Carbohydrates
are the most abundant and one of the most important
biomacromolecules in Nature. Except for energy-related compounds,
carbohydrates can be roughly divided into two categories: Carbohydrates
as matter and carbohydrates as information. As matter, carbohydrates
are abundantly present in the extracellular matrix of animals and
cell walls of various plants, bacteria, fungi, etc., serving as scaffolds.
Some commonly found polysaccharides are featured as biocompatible
materials with controllable rigidity and functionality, forming polymeric
biomaterials which are widely used in drug delivery, tissue engineering,
etc. As information, carbohydrates are usually referred to the glycans
from glycoproteins, glycolipids, and proteoglycans, which bind to
proteins or other carbohydrates, thereby meditating the cell–cell
and cell–matrix interactions. These glycans could be simplified
as synthetic glycopolymers, glycolipids, and glycoproteins, which
could be afforded through polymerization, multistep synthesis, or
a semisynthetic strategy. The information role of carbohydrates can
be demonstrated not only as targeting reagents but also as immune
antigens and adjuvants. The latter are also included in this review
as they are always in a macromolecular formulation. In this review,
we intend to provide a relatively comprehensive summary of carbohydrate-based
macromolecular biomaterials since 2010 while emphasizing the fundamental
understanding to guide the rational design of biomaterials. Carbohydrate-based
macromolecules on the basis of their resources and chemical structures
will be discussed, including naturally occurring polysaccharides,
naturally derived synthetic polysaccharides, glycopolymers/glycodendrimers,
supramolecular glycopolymers, and synthetic glycolipids/glycoproteins.
Multiscale structure–function relationships in several major
application areas, including delivery systems, tissue engineering,
and immunology, will be detailed. We hope this review will provide
valuable information for the development of carbohydrate-based macromolecular
biomaterials and build a bridge between the carbohydrates as matter
and the carbohydrates as information to promote new biomaterial design
in the near future.