title: Studies in fetal wound healing. IV. Hyaluronic acid-stimulating activity distinguishes fetal wound fluid from adult wound fluid.
abstract: Recent clinical and experimental evidence suggests that the fetus responds to injury in a fashion fundamentally different from that of the adult. Our initial experience with human open fetal surgery reinforces experimental observations that the fetal wounds heal without the scarring, inflammation, and contraction that often accompany adult wounds. In this study we examine fetal wound fluid in an attempt to elucidate the control mechanisms that endow the fetus with unique healing properties. The extracellular matrix of fetal wounds is rich in hyaluronic acid, a glycosaminoglycan found in high concentrations whenever there is tissue proliferation, regeneration, and repair. We establish that wound fluid from the fetus contains high levels of hyaluronic acid-stimulating activity that may underlie the elevated deposition of hyaluronic acid in the fetal wound matrix. In contrast there was no hyaluronic acid-stimulating activity present in adult wound fluid. Hyaluronic acid, in turn, fosters an extracellular environment permissive for cell motility and proliferation that may account for the unique properties observed in fetal wound healing.
authors.affiliation: Fetal Treatment Program, University of California, San Francisco 94143-0506.
authors.forename: M T
authors.initials: MT
authors.lastname: Longaker
authors.forename: E S
authors.initials: ES
authors.lastname: Chiu
authors.forename: M R
authors.initials: MR
authors.lastname: Harrison
authors.forename: T M
authors.initials: TM
authors.lastname: Crombleholme
authors.forename: J C
authors.initials: JC
authors.lastname: Langer
authors.forename: B W
authors.initials: BW
authors.lastname: Duncan
authors.forename: N S
authors.initials: NS
authors.lastname: Adzick
authors.forename: E D
authors.initials: ED
authors.lastname: Verrier
authors.forename: R
authors.initials: R
authors.lastname: Stern
mesh_terms: D000367:Age Factors; D000818:Animals; D005122:Exudates and Transudates / Q000502:physiology*; D005333:Fetus / Q000378:metabolism / Q000502:physiology / Q000601:surgery*; D005354:Fibrosarcoma / Q000378:metabolism / Q000473:pathology; D006820:Hyaluronic Acid / Q000096:biosynthesis*; D008938:Mitosis; D051381:Rats; D012756:Sheep; D014407:Tumor Cells, Cultured / Q000378:metabolism / Q000473:pathology; D014945:Wound Healing / Q000502:physiology
chemical_list: D006820:Hyaluronic Acid