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Biochemistry · Biochemistry of the Extracellular Matrix

Hyaluronic acid

Acidum hyaluronicum

Hyaluronic acid is the largest linear nonsulfated glycosaminoglycan of the extracellular matrix. Due to its powerful negative charge, it is capable of attracting huge volumes of water, forming a gel-like tissue matrix.

Class of compoundsGlycosaminoglycan (not a proteoglycan)
MonomersD-glucuronic acid and N-acetyl-D-glucosamine
Molecular massFrom 10^5 to 10^7 Daltons
PropertiesPronounced polyanion, binds water and Na+ cations
PathologyDegraded by bacterial hyaluronidase
4 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Chemical structure and molecular charge

From a biochemical perspective, hyaluronic acid is the largest glycosaminoglycan. Its molecular mass reaches colossal values—from $10^5$ to $10^7$ Daltons. It is important to note that it belongs exclusively to glycosaminoglycans rather than proteoglycans, as its structure completely lacks a protein core (axial protein).

The structure of this biopolymer is linear and consists of numerous repeating disaccharide units. Each such structural block includes two components:

  • D-glucuronic acid;
  • N-acetyl-D-glucosamine.

Within a single disaccharide, these monosaccharides are linked by a $\beta(1\to3)$-glycosidic bond. In turn, the disaccharide units themselves are connected via $\beta(1\to4)$-bonds, forming a long polymer chain that does not undergo sulfation.

A distinctive feature of the molecule is its pronounced negative charge. Each disaccharide unit contains a carboxyl group belonging to glucuronic acid. Given the enormous chain length and the giant number of monomers, the molecule as a whole acquires the properties of a powerful polyanion.

Biological functions in the extracellular matrix

The specific chemical structure directly determines the physical properties and functions of hyaluronic acid in body tissues.

  1. Binding of colossal volumes of water. Precisely due to its polyanionic nature, the molecule exhibits the highest degree of hydrophilicity. Negatively charged groups attract and firmly hold $H_2O$ molecules.
  2. Formation of a gel-like matrix. By saturating with water, hyaluronic acid gives the intercellular space the character of a viscous, gel-like structural framework that maintains tissue shape.
  3. Binding of cations. Like all glycosaminoglycans, hyaluronan can actively interact with positively charged ions. In particular, it plays an important role in the deposition of sodium ions ($Na^+$) in the intercellular environment.
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Role of hyaluronidase in the spread of infections

Normally, the extracellular matrix acts as a reliable barrier against the spread of foreign agents. However, many pathogenic microorganisms have evolved a mechanism to overcome this defense during evolution. Causative agents of purulent infections and gas gangrene secrete a specific enzyme—hyaluronidase.

The substrate for this enzyme is hyaluronic acid itself. Hyaluronidase catalyzes the hydrolysis reaction, specifically cleaving $\beta$-glycosidic bonds between disaccharide residues. This process is called depolymerization.

Consequences of enzymatic cleavage:

  • Rapid destruction of the normal gel-like structure of the tissue matrix occurs.
  • The viscosity of the intercellular substance drops sharply and significantly.
  • The permeability of tissue barriers increases.

This is precisely why hyaluronidase is often called a "spreading factor" or diffusion factor. As a result of its action, pathogenic bacteria and the toxins they release acquire the ability to rapidly and unimpeded capture new tissue areas, exacerbating the severity of the infectious process.

Briefly: answers to topical questions

In which organs and tissues of the human body is hyaluronic acid found in the greatest amounts?

Sources explicitly state that a high concentration of hyaluronic acid is characteristic of fetal mucous tissue; it is also part of the synovial fluid and articular cartilage matrix.

  • Mucous tissue — has a gel-like intercellular substance due to a high concentration of hyaluronic acid; found only in embryonic development: in the umbilical cord and the space between fetal membranes.
  • Synovial fluid — hyaluronic acid is a component of it and provides viscosity and lubrication.
  • Articular cartilage — hyaluronic acid is part of the connective tissue matrix of articular cartilage along with type II collagen and aggrecan.

Which cells synthesize hyaluronic acid in the body?

Hyaluronic acid is synthesized by fibroblasts.

  • In the main amorphous substance of connective tissue, glycosaminoglycans, including long chains of hyaluronic acid, are synthesized by fibroblasts.
  • During tissue regeneration and wound healing, fibroblasts actively synthesize extracellular matrix components, including hyaluronic acid.
  • In the second phase of the wound healing process, fibroblasts synthesize mucopolysaccharides, among which hyaluronic acid is listed.

How does the catabolism of hyaluronic acid normally occur in humans?

Enzymatic degradation of hyaluronic acid occurs under the action of hyaluronidase.

  • Hyaluronidase catalyzes the hydrolysis of β-glycosidic bonds in hyaluronic acid, meaning it causes its depolymerization.
  • The cleavage of glycosaminoglycans by hyaluronidase reduces the viscosity of the ground substance and increases tissue permeability.
  • It is also noted for hyaluronic acid that its cleavage leads to the destruction of the gel-like structure of the matrix.
How to memorize

Remembering the composition of the disaccharide is helped by the acronym "GAN": Glucuronic acid + Acetyl-N-glucosamine. Both substrate molecules start with the letter "G" (in Russian), which echoes the name of Hyaluronic acid itself.

Class and exam questions

Why is hyaluronic acid classified as a glycosaminoglycan rather than a proteoglycan?

Because its molecule consists exclusively of carbohydrate polymer chains and lacks a protein core, which is an obligatory component of proteoglycans.

What causes the molecule to acquire a strong negative charge?

The carboxyl group of glucuronic acid is present in the composition of each disaccharide monomer. A multitude of such groups in a long chain makes the molecule a pronounced polyanion.

What is the pathogenic action of bacterial hyaluronidase?

The enzyme hydrolyzes beta-glycosidic bonds of the polymer. This destroys the gel-like matrix, reduces tissue viscosity, and allows bacteria with toxins to easily spread deeper.

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What else to study on this topic

  • Spatial organization of beta(1→3) and beta(1→4) glycosidic bonds
  • Mechanism of water molecule binding by polyanionic structures
  • Differences between hyaluronic acid and sulfated glycosaminoglycans
  • Biochemical basis of gas gangrene pathogenesis

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