a transport protein known as four phosphate adaptor protein 2 (FAPP2) while the flipping to the inside of the Golgi is made possible by the ABC transporter P-glycoprotein, also known as the multi-drug resistance 1 transporter (MDR1). GluCer is implicated in post-Golgi trafficking and drug resistance particularly to chemotherapeutic agents. For instance, a study demonstrated a correlation between cellular drug resistance and modifications in GluCer metabolism. In addition to their role as building blocks of biological membranes, glycosphingolipids have long attracted attention because of their supposed involvement in cell growth, differentiation, and formation of tumors. The production of GluCer from Cer was found to be important in the growth of neurons or brain cells. On the other hand, pharmacological inhibition of GluCer synthase is being considered a technique to avoid insulin resistance. Ceramide-1-Phosphate Ceramide-1-phosphate (C1P) is formed by the action of ceramide kinase (CK) enzymes on Cer. C1P carry ionic charge at neutral pH and contain two hydrophobic chains making it relatively insoluble in aqueous environment. Thus, C1P reside in the organelle where it was formed and is unlikely to spontaneously flip-flop across membrane bilayers. C1P activate phospholipase A2 and is found, along with CK, to be a mediator of arachidonic acid released in cells in response to a protein called interleukin-1β (IL-1β) and a lipid-soluble molecule that transports calcium ions (Ca2+) across the bilayer, also known as calcium ionophore. C1P was also previously reported to encourage cell division (mitogenic) in fibroblasts, block apoptosis by inhibiting acid SMase in white blood cells within tissues (macrophages) and increase intracellular free calcium concentrations in thyroid cells. C1P also has known roles in vesicular trafficking, cell survival, phagocytosis ("cell eating") and macrophage degranulation. Phosphatidylinositol bisphosphate (PIP2) Lipid Agonist PIP2 binds directly to ion channels and modulates their activity. PIP2 was shown to directly agonizes Inward rectifying potassium channels(Kir). In this regard intact PIP2 signals as a bona fide neurotransmitter-like ligand. PIP2's interaction with many ion channels suggest that the intact form of PIP2 has an important signaling role independent of second messenger signaling. Second messengers from phosphatidylinositol Phosphatidylinositol bisphosphate (PIP2) Second Messenger Systems A general second messenger system mechanism can be broken down into four steps. First, the agonist activates a membrane-bound receptor. Second, the activated G-protein produces a primary effector. Third, the primary effect stimulates the second messenger synthesis. Fourth, the second messenger activates a certain cellular process. The G-protein coupled receptors