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Glycosaminoglycan (GAG) synthesis is the cellular process of assembling and modifying GAGs, long linear polysaccharides of repeating disaccharide units. GAGs are vital to the extracellular matrix and participate in cell signaling, structural integrity, and biological regulation. The pathway involves activated sugar nucleotide formation, core protein synthesis (except for hyaluronan), tetrasaccharide linker attachment, chain polymerization, and extensive modifications like sulfation and epimerization. Dysregulation is linked to various diseases.
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