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Hyaluronan Signaling Ameliorates the Epithelial Injury Response and Barrier Disruption After Ozone Exposure
Jonas Ritter1,2, Vandy P Stober1, Carol S Trempus1
1Division of Intramural Research, National Institute of Environmental Health Sciences, Research Triangle Park, Durham, NC 27709, USA.
Biomolecules
|June 26, 2026
Summary
Ozone exposure damages lung epithelial cells. High molecular weight hyaluronan (HMWHA) protects these cells by activating innate immune receptors toll-like receptor 4 (TLR4) and TLR5, offering a potential therapeutic strategy.
Area of Science:
- Pulmonary toxicology
- Cellular biology
- Immunology
Background:
- Airway pollutants like ozone induce lung injury, exacerbating conditions such as asthma and COPD.
- Epithelial dysfunction is a key factor in ozone-induced lung injury, but underlying mechanisms require further elucidation.
- The extracellular matrix component hyaluronan (HA) is implicated in cellular injury responses.
Purpose of the Study:
- To investigate the role of hyaluronan (HA) signaling in mediating epithelial responses to ozone-induced lung injury.
- To explore the therapeutic potential of high molecular weight HA (HMWHA) in protecting against ozone-induced epithelial damage.
Main Methods:
- Exposed human and murine differentiated primary epithelia to ozone in vitro.
- Assessed epithelial integrity and transcriptomic changes post-exposure.
- Utilized genetically modified cells deficient in HA receptors (CD44, RHAMM) and innate immune receptors (TLR4, TLR5).
- Evaluated the protective effects of HMWHA.
Main Results:
- Ozone exposure significantly reduced epithelial integrity and induced comparable inflammatory changes in both human and murine cells.
- CD44 deficiency mitigated inflammation, whereas RHAMM deficiency worsened cell injury.
- HMWHA demonstrated protective effects against ozone-induced epithelial injury.
- HMWHA-mediated protection was dependent on TLR4 and TLR5 activation, independent of CD44 and RHAMM.
Conclusions:
- Hyaluronan signaling pathways contribute significantly to ozone-induced epithelial injury.
- High molecular weight hyaluronan (HMWHA) protects lung epithelia from ozone damage.
- HMWHA exerts its protective effects through the activation of innate immune receptors TLR4 and TLR5.

