“…The synthesis of the glycan Galα1-3Galβ1-4GlcNAc-R (α-Gal) by the enzyme α-1,3-galactosyltransferase occurs in bacteria [ 10 , 11 , 12 , 13 ], fungi [ 14 , 15 , 16 ], and noncatarrhine mammals [ 17 ], but prokaryotic and eukaryotic α-1,3-galactosyltransferase genes and proteins share little structural homology [ 18 , 19 , 20 ]. Humans, old world monkeys and apes evolved with the inability to synthesize α-Gal, which resulted in the capacity to produce anti-α-Gal IgM/IgG antibodies with a protective activity against pathogenic viruses (e.g., HIV), bacteria (e.g., Mycobacterium ) and parasites (e.g., Plasmodium ), containing this modification on membrane proteins [ 21 , 22 , 23 ].…”