2011
DOI: 10.1152/physrev.00052.2009
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Hyaluronan as an Immune Regulator in Human Diseases

Abstract: Accumulation and turnover of extracellular matrix components are the hallmarks of tissue injury. Fragmented hyaluronan stimulates the expression of inflammatory genes by a variety of immune cells at the injury site. Hyaluronan binds to a number of cell surface proteins on a variety of cell types. Hyaluronan fragments signal through both Toll-like receptor (TLR) 4 and TLR2 as well as CD44 to stimulate inflammatory genes in inflammatory cells. Hyaluronan is also present on the cell surface of epithelial cells an… Show more

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Cited by 881 publications
(981 citation statements)
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References 524 publications
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“…In particular, the glycosaminoglycan hyaluronan, one of the key components of the vertebrate extracellular matrix, is essential in dynamic cellular systems such as the developing embryo (Camenish et al, 2000;Toole, 2001;Ori et al, 2006;Li et al, 2007;Matsumoto et al 2009;Tammi et al, 2011), tissue wound repair and regeneration (Jiang et al, 2007;Contreras et al, 2009), inflammation processes (Hascall et al, 2004;Jiang et al, 2011), and tumorigenesis (Toole and Slomiany, 2008;Misra et al, 2011).…”
Section: Introductionmentioning
confidence: 99%
“…In particular, the glycosaminoglycan hyaluronan, one of the key components of the vertebrate extracellular matrix, is essential in dynamic cellular systems such as the developing embryo (Camenish et al, 2000;Toole, 2001;Ori et al, 2006;Li et al, 2007;Matsumoto et al 2009;Tammi et al, 2011), tissue wound repair and regeneration (Jiang et al, 2007;Contreras et al, 2009), inflammation processes (Hascall et al, 2004;Jiang et al, 2011), and tumorigenesis (Toole and Slomiany, 2008;Misra et al, 2011).…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, high molecular weight (HMW) and low molecular weight (LMW) hyaluronan can even display opposite effects [51,60], and when they are simultaneously present in a specific tissue, they can exert actions different from the simple sum of those of their separate size-related effects [51]. Extracellular HMW HA (≥ 10 6 Da) is anti-angiogenic, as it is able to inhibit endothelial cell growth [51,60,114]. Additionally, due its viscoelasticity, it acts as lubricating agent in the synovial joint fluid, thus protecting the articular cartilage [115].…”
Section: Biological Roles Of Ha In Relation To Its Mwmentioning
confidence: 99%
“…Additionally, due its viscoelasticity, it acts as lubricating agent in the synovial joint fluid, thus protecting the articular cartilage [115]. HMW HA has also important and beneficial roles in inflammation, tissue injury and repair, wound healing and immunosuppression: it binds fibrinogen and controls the recruitment of inflammatory cells, the levels of inflammatory cytokines and the migration of stem cells [60,93,114].…”
Section: Biological Roles Of Ha In Relation To Its Mwmentioning
confidence: 99%
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“…2,7,8 The hallmarks of chronic airway inflammation in patients with severe or persistent fungal asthma include the accumulation of activated eosinophils, 9-11 neutrophils, 12,13 lymphocytes 12,14 and ECM components. 15,16 To recapitulate many of the acute and chronic features of clinical fungal asthma, we developed an Aspergillus fumigatus experimental model in which sensitization of mice with fungal extracts is followed by allergy challenge with inhaled Aspergillus conidia. 17 The model results in IgE production, leukocytic pulmonary inflammation, and pronounced peribronchial fibrosis, all of which are exaggerated upon subsequent repeated exposure to inhaled conidia.…”
Section: Introductionmentioning
confidence: 99%