Sialic acids, ubiquitous components of mammalian glycoproteins and glycolipids, are a group of closely-related carboxylated sugars found at the non-reducing termini of glycan chains. It has long been appreciated that the extent of sialylation is a prime factor governing the circulatory half-life of serum glycoproteins [3]. More recent is the appreciation that sialylated glycans participate in physiologic processes involving cell to cell and cell to matrix interactions. Sialylated glycans serve as ligands to a diverse array of cellular receptors, notable among these receptors are members of the Selectin and the Siglec families. Expression of sialylated glycans changes with development, differentiation, and during oncogenic transformation. Cell-surface sialyl epitopes are also recognized by a number of pathogenic organisms and toxins. These issues are addressed in a number of reviews and will not be exhaustively discussed here [ 12,82,90,[93][94][95].The attachment of sialic acids is mediated by the sialyltransferases. Fifteen or more mammalian sialyltransferases are believed to exist to account for the complete complement of sialic acid linkages in mammals. Of these, 13 distinct sialyltransferase species have been cloned [31,91, 961. These are summarized in Table 1. Sialic acids and sialyltransferases are not unique to mammals; they have also been documented in birds [91], fish [16, 21, 971, amphibians [5, 24, 531, echinoderms [37, 461, and bacterial sources [9, 22, 1061. Sialyltransferases in yeast and in insects [83] have also been reported but their existence remains somewhat controversial.