“…This N-glycan structure attachment occurs at the Asparagine (Asn) residue of the glycoproteins primarily within a consensus sequence of N-X-S/T, where X can be any amino acid except proline . While N-linked glycosylation is involved in many biological roles, such as protein folding, cell signaling, and immune response, it is also used in the clinic as a biomarker for liver cancers: AFP-L3 for HCC and CA19-9 for CCA. ,, N-Linked glycan alterations have been widely studied in different liver diseases, including cirrhosis, HCC, fatty liver, and NASH. − Indeed, we have shown that HCC is associated with increased levels of branched and fucosylated N-glycan , and liver fibrosis. ,− It is important to understand these alterations with time in the context of a liver disease progression because it is known that N-glycosylation can impact cell signaling and downstream signaling pathways, leading to increased cell proliferation. ,− Knowing if these N-glycan modifications come before or after pathological alterations will help identify the roles they play in disease progression.…”