Oligosaccharides, complex carbohydrates that comprise 2-30 monosacchar
ides linked by glycosidic bonds, are being developed as therapeutic ag
ents for a variety of indications. The large-scale production of oligo
saccharides achieved by enzymatic synthesis has encouraged the preclin
ical and clinical evaluation of these carbohydrates for efficacy in in
fectious and inflammatory diseases, transplantation, and other conditi
ons. Many of the promising oligosaccharide drugs in development interf
ere with adhesion events between different cell types, and between ant
ibodies and cells. In addition, complex carbohydrate-based agents are
being developed for use in metabolic and cardiovascular diseases, as c
ancer vaccines, and in drug delivery. Also, diverse efforts to constru
ct combinatorial libraries of complex carbohydrates are opening the do
or to broader screening approaches.