N-acetyl-alpha-neuraminosyl-(2->3)-beta-D-galactosyl-(1->3)-N-acetyl-beta-galactosaminyl-(1->4)-[alpha-N-acetyl-9-O-acetylneuraminosyl-(2->8)-N-acetyl-alpha-neuraminosyl-(2->3)]-beta-D-galactosyl-(1->4)-beta-D-glucosyl-(1<->1')-ceramide(d18:1(4E))(3-)
n-acetyl-alpha-neuraminosyl-(2->3)-beta-d-galactosyl-(1->3)-n-acetyl-beta-galactosaminyl-(1->4)-[alpha-n-acetyl-9-o-acetylneuraminosyl-(2->8)-n-acetyl-alpha-neuraminosyl-(2->3)]-beta-d-galactosyl-(1->4)-beta-d-glucosyl-(1<->1')-ceramide(d18:1(4e))(3-)