Target intelligence / Profile preview

Hyaluronan receptor (most commonly, CD44) (CD44)

Target
CD44
Molecular classification
Receptor, Cell surface glycoprotein, Toll-like receptor (TLR2/TLR4), Hyaluronan-binding protein
01

Overview

Hyaluronic acid (HA) is a major extracellular matrix glycosaminoglycan that modulates inflammation and tissue regeneration via interaction with specific cell surface receptors, particularly CD44. The anti-inflammatory effect of HA is molecular weight-dependent: high molecular weight HA confers immunosuppressive and anti-inflammatory activity, while low molecular weight HA fragments can induce a pro-inflammatory response via signaling through toll-like receptors (TLR2, TLR4) and other HA-binding proteins. These receptors mediate cellular migration, cytokine release, and immune cell recruitment, playing central roles in wound healing, osteoarthritis, and other inflammatory diseases. HA is also used as a vehicle for drug delivery, targeting inflamed tissues through receptor-mediated uptake. The therapeutic manipulation of HA and its receptors represents a major avenue for modulating immune responses and promoting tissue repair.

Other names
CD44hyaluronan receptorTLR2TLR4RHAMMLYVE-1HARECEMIPSiglec-9
02

Mechanism of action

HA binds its receptors (CD44 and others), modulating immune cell migration and cytokine production. High molecular weight HA: anti-inflammatory, immunosuppressive. Low molecular weight HA fragments: pro-inflammatory via TLR activation. HA-based drug delivery targets macrophages and inflamed tissues through receptor-mediated uptake.

03

Biological functions

Cellular migrationRegulation of inflammationAngiogenesisImmune responseTissue regenerationSignal transduction
04

Disease associations

Inflammation (anti-inflammatory in high MW, pro-inflammatory in low MW settings)OsteoarthritisWound healingCancer (involved in progression and regulation)Fibrosis
05

Safety considerations

Local reactions (with intra-articular HA)Potential pro-inflammatory effects if degraded to low molecular weight fragmentsRare systemic effects (HA is generally well tolerated but interaction with immune system can be context- and molecular weight-dependent)
06

Interacting drugs

Hyaluronic acid (as a biotherapeutic itself)

4 more in the full profile.

07

Biomarkers

CD44 expression (for tissues/cells responsive to HA)TLR4 and other receptor status (as indicators of inflammation and HA responsiveness)Proinflammatory cytokines (IL-6, IL-8, TNF-α, MMPs) to monitor therapeutic efficacy

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