Lymphocyte recirculation through lymph nodes and Peyer's patches is important for detection of foreign antigens by the immune system and subsequent processes that neutralize these molecules. Lymphocyte recirculation critically depends on interaction between the leukocyte adhesion molecule Lselectin and counterreceptors restricted on specialized post capillary venules, high endothelial venules (HEV) 1 in secondary lymphoid organs. The counterreceptors on the luminal surface of HEV capture circulating lymphocytes via L-selectindependent adhesive interactions that lead, in turn, to lymphocyte tethering and rolling, chemokine-dependent activation, integrin-mediated firm attachment, and lymphocyte transmigration (1-4). L-selectin and its ligands are also implicated in lymphocyte recruitment in certain chronic inflammation. HEVlike microvasculature is induced on endothelium in association with insulitis characteristic of the non-obese diabetic (NOD) mouse and the rejection of heart transplants in rodents and humans (5-8). Similarly, HEV-like structure is observed in inflammatory bowel diseases, rheumatoid arthritis, lymphocytic thyroiditis, and the hyperplastic thymus of the AKR mouse (9 -12). It has been suggested that recruitment of lymphocytes by induced L-selectin ligand may contribute to the pathogenesis of these diseases, which is characteristic of induced HEV-like microvasculature.L-selectin present on leukocytes is a carbohydrate-binding protein characterized by dependence on Ca 2ϩ for its activity. HEVborne L-selectin counterreceptors include GlyCAM-1, CD34, podocalyxin, Sgp200, endoglycan, and MAdCAM-1, all of which have mucin-like domains that act as scaffolding for O-linked oligosaccharides (13). The function of these L-selectin counterreceptors entirely depends on their decoration with specific sialylated, fucosylated, and sulfated oligosaccharides, which contain 6-sulfo sialyl Lewis X (sLe