The connective tissue polysaccharide hyaluronan (hyaluronic acid, HA) is cleared extremely efficiently from the circulation via receptor mediated endocytosis by endothelial cells of the liver (LEC). In liver disease, such as cirrhosis, the reduced uptake of HA by LEC results in incresed serum concentrations of HA.
At least two different receptor activities exist on the surface of LEC, one is calcium dependent and seems not to be directly involved in endocytosis while another is calcium independent and mediates endocytosis. The receptors recognise other ligands besides HA, such as chondroitin sulphate and dextran sulphate, and thereby have a similarity to the scavenger receptors. High Mw HA binds with higher affinity to the receptors than low Mw species, and the smallest oligosaccharide recognized by the receptors is a hexasaccharide.
The endocytic receptors recirculate and mediate transport of the polysaccharide to lysosomes where it is degraded to
N-acetylglucosamine and glucuronic acid. The monosaccharides are transferred to the cytosol and ultimately broken down to water, carbon dioxide and urea in the hepatocytes.
The molecular nature of the HA receptors on LEC is not completely clear. One tentative receptor is characterized as a 340kDa protein by crosslinking with a HA photoaffinity probe but has not yet been sequensed. Another tentative receptor has been characterized as a 95kDa protein by affinity chromatography of solubilized LEC on HA coupled to agarose and specifically eluted with HA oligosaccharides. This latter protein was recently partly sequensed and found to have identical sequences to intercellular adhesion molecule 1 (ICAM-1). The localisation of ICAM-1 corresponds well with tissues and cells involved in HA binding and uptake. Based on inhibition studies with ligands for the scavenger receptors, members of this type of molecules are suggested to bind HA as well.
The binding of HA to ICAM-1 and/or to scavenger receptors can explain several phenomena in HA metabolism found in physiological and pathological conditions.
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