Sphingomyelin is the only physiologically significant sphingophospholipid in humans. Unlike glycerophospholipids, its backbone is not glycerol but the amino alcohol sphingosine.
Building blocks (from core outward):
Sphingosine - a long-chain (18-carbon) amino alcohol with a trans double bond, forms the structural backbone in place of glycerol.
Fatty acid (long-chain) - attached via an amide bond to the amino group (C2) of sphingosine. Sphingosine + fatty acid together = ceramide, the core building block of all sphingolipids (and a precursor of glycolipids too).
Phosphorylcholine - esterified to the terminal hydroxyl group (C1) of sphingosine. This head group (phosphate + choline) is what makes it a phospholipid, distinguishing sphingomyelin from glycolipids (which have a sugar instead of phosphorylcholine at this position).
So structurally: Sphingomyelin = Ceramide (sphingosine + fatty acid via amide bond) + phosphorylcholine (via ester bond at C1)
This gives it an overall amphipathic character similar to glycerophospholipids - a nonpolar tail region (sphingosine's hydrocarbon chain + the attached fatty acid) and a polar head group (phosphate-choline).
Clinical relevance: Sphingomyelin is a major component of the myelin sheath of nerve fibers, essential for its structural integrity and for fast axonal conduction in the CNS.
Figure: Structure of sphingomyelin - sphingosine backbone (amine group forms amide with fatty acid to create ceramide), with phosphorylcholine esterified at C1.
Biochemistry, 8th ed., Lippincott Illustrated Reviews, p. 570-571
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