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Cell-surface carbohydrates are complex sugar moieties covalently linked to proteins (glycoproteins), lipids (glycolipids), or forming proteoglycans, and are prominently exposed on the extracellular surface of all cells[1][3][6]. These structures are key mediators of cell-cell recognition, signaling, adhesion, migration, and immune interactions, acting as "molecular identity badges" for individual cells[3][4][5][8]. They are major determinants of blood group antigens, mediate leukocyte rolling via selectin-ligand interactions, and serve as receptors or attachment sites for many pathogens[1][5]. Aberrant cell-surface carbohydrate profiles are characteristic features of malignant transformation and are frequently exploited as diagnostic biomarkers (e.g., CA19-9 in cancer)[5]. Due to their structural diversity and biosynthetic complexity, "cell-surface carbohydrates" is a collective, not individual molecular target: it refers to a broad class of biologically important moieties rather than a single protein, receptor, or canonical drug target[1][5][6][8].
Inhibit pathogen binding to host cells; Block cell adhesion molecules (e.g., selectin inhibitors); Mask or modify antigenic glycans (e.g., via glycosyltransferase inhibitors).
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