“…HA also modulated inflammatory responses, depending on the characteristics of HA particles. , For example, nanosized and small microsized HA particles (<20 μm) significantly boosted pro-inflammatory cytokine secretion with a considerably reduced capacity to secrete interleukin (IL)-10, a potent anti-inflammatory cytokine, while larger microsized particles of approximately 100 μm allowed normal production of IL-10 . Moreover, HA-containing composites appeared immunologically inert and biocompatible, eliciting no significant alterations in hematological, serum biochemical, or histopathological parameters in vivo . It is thus possible that the incorporation of large HA microparticles into bone composites may induce new bone formation and provide an opportunity to fine-tune the host response by directing the initial pro-inflammatory immune response toward a bone regenerative microenvironment following implantation.…”