While LMW-HA activates pro-inflammatory and proliferative signaling cascades effects via TLR2/4 and CD44, HMW-HA has anti-hyperalgesic, anti-proliferative and anti-apoptotic activities, potentially by causing a different conformation of its major receptor, CD44. vHMW-HA, additionally, has superior cytoprotective properties. Both LMW-HA and HMW-HA are important for wound healing and tissue maintenance. Disparity of differentially sized HA effects happens on receptor level.