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Serum hyaluronan as a disease marker
T C Laurent1, U B Laurent, J R Fraser
1Department of Medical, University of Uppsala, Sweden.
Annals of Medicine
|June 1, 1996
Summary
Serum hyaluronan levels indicate various health conditions. Elevated levels signal liver disease, rheumatoid arthritis, and poor prognosis in septic patients, highlighting its role as a clinical marker.
Area of Science:
- Biochemistry
- Clinical Medicine
- Biomarker Discovery
Background:
- Hyaluronan (HA) is a connective tissue polysaccharide found in blood serum.
- Serum HA levels are regulated by tissue influx via lymph and hepatic clearance.
- Abnormal serum HA levels are associated with various pathological conditions.
Purpose of the Study:
- To explore the clinical significance of serum hyaluronan levels.
- To identify conditions where serum hyaluronan serves as a diagnostic or prognostic marker.
- To understand the role of hyaluronan metabolism in disease.
Main Methods:
- Serum hyaluronan concentration measurement.
- Correlation analysis with disease states and physiological conditions.
- Review of existing literature on hyaluronan metabolism and clinical relevance.
Main Results:
- Markedly high serum HA levels are observed in liver diseases like cirrhosis due to impaired clearance.
- Serum HA is a sensitive marker for liver transplant rejection.
- Increased serum HA is noted in rheumatoid arthritis, correlating with physical activity and potentially originating from joints.
- Elevated HA levels in septic patients indicate a poor prognosis.
- Certain tumors (Wilms', mesothelioma) increase HA synthesis.
- Rare hereditary disorders of HA metabolism also show elevated levels.
Conclusions:
- Serum hyaluronan is a valuable clinical marker for diverse pathological conditions, including liver disease, inflammatory joint diseases, septic conditions, and certain cancers.
- Understanding hyaluronan metabolism provides insights into disease progression and prognosis.
- Further research under stringent conditions may yield more information on inflammatory joint processes.
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