D-erythro Lysosphingomyelin (d18:1) is a bioactive lipid and a major component of plasma high-density lipoprotein that binds to OGR1 with a Kd of 33.3 nM. D-erythro Lysosphingomyelin (d18:1) triggers delayed phosphorylation of Smad2, upregulates α-SMA expression, and activates TRPM3. D-erythro Lysosphingomyelin (d18:1) reduces Apoptosis and upregulates the expression of uPA and its receptor uPA-R. D-erythro Lysosphingomyelin (d18:1) exerts anti-apoptotic, anti-cardiac hypertrophy and pro-wound healing effects. D-erythro Lysosphingomyelin (d18:1) induces scratching behavior in mice. D-erythro Lysosphingomyelin (d18:1) is used in studies related to atopic dermatitis, promyelocytic leukemia, heart failure, myocardial ischemia/reperfusion injury, ovarian cancer, breast cancer, pancreatic cancer, and skin wound healing disorders in genetically impaired healing diabetes