Table 1.
Summary of the various immune cell types and associated subtypes and their role in wound healing in the context of HA.
| Immune Subsystem | Cell Type | Subtype | Role with HA in Wound Healing |
|---|---|---|---|
| Innate | Mast cells | Facilitate attachment to HA [38] and promote anti-inflammatory wound milieu in concert with HA by way of IL-10 [4] | |
| Macrophages | M1 | Induced by LMW-HA during inflammatory stage of wound healing [39] | |
| M2 | Sulfated HA/collagen hydrogel improved murine diabetic wound healing by promoting M2 macrophages [40] | ||
| Dendritic/Langerhans cells | LMW-HA promotes maturation of dendritic cells via TLR 4 pathway during inflammatory phase of wound healing [41] | ||
| Natural killer T (NKT) cells | HA binds to CD44 receptors on the surface of NKT cells although downstream effects are unknown [42] | ||
| Adaptive | T lymphocytes | Antigen activation of T lymphocytes induces HA binding via CD44 which enables lymphocyte infiltration into inflamed tissue [28] | |
| CD4+ | HMW-HA amplifies Foxp3 expression of Tregs which stimulates production of IL-2 and immunosuppressive IL-10 and TGF-β [43] | ||
| γδ | Subpopulation known as DETCs secrete keratinocyte growth factors 1 and 2 which stimulate HA production and macrophage recruitment [44] | ||
| B cells | HA application to murine wounds attracts B cells to wound bed, stimulating production of IL-6 and TGF-β [45] |