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388  17 Enzymatic Generation of Sialoconjugate Diversity

                    17.3.6
                    Biomedical Applications of Sialoconjugate Arrays
                    Owing to the highly complex structure of oligosaccharides and their multiple
                    biological function, glycans and their receptors have become important targets to
                    improve our understanding of cellular physiology, for example, in cell adhesion,
                    recognition, signaling, or pathogenic infection, as well as for the development
                    of novel therapeutic strategies. In the last decade, carbohydrate microarrays have
                    therefore become core technologies for analyzing carbohydrate-mediated recogni-
                    tion events in a high-throughput manner [79]. Carbohydrate arrays can provide
                    facile analyses of carbohydrate-binding proteins, antibodies in serum, and enzyme
                    activities with minimal quantities of saccharide samples.
                      Particularly, many glycan-binding proteins in animals and pathogens recognize
                    sialic acid or its modified forms in sialoconjugates, but their mode of molecular
                    recognition and the biological importance of modified sialic acids in protein–glycan
                    interactions are poorly understood. The recent advances made in the chemoen-
                    zymatic synthesis of sialoconjugates in vitro and the microarray-based technology
                    of glycans immobilized to a solid chip surface will help profoundly in the rapid
                    analysis of the binding properties of a variety of sialoconjugate-binding partners
                    including identification of disease-related anti-glycan lectins and antibodies for
                    diagnosis, detection of pathogens and cells, the quantitative measurements of
                    glycan–protein interactions, as well as the fast assessment of substrate specificities
                    of GTs. For example, using glycan microarray technology, diverse sialic acids or
                    their derivatives have been displayed as conjugates on the Gal moiety of glycan
                    acceptors for the screening of SiaT epitope specificities [80], identification of high-
                    affinity Siglec ligands [78], revealing novel interactions of modified sialic acids with
                    proteins and viruses [41, 81], and analysis of biointerfaces for protein binding.
                    These early results demonstrate the potential utility of the synthetic sialoconjugate
                    diversity for the further development of promising diagnostic tools based on car-
                    bohydrate arrays for infectious disease detection, cancer monitoring, and vaccine
                    development.



                    17.4
                    Conclusions

                    While enzymatic methods for glycoside synthesis have become a serious competi-
                    tion for chemical routes in general, enzymatic sialylation has long been recognized
                    as the gold standard in the field because of the inadequacy of chemical approaches
                    of stereoselective sialoside formation. Cascade enzyme processes are especially
                    important for GT-catalyzed reactions because they require nucleotide-activated
                    substrates that are highly expensive and unstable but can be generated in situ from
                    simpler starting materials using standard biosynthetic enzymes. This survey of the
                    current state of the art shows that there is good progress made for crafting the
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