Effect of different molecular weight hyaluronans on osteoarthritis-related protein production in fibroblast-like synoviocytes from patients with tibia plateau fracture

Teng Le Huang, Horng Chaung Hsu, Kai Chiang Yang, Chun Hsu Yao, Feng Huei Lin

Research output: Contribution to journalArticle

16 Citations (Scopus)


Background: Preventing arthritic change in a joint with an intra-articular fracture remains a challenge, especially in weight-bearing joints. Hyaluronan (HA) has been proven to be effective in relieving joint pain and improving function in chronic osteoarthritis. However, controversy still exists about its potential use in a joint with an intra-articular fracture and about whether this effect is dependent on molecular weight. We analyzed and compared the effects of two different molecular weight HAs on six osteoarthritis-related proteins expressed in fibroblast-like synoviocytes from 12 patients with tibial plateau fracture. Methods: The interleukin (IL)-1β-stimulated or IL-1β-unstimulated fibroblast-like synoviocytes were cultivated with or without treatment by two different molecular weight HAs. The production of these proteins was quantified by using commercially available sandwich enzyme-linked immunosorbent assay. Results: The results revealed that HA with a high molecular weight is more effective in downregulating proinflammatory cytokines such as interleukin-1β and tumor necrosis factor-α. Conversely, HA with a low molecular weight has greater efficacy in upregulating anticatabolic enzymes, such as tissue inhibitor of metalloproteinase-1 and tissue inhibitor of metalloproteinase-2, and in suppressing the catabolic enzyme, matrix metalloproteinase-3, which are thought to be more chondroprotective. Conclusions: In a knee joint with an intra-articular fracture of the tibial plateau, we posit that high molecular weight HA may have a better anti-inflammatory effect, whereas low molecular weight HA has superior efficacy for chondroprotection.

Original languageEnglish
Pages (from-to)146-152
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number1
Publication statusPublished - Jan 2010
Externally publishedYes



  • Fracture
  • Hyaluronan
  • Synoviocytes

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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