Step 1: Understanding the Concept:
Heparin is a highly sulfated glycosaminoglycan (GAG) that is widely used as a clinical anticoagulant.
It consists of repeating, unbranched disaccharide units containing an amino sugar and a uronic acid.
Step 2: Detailed Explanation:
The polymeric chain of heparin is made of alternating disaccharide units.
These units consist of:
A glucosamine derivative (typically $\alpha$-D-glucosamine), which is highly sulfated at both the nitrogen and oxygen positions (N-sulfated or O-sulfated).
A uronic acid residue, which is predominantly sulfated L-iduronic acid ($\alpha$-L-iduronic acid 2-sulfate, comprising roughly $90\%$), with a smaller fraction consisting of D-glucuronic acid.
This high degree of sulfation gives heparin a very high negative charge density, which is critical for its binding to antithrombin III and its subsequent anticoagulant activity.
Step 3: Final Answer:
The primary repeating disaccharide unit of heparin consists of sulfated glucosamine alternating with sulfated iduronic acid.