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. 2021 Aug 18;11(8):1234. doi: 10.3390/biom11081234

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]