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#4. The R represents the side chain of the amino acids which make up the anti-parallel beta sheet. Since a wide variety of side chains can exist on a beta -sheet, they generalize the structure by writing Rs instead of specific amino acid side chains.
A sphingolipid with an R group consisting of a hydrogen atom only is a ceramide. Other common R groups include phosphocholine, yielding a sphingomyelin, and various sugar monomers or dimers, yielding cerebrosides and globosides, respectively. Cerebrosides and globosides are collectively known as glycosphingolipids.