nucleotide-sugar biosynthetic process CMP-keto-3-deoxy-D-manno-octulosonic acid biosynthetic process https://github.com/geneontology/go-ontology/issues/28388 biological_process GO:0033468 CMP-keto-3-deoxy-D-manno-octulosonic acid formation CMP-KDO biosynthesis CMP-keto-3-deoxy-D-manno-octulosonic acid anabolism CMP-KDO biosynthetic process CMP-ketodeoxyoctanoate biosynthetic process The chemical reactions and pathways resulting in the formation of CMP-keto-3-deoxy-D-manno-octulosonic acid, a substance composed of the acidic sugar 3-deoxy-D-manno-octulosonic acid in glycosidic linkage with cytidine monophosphate. CMP-keto-3-deoxy-D-manno-octulosonic acid biosynthesis MetaCyc:PWY-1269 CMP-keto-3-deoxy-D-manno-octulosonic acid synthesis