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