A b s t r a c t a-L-Fucose is a 6-carbon deoxyhexose that is commonly incorporated into human glycoproteins and glycolipids. It is found at the terminal or preterminal positions of many cell-surface oligosaccharide ligandsRecent data suggest that the sugar a-L-fucose is essential for the expression of the fully transformed phenotype in many human cell populations. Evidence for such a role comes from studies of common adenocarcinomas and Hodgkin's disease, as well as certain melanomas, neuroblastomas, and leukemias. a-L-Fucose (hereafter denoted as fucose) is not unique or even specific to malignant tissues; in fact, fucose is incorporated into a variety of molecules, not only in humans, but also across the animal kingdom (including bacteria) and in plants. It would seem unlikely that a molecule so widely distributed should have any particular significance in cancer or other pathologic processes. Research concerned with fucose metabolism has been performed using a broad range of biologic sciences, including not only experimental oncology, but also anatomy, embryology, immunopharmacology, glycobiology, cell-adhesion biochemistry, microbiology, parasitology, and plant physiology. The breadth of studies of fucose, combined with the existence of confusing and evolving terminology among these fields, has not been conducive to the dissemination of significant results across disciplinary boundaries.Several years ago a consistent series of intriguing results was reported from the laboratory of Carolyn Mountford, PhD, one of the pioneers in application of nuclear magnetic resonance methods to human oncology. Mountford and colleagues 1 had obtained evidence, in the form of nuclear magnetic resonance spectra from malignant cells and tissues, suggesting that fucose was detectable in these cells but was limited or undetectable in nonmalignant cells from which they were believed to be derived IFigure II.