM. Statistical comparisons were made by using one-way ANOVA. If overall significance was demonstrated by ANONA, post-hoc multiple comparisons using a Newman-Keuls test were conducted. pCHIR-99021 chemical structure to these noted in the healthy controls, and no statistically significant differences were found (Fig. 1). However, the plasma of both groups of patients with HF was characterized by significantly lower level of free sphingosine and sphinganine (by approximately 25 and 27%, respectively) as compared to the control subjects (ANOVA p=0.0018 and 0.027 for sphingosine and sphinganine, respectively). This effect was independent from the underlying cause of HF, as the mean concentrations of these free sphingoid bases in patients with IHD and IDC were virtually the same (Fig. 1). There were no significant differences in sphingolipid levels between patients with heart failure in NYHA class III and IV (data not shown). We did not find statistically Fleroxacin significant correlations between the measured parameters of cardiac structure and function or B-type natriuretic peptide concentration and the level of plasma sphingolipids in HF patients (data not shown). Concentration of sphingolipids in the plasma can be substantially altered in various disease states. We have shown previously that level of sphingoid base-1 phosphates is reduced in patients with acute myocardial infarction [11] and that S1P concentration is increased in women with endometrial carcinoma [18]. Here we report for the first time that patients with chronic heart failure are characterized by decreased plasma level of free sphingoid bases.