preferred_name: [alpha-N-acetylneuraminyl-(2->8)](n)-alpha-N-acetylneuraminyl-(2->8)-alpha-N-acetylneuraminyl-(2->3)-beta-D-galactosyl-(1->4)-beta-D-glucosyl-(1<->1)-ceramide + CMP-N-acetyl-beta-neuraminate <=> [alpha-N-acetylneuraminyl-(2->8)](n+1)-alpha-N-acetylneuraminyl-(2->8)-alpha-N-acetylneuraminyl-(2->3)-beta-D-galactosyl-(1->4)-beta-D-glucosyl-(1<->1)-ceramide + CMP + H(+)
preferred_name_lc: [alpha-n-acetylneuraminyl-(2->8)](n)-alpha-n-acetylneuraminyl-(2->8)-alpha-n-acetylneuraminyl-(2->3)-beta-d-galactosyl-(1->4)-beta-d-glucosyl-(1<->1)-ceramide + cmp-n-acetyl-beta-neuraminate <=> [alpha-n-acetylneuraminyl-(2->8)](n+1)-alpha-n-acetylneuraminyl-(2->8)-alpha-n-acetylneuraminyl-(2->3)-beta-d-galactosyl-(1->4)-beta-d-glucosyl-(1<->1)-ceramide + cmp + h(+)
label: [alpha-N-acetylneuraminyl-(2->8)](n)-alpha-N-acetylneuraminyl-(2->8)-alpha-N-acetylneuraminyl-(2->3)-beta-D-galactosyl-(1->4)-beta-D-glucosyl-(1<->1)-ceramide + CMP-N-acetyl-beta-neuraminate <=> [alpha-N-acetylneuraminyl-(2->8)](n+1)-alpha-N-acetylneuraminyl-(2->8)-alpha-N-acetylneuraminyl-(2->3)-beta-D-galactosyl-(1->4)-beta-D-glucosyl-(1<->1)-ceramide + CMP + H(+)
label_lc: [alpha-n-acetylneuraminyl-(2->8)](n)-alpha-n-acetylneuraminyl-(2->8)-alpha-n-acetylneuraminyl-(2->3)-beta-d-galactosyl-(1->4)-beta-d-glucosyl-(1<->1)-ceramide + cmp-n-acetyl-beta-neuraminate <=> [alpha-n-acetylneuraminyl-(2->8)](n+1)-alpha-n-acetylneuraminyl-(2->8)-alpha-n-acetylneuraminyl-(2->3)-beta-d-galactosyl-(1->4)-beta-d-glucosyl-(1<->1)-ceramide + cmp + h(+)