Carbohydrates
bearing a distinct complexity use a special code
(Glycocode) to communicate with carbohydrate-binding proteins at a
high precision to manipulate biological activities in complex biological
environments. The level of complexity in carbohydrate-containing macromolecules
controls the amount and specificity of information that can be stored
in biomacromolecules. Therefore, a better understanding of the glycocode
is crucial to open new areas of biomedical applications by controlling
or manipulating the interaction between immune cells and pathogens
in terms of trafficking and signaling, which would become a powerful
tool to prevent infectious diseases. Even though a certain level of
progress has been achieved over the past decade, synthetic glycomacromolecules
are still lagging far behind naturally existing glycans in terms of
complexity and precision because of insufficient and inefficient synthetic
techniques. Currently, specific targeting at a cellular level using
synthetic glycomacromolecules is still challenging. It is obvious
that multidisciplinary collaborations are essential between different
specialized disciplines to enhance the carbohydrate receptor-targeting
paradigm for new biomedical applications. In this Perspective, recent
developments in the synthesis of sophisticated glycomacromolecules
are highlighted, and their biological and biomedical applications
are also discussed in detail.