CBLN1 and hydrops fetalis: Lastly, in a cohort of 34 moderate and advanced HF patients, serum levels of Cer16, Cer18, Cer20:1, Cer20, Cer22:1, and Cer24:1 were increased in HF compared to control subjects, and circulating Cer levels remained unchanged following left ventricular assist device (LVAD) unloading in the same cohort.56