Cited by 17Proteoglycans and glycosaminoglycans researchRenal cell carcinoma treatmentCancer, Hypoxia, and Metabolism

The role of hyaluronan in renal cell carcinoma

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Jin, Chenchen, Zong, Yunfeng·2023·Frontiers in Immunology

Abstract

Renal cell carcinoma (RCC) is associated with high mortality rates worldwide and survival among RCC patients has not improved significantly in the past few years. A better understanding of the pathogenesis of RCC can enable the development of more effective therapeutic strategies against RCC. Hyaluronan (HA) is a glycosaminoglycan located in the extracellular matrix (ECM) that has several roles in biology, medicine, and physiological processes, such as tissue homeostasis and angiogenesis. Dysregulated HA and its receptors play important roles in fundamental cellular and molecular biology processes such as cell signaling, immune modulation, tumor progression and angiogenesis. There is emerging evidence that alterations in the production of HA regulate RCC development, thereby acting as important biomarkers as well as specific therapeutic targets. Therefore, targeting HA or combining it with other therapies are promising therapeutic strategies. In this Review, we summarize the available data on the role of abnormal regulation of HA and speculate on its potential as a therapeutic target against RCC.

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  • Only low-molecular-weight HA fragments (<12 kDa) can pass the glomerular barrier; under normal physiology, only ~1-2% of HA is removed by the kidneys, limited to these small fragments.

    “Similarly, only low-molecular-weight HA fragments (<12 kDa) are able to pass the glomerular barrier—indeed, under normal physiology, only ~1–2% of HA is removed by the kidneys, limited to these small fragments [252].”
  • The majority of high-molecular-weight HA produced in the body is captured and metabolized by the liver, with liver sinusoidal endothelium and Kupffer cells clearing most circulating HA each day.

    “Natural macromolecules illustrate this route: the majority of high-molecular-weight HA produced in the body is captured and metabolized by the liver, with the liver sinusoidal endothelium and Kupffer cells clearing most circulating HA each day [252].”

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Cited by

Sorted by citations

Authors
Jin, C., & Zong, Y.
Affiliations
Zhejiang Cancer Hospital (CN)
Corresponding author
Zong, Yunfeng
Venue
Frontiers in Immunology
Published
2023-03-02
Volume
14
Pages
1127828-1127828
ISSN
1664-3224 (ISSN-L)
OpenAlex
W4322773788
Cited by
17
References
1
Citations by year
2026: 1 · 2025: 5 · 2024: 10 · 2023: 1
FWCI
0.66
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Immunology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Proteoglycans and glycosaminoglycans research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
Keywords
hyaluronic acid, renal cell carcinoma, extracellular matrix, hyaluronan receptor, tumor progression, angiogenesis, biomarkers, therapeutic target, glycosaminoglycans
MeSH terms
Carcinoma, Renal Cell, Extracellular Matrix, Humans, Hyaluronic Acid, Kidney Neoplasms, Biomarkers

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