000K utf8 1100 2023$c2023-08-30 1500 eng 2050 urn:nbn:de:gbv:27-dbt-20230907-163151-004 2051 10.3390/pharmaceutics15092247 3000 Sprott, Haiko 3010 Fleck, Christian 4000 Hyaluronic Acid in Rheumatology [Sprott, Haiko] 4060 18 Seiten 4209 Hyaluronic acid (HA), also known as hyaluronan, is an anionic glycosaminoglycan widely distributed throughout various tissues of the human body. It stands out from other glycosaminoglycans as it lacks sulfation and can attain considerable size: the average human synovial HA molecule weighs about 7 million Dalton (Da), equivalent to roughly 20,000 disaccharide monomers; although some sources report a lower range of 3–4 million Da. In recent years, HA has garnered significant attention in the field of rheumatology due to its involvement in joint lubrication, cartilage maintenance, and modulation of inflammatory and/or immune responses. This review aims to provide a comprehensive overview of HA’s involvement in rheumatology, covering its physiology, pharmacology, therapeutic applications, and potential future directions for enhancing patient outcomes. Nevertheless, the use of HA therapy in rheumatology remains controversial with conflicting evidence regarding its efficacy and safety. In conclusion, HA represents a promising therapeutic option to improve joint function and alleviate inflammation and pain. 4950 https://doi.org/10.3390/pharmaceutics15092247$xR$3Volltext$534 4950 https://nbn-resolving.org/urn:nbn:de:gbv:27-dbt-20230907-163151-004$xR$3Volltext$534 4961 https://www.db-thueringen.de/receive/dbt_mods_00058570 5051 610 5550 cartilage 5550 combination therapies 5550 hyaluronic acid 5550 inflammation 5550 joint lubrication 5550 osteoarthritis 5550 patient outcomes 5550 rheumatoid arthritis 5550 rheumatology 5550 therapeutic applications