Many proteins are co-or post-translationally modified by mono-or oligosaccharides. It has become evident that these glycoproteins play important roles in diverse biochemical processes. The saccharides contribute with physiochemical properties, which include conformational effects on the protein, stability to proteolysis, and lubrication of cells. In addition, the glycans are involved in cell-cell recognition and cell-external agent interactions. These interactions induce biological events, which include cell growth and differentiation, cell proliferation, cell adhesion, binding of pathogens, fertilization, and immune responses [1-6]. The glycans assist in protein folding and transport, and they are involved in pathogenic processes like chronic inflammation [5], viral and bacterial infections [7-10], tumor growth and metastasis [11,12], and autoimmune disorders [13,14]. The variety of events affected by protein glycosylation is not surprising. Carbohydrates are unique in their structural complexity and, in contrast to oligonucleotides and proteins, they can be connected in more than one form: connected via different configural positions of the glycan residue and also via an anomeric aor b-glycosidic linkage. The different modes of connection can lead to long linear or highly branched saccharide structures. By combining different types of glycans like galactose, glucose, N-acetyl galactosamine (GalNAc), N-acetyl glucosamine (GlcNAc), fucose, mannose, sialic acid, and others, an enormous amount of combinations can be formed. Nature only uses a small portion of these possible combinations. The biosyntheses of different oligosaccharides are dependent of glycosyltransferases, which are gene-encoded. Each type of connection and glycan residue needs a specific enzyme, and for practical reasons this restricts the number of combinations. Nature also limits the number of final products that can be made by having common core structures. The saccharides can be linked to the protein backbone via an O-glycosidic bond or via amide bond formation in N-glycoproteins. In the most common type of O-glycoproteins, the mucin type, a GalNAc residue is connected to the protein backbone via an O-glycosidic linkage to serine or threonine [15,16]. The GalNAc residue can be further extended with