Hyaluronic Acid in Rheumatology

Hyaluronic acid (HA), also known as hyaluronan, is an anionic glycosaminoglycan widely distributed throughout various tissues of the human body. It stands out from other glycosaminoglycans as it lacks sulfation and can attain considerable size: the average human synovial HA molecule weighs about 7 m...

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Main Authors: Haiko Sprott, Christian Fleck
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/9/2247
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author Haiko Sprott
Christian Fleck
author_facet Haiko Sprott
Christian Fleck
author_sort Haiko Sprott
collection DOAJ
description Hyaluronic acid (HA), also known as hyaluronan, is an anionic glycosaminoglycan widely distributed throughout various tissues of the human body. It stands out from other glycosaminoglycans as it lacks sulfation and can attain considerable size: the average human synovial HA molecule weighs about 7 million Dalton (Da), equivalent to roughly 20,000 disaccharide monomers; although some sources report a lower range of 3–4 million Da. In recent years, HA has garnered significant attention in the field of rheumatology due to its involvement in joint lubrication, cartilage maintenance, and modulation of inflammatory and/or immune responses. This review aims to provide a comprehensive overview of HA’s involvement in rheumatology, covering its physiology, pharmacology, therapeutic applications, and potential future directions for enhancing patient outcomes. Nevertheless, the use of HA therapy in rheumatology remains controversial with conflicting evidence regarding its efficacy and safety. In conclusion, HA represents a promising therapeutic option to improve joint function and alleviate inflammation and pain.
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spelling doaj.art-62bada2337ae4a2f82c3a909ad82e6262023-11-19T12:27:03ZengMDPI AGPharmaceutics1999-49232023-08-01159224710.3390/pharmaceutics15092247Hyaluronic Acid in RheumatologyHaiko Sprott0Christian Fleck1Medical Faculty, University of Zurich (UZH), CH-8006 Zurich, SwitzerlandMedical Faculty, University of Jena, D-07743 Jena, GermanyHyaluronic acid (HA), also known as hyaluronan, is an anionic glycosaminoglycan widely distributed throughout various tissues of the human body. It stands out from other glycosaminoglycans as it lacks sulfation and can attain considerable size: the average human synovial HA molecule weighs about 7 million Dalton (Da), equivalent to roughly 20,000 disaccharide monomers; although some sources report a lower range of 3–4 million Da. In recent years, HA has garnered significant attention in the field of rheumatology due to its involvement in joint lubrication, cartilage maintenance, and modulation of inflammatory and/or immune responses. This review aims to provide a comprehensive overview of HA’s involvement in rheumatology, covering its physiology, pharmacology, therapeutic applications, and potential future directions for enhancing patient outcomes. Nevertheless, the use of HA therapy in rheumatology remains controversial with conflicting evidence regarding its efficacy and safety. In conclusion, HA represents a promising therapeutic option to improve joint function and alleviate inflammation and pain.https://www.mdpi.com/1999-4923/15/9/2247hyaluronic acidrheumatologyosteoarthritisrheumatoid arthritisjoint lubricationcartilage
spellingShingle Haiko Sprott
Christian Fleck
Hyaluronic Acid in Rheumatology
Pharmaceutics
hyaluronic acid
rheumatology
osteoarthritis
rheumatoid arthritis
joint lubrication
cartilage
title Hyaluronic Acid in Rheumatology
title_full Hyaluronic Acid in Rheumatology
title_fullStr Hyaluronic Acid in Rheumatology
title_full_unstemmed Hyaluronic Acid in Rheumatology
title_short Hyaluronic Acid in Rheumatology
title_sort hyaluronic acid in rheumatology
topic hyaluronic acid
rheumatology
osteoarthritis
rheumatoid arthritis
joint lubrication
cartilage
url https://www.mdpi.com/1999-4923/15/9/2247
work_keys_str_mv AT haikosprott hyaluronicacidinrheumatology
AT christianfleck hyaluronicacidinrheumatology