Summary
Hyaluronan (HA) is a macromolecular polysaccharide of the vascular extracellular matrix
that confers both structural functions as well as signalling activity. HA is involved
in a wide variety of biological processes, such as tissue morphogenesis, malignant
growth and metastasis, wound healing and angiogenesis. In atherosclerosis, HA associates
with leukocytes and vascular smooth muscle cells (VSMC) and is involved in vascular
remodelling. HA is synthesized at the plasma membrane by three HAsynthase isoforms
(HAS1–3). Human VSMC upregulate HAS1 and HAS2 in response to prostaglandins via Gs-coupled
prostaglandin receptor subtypes IP and EP2. This review discusses the regulation of HA-synthesis by prostaglandins and the evidence
for a central role of cyclooxygenase-2/PGE2 in regulation of HAsynthesis during atherogenesis.
Keywords
Extracellular matrix - hyaluronic acid - hyaladherins - hyaluronidase - vascular smooth
muscle cell - inflammation