Hyaluronic Acid (HA)

Hyaluronic acid (HA), also known as hyaluronan, is a large, linear polysaccharide (glycosaminoglycan) that is naturally present in connective tissues, skin, joints, and eyes. Unlike other glycosaminoglycans, hyaluronic acid is not sulfated and does not bind to a core protein, meaning it is not a proteoglycan—but it can interact with proteoglycans to support structural and functional roles in tissues.


Structure:

  • Composed of repeating disaccharide units of:
    • Glucuronic acid
    • N-acetylglucosamine
  • Forms very long chains (up to millions of Daltons in molecular weight)
  • Highly hydrophilic, binding large amounts of water

Functions:

  1. Hydration: Retains water, maintaining tissue moisture and volume.
  2. Lubrication: Provides a slick surface in joints, especially in synovial fluid.
  3. Shock absorption: Helps cushion joints and eyes.
  4. Wound healing: Promotes cell migration and tissue repair.
  5. Scaffold for ECM assembly: Binds to proteoglycans like aggrecan in cartilage to form large hydrated complexes.

Where It’s Found:

  • Skin (dermis and epidermis)
  • Synovial fluid (joints)
  • Vitreous humor (eye)
  • Umbilical cord
  • Cartilage
  • Connective tissue

Unique Features:

  • Not protein-bound like other GAGs (free-standing polymer)
  • Synthesized at the plasma membrane by hyaluronan synthases (HAS1, HAS2, HAS3)
  • Can be degraded by enzymes called hyaluronidases

Medical and Cosmetic Uses:

  • Dermal fillers for skin volume and wrinkle reduction
  • Eye surgery: Used as a lubricant in procedures like cataract surgery
  • Joint injections: Used to treat osteoarthritis
  • Wound dressings: Promotes healing and tissue regeneration
  • Drug delivery: Because of its biocompatibility and water-holding properties

Clinical Relevance:

  • Aging: Natural levels of hyaluronic acid decrease with age, contributing to drier skin and joint issues.
  • Osteoarthritis: HA injections may reduce joint pain and improve mobility.
  • Cancer: Some tumors overproduce HA to help evade the immune system and promote growth.

Comparison: Hyaluronic Acid vs. Proteoglycans

FeatureHyaluronic AcidProteoglycans
TypeGAG (not attached to protein)Core protein + GAG chains
StructureLong, unsulfated polysaccharideProtein backbone with sulfated GAGs
RoleHydration, cushioningECM structure, signaling, adhesion
Found InSkin, joints, eyesCartilage, basement membrane, ECM

Summary Table:

PropertyDescription
Molecule TypeGlycosaminoglycan (GAG)
Unique FeatureNot linked to protein; free polysaccharide
Main FunctionsHydration, lubrication, tissue repair
LocationsSkin, joints, eyes, connective tissue
Medical UsesFillers, eye surgery, arthritis treatment
Clinical ImportanceJoint health, aging, wound healing, cancer biology