B3GNT5 encodes the β-1,3-N-acetylglucosaminyltransferase known as Lc3 synthase, the committed enzyme that transfers GlcNAc in a β1,3 linkage onto lactosylceramide to generate lactotriosylceramide (Lc3Cer), the obligate precursor of all lacto- and neolacto-series glycosphingolipids (PMID:19014510). Germline knockout in mice causes pre-implantation lethality or, with alternative targeting strategies, postnatal B-cell deficiency with loss of splenic germinal centers, reproductive defects, and early death, establishing that lacto/neolacto-series gangliosides are essential for B-cell development and fertility (PMID:19014510, PMID:21087515). In cancer cells, B3GNT5 loss abolishes surface SSEA-1 expression and cancer stem cell properties, alters EMT markers and RTK signaling, and increases chemoresistance, while B3GNT5 protein stability itself depends on its own N-glycosylation (PMID:35526049, PMID:40847295). B3GNT5 expression is post-transcriptionally repressed by miR-30a-5p and miR-136-5p, which directly target its 3′-UTR and modulate downstream ERK/AKT signaling in trophoblast and liver cancer cells (PMID:32575164, PMID:34859256).