Title |
Hyaluronidase: from clinical applications to molecular and cellular mechanisms
|
---|---|
Published in |
European Journal of Medical Research, February 2016
|
DOI | 10.1186/s40001-016-0201-5 |
Pubmed ID | |
Authors |
Bettina Alexandra Buhren, Holger Schrumpf, Norman-Philipp Hoff, Edwin Bölke, Said Hilton, Peter Arne Gerber |
Abstract |
Over the past 60 years, hyaluronidase has been successfully utilized in ophthalmic surgery and is now being implemented in dermatosurgery as well as in other surgical disciplines. The enzyme is considered a "spreading factor" as it decomplexes hyaluronic acid (also called hyaluronan, HA), an essential component of the extracellular matrix (ECM). When applied as an adjuvant, hyaluronidase enhances the diffusion capacity and bioavailability of injected drugs. Therefore, the enzyme has been used as a local adjuvant to increase the diffusion capacity of local anesthetics, increasing the analgesic efficacy, and the anesthetized area particularly in the first minutes following injection, resulting in diminished intra- and postoperative pain. In aesthetic medicine, the off-label use of hyaluronidase is considered the gold standard for the management of HA-filler-associated complications. Here, we review the clinical use, underlying biological mechanisms, and future directions for the application of hyaluronidase in surgical and aesthetic medicine. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | <1% |
France | 1 | <1% |
Unknown | 285 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 43 | 15% |
Student > Bachelor | 38 | 13% |
Student > Master | 29 | 10% |
Researcher | 28 | 10% |
Student > Postgraduate | 13 | 5% |
Other | 50 | 17% |
Unknown | 87 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 55 | 19% |
Biochemistry, Genetics and Molecular Biology | 37 | 13% |
Agricultural and Biological Sciences | 25 | 9% |
Pharmacology, Toxicology and Pharmaceutical Science | 18 | 6% |
Chemistry | 18 | 6% |
Other | 39 | 14% |
Unknown | 96 | 33% |