Abstract
Carbohydrates have important biologic roles, and they participate in a number of biologic reactions including stabilizing the structure and function of proteins, as receptors for soluble effectors, microorganisms and intracellular recognition, as biological catalysts for protein enzymes, and as primary or secondary messengers for a variety of intracellular processes (Varki, 1993). Because carbohydrates are vital to biological processes, their presence or absence can be associated with disease making them excellent candidate diagnostic markers. Measurement of carbohydrate analytes are used to predict disease, and several are approved by the US Food and Drug Administration (FDA) for use by physicians. These include the measurement of advanced glycation end-products in diabetes mellitus (Bucala, 1992) and the measurement of oncodevelopmental carbohydrate antigens in cancer (Sell, 1990, Laferte, 1994). Other carbohydrates being measured experimentally to determine their usefulness as predictors of disease include the measurement of free oligosaccharides in body fluids of patients with lysosomal storage diseases (LSD)(Hommes, 1991, Wappner, 1993), unique carbohydrates in mycobacterial infections (Hunter, 1986, Honda, 1993), abnormal glycosylation of proteins in cancer (Aoyagi, 1993), and liver disease (Martinez, 1987, Stibler, 1991, Yamauchi, 1993, Tsusumi, 1994). Additionally, as more carbohydrate pharmaceuticals emerge and enter the clinic, ways to measure and monitor their levels in patients will become important.
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Klock, J.C., Starr, C.M. (1995). The Different Faces of Disease. In: Alavi, A., Axford, J.S. (eds) Glycoimmunology. Advances in Experimental Medicine and Biology, vol 376. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1885-3_2
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DOI: https://doi.org/10.1007/978-1-4615-1885-3_2
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