Structures of two globo-series GSLs, Gb4Cer and the Forssman-GSL [26]. Only one of the various lipoforms is shown. Together with ganglioside GM2, Gb4Cer is a major storage substance in Sandhoff disease (β-hexosaminidase β-subunit deficiency). In humans, the Forssman-GSL, a blood group antigen, is present only in trace amounts together with globo-series and Lewis-type blood group glycolipids in the kidney [49]. In sheep, it is mainly responsible for haemolysis of erythrocytes in the presence of Gb4Cer antiserum. For example, in MDCK (Madin Darby canine kidney) cells, it plays a role in maintaining apical membrane transport, is absent in the plasma membrane of unpolarized MDCK cells and becomes the major GSL in their fully polarized state [50].