Leukocyte rolling is an important step for the successful recruitment of leukocytes into tissue and occurs predominantly in inflamed microvessels and in high endothelial venules of secondary lymphoid organs. Leukocyte rolling is mediated by a group of Câtype lectins, termed selectins. Three different selectins have been identified â Pâ, Eâ and Lâselectin â which recognize and bind to crucial carbohydrate determinants on selectin ligands. Among selectin ligands, Pâselectin glycoprotein ligandâ1 is the main inflammatory selectin ligand, showing binding to all three selectins under in vivo conditions. Functional relevant selectin ligands expressed on high endothelial venules of lymphoid tissue are less clearly defined at the protein level. However, high endothelial venuleâexpressed selectin ligands were instrumental in uncovering the crucial role of postâtranslational modifications for selectin ligand activity. Several glycosyltransferases, such as core 2 β1,6âNâacetylglucosaminyltransferaseâI, β1,4âgalactosyltransferases, Îą1,3âfucosyltransferases and Îą2,3âsialyltransferases have been described to participate in the synthesis of core 2 decorated Oâglycan structures carrying the tetrasaccharide sialyl Lewis X, a carbohydrate determinant on selectin ligands with binding activity to all three selectins. In addition, modifications, such as carbohydrate or tyrosine sulfation, were also found to contribute to the synthesis of functional selectin ligands.