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hyaluronidase

 
Dictionary: hy·a·lu·ron·i·dase   ('ə-lʊ-rŏn'ĭ-dās', -dāz') pronunciation
n.
An enzyme that catalyzes the breakdown of hyaluronic acid in the body, thereby increasing tissue permeability to fluids. Also called spreading factor.


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Sci-Tech Encyclopedia: Hyaluronidase
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Any one of a family of enzymes, also known as hyaluronate lyases or spreading factors, produced by mammals, reptiles, insects, and bacteria, which catalyze the breakdown of hyaluronic acid. Some hyaluronidases also attack other similar polysaccharides. Since all liquefy the polysaccharide gel which fills the tissue spaces, they effectively accelerate diffusion so that injected, dissolved, or particulate matter (bacteria, viruses, toxins, or pigments) can diffuse through a larger volume of tissue. See also Hyaluronic acid.

The biological importance of the enzyme depends upon its source. That found in the culture filtrates of many strains of virulent bacteria permits the microorganisms to gain access to a larger volume of the host's tissue and, hence, to additional nutriment. That found in the venom of certain snakes and bees permits the toxin to produce more extensive damage to the victim. See also Enzyme.


Food and Fitness: hyaluronidase
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An enzyme which contributes to the break down of hyaluronic acid, a constituent of connective tissue. Hyaluronidase occurs naturally in many tissues. Preparations are injected into the skin of patients undergoing liposuction. The enzyme assists in breaking down the connective tissue so that the fat can be sucked out more easily. Hyaluronidase has also been used successfully to treat bruises.

Dental Dictionary: hyaluronidase
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(hī'-əl-yōōr-on'ədās)
n

An enzyme that produces hydrolysis of hyaluronic acid, the cementing substance of the tissues. Produced by certain pathogenic bacteria and also formed by sperm.

Drug Info: Hyaluronidase
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Brand names: Amphadase™Hydase™Vitrase®Wydase®



Hyaluronidase Solution for injection

What is this medicine?

HYALURONIDASE is a natural protein. It is used to improve the effects of other injectable medicines given with this medicine.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
•allergy to bee stings or other insects
•infection in the area where injection is planned
•an unusual or allergic reaction to hyaluronidase, sheep proteins, beef proteins, thimerosal, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding

How should I use this medicine?

This medicine is for injection under the skin or into a muscle. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as newborn for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

•ACTH
•antihistamines for allergy or cold
•aspirin and aspirin-like medicines
•benzodiazepines for anxiety or sleep
•female hormones like estrogens
•furosemide
•phenytoin
•steroid medicines like prednisone or cortisone

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Your condition will be monitored carefully while you are receiving this medicine. Visit your doctor for check-ups as directed.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
•allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
•breathing problems
•chest pain
•chills
•fast, irregular heartbeat
•feeling faint or lightheaded, falls
•nausea or vomiting
•swelling at site where injected

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
•inflammation, redness or pain at site where injected

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

Last updated: 12/27/2004 10:25:00 AM

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

Sports Science and Medicine: hyaluronidase
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An enzyme found in the testes, semen, and other tissues. Preparations of hyaluronidase have been used successfully to treat bruises.

Veterinary Dictionary: hyaluronidase
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An enzyme that catalyzes the hydrolysis of hyaluronic acid, the ‘cement material’ of connective tissues; it is found in leeches, snake and spider venom, in testes, and is produced by various pathogenic bacteria, enabling them to spread through tissue. A preparation from mammalian testes is used to promote absorption and diffusion of solutions injected subcutaneously. When hyaluronidase is mixed with fluids administered subcutaneously, absorption is more rapid and less uncomfortable. Hyaluronidase should not be given in areas where there is infection. Since it hastens absorption, it must be given with caution when administered with toxic drugs, as the toxic reaction can occur very rapidly.

Wikipedia: Hyaluronidase
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Hyaluronidase
Systematic (IUPAC) name
Sheep hyaluronidase
Identifiers
CAS number 488712-31-8
ATC code B06AA03
PubChem  ?
DrugBank BTD00022
Chemical data
Formula C2455H3775N617O704S21 
Mol. mass 53870.9 g/mol
Pharmacokinetic data
Bioavailability  ?
Metabolism  ?
Half life  ?
Excretion  ?
Therapeutic considerations
Pregnancy cat.

C

Legal status
Routes subcutaneous

The hyaluronidases (EC 3.2.1.35) are a family of enzymes that degrade hyaluronic acid.

In humans, there are six associated genes, including HYAL1, HYAL2, HYAL3, and PH-20/SPAM1.[1]

Contents

Use as a drug

By catalyzing the hydrolysis of hyaluronic acid, a major constituent of the interstitial barrier, hyaluronidase lowers the viscosity of hyaluronic acid, thereby increasing tissue permeability. It is, therefore, used in medicine in conjunction with other drugs in order to speed their dispersion and delivery. The most common application is in ophthalmic surgery, in which it is used in combination with local anesthetics. It also increases the absorption rate of parenteral fluids given by hypodermoclysis, and is an adjunct in subcutaneous urography for improving resorption of radiopaque agents. Hyalurodinase is also used for extravasation of hyperosmolar solutions. Usually a 0.2 ml of the drug is injected around the area of extravasation. A total of 1 ml is used.

Brand names of animal-derived hyaluronidase include HydaseTM (developed and manufactured by PrimaPharm Inc., distributed by Akorn Inc.) which has been FDA approved as a "Thimerosal free" animal-derived hyaluronidase, Vitrase (ISTA Pharmaceuticals), Amphadase (Amphastar Pharmaceuticals) and Wydase. Wydase, however, is no longer manufactured.

On December 2, 2005, the FDA approved a synthetic (recombinant or rDNA) "human" hyaluronidase, Hylenex (Halozyme Therapeutics).[2]

Role in Cancer Metastasis

Hyaluronidases play many roles in cancer metastasis. By helping to degrade the extracellular matrix (ECM) surrounding the tumor, hyaluronidases help the cancer cell escape from the primary tumor mass and play a major role in intravasation by allowing degradation of the basement membrane of the lymph or blood vessel. Hyaluronidases again play these roles in establishment of a metastatic lesion by helping with extravasation and clearing the ECM of the secondary site. [3] Finally, hyaluronidases play a key role in the process of angiogenesis. HA fragments promote angiogenesis and hyaluronidases produce these fragments. [4] Interestingly, hypoxia also increases production of HA and activity of hyaluronidases. [5] As previously mentioned, there are six hyaluronidase genes in the human genome of which four can express active hyaluronidases. Each of the hyaluronidases appear to play a role in cancer progression although the roles they play and the cancers they contribute to may differ


Pathogenic production

Some bacteria, such as Staphylococcus aureus, Streptococcus pyogenes,[6] and Clostridium perfringens,[7] produce hyaluronidase as a means for greater mobility through the body's tissues and as an antigenic disguise that prevents their being recognized by phagocytes of the immune system.

Role in fertilization

In most mammalian fertilization, hyaluronidase is released by the acrosome of the sperm cell after it has reached the oocyte, by digesting proteins in the zona pellucida, thus enabling conception.

References

  1. ^ Csoka AB, Frost GI, Stern R (December 2001). "The six hyaluronidase-like genes in the human and mouse genomes". Matrix biology : journal of the International Society for Matrix Biology 20 (8): 499–508. PMID 11731267. http://linkinghub.elsevier.com/retrieve/pii/S0945-053X(01)00172-X. 
  2. ^ "Halozyme Therapeutics and Baxter Healthcare Corporation Announce FDA Approval of Hylenex". http://www.baxter.com/about_baxter/news_room/news_releases/2005/12-05-05-hylenex.html. Retrieved 2008-11-07. 
  3. ^ Bharadwaj AG, et al. Inducible hyaluornan production reveals differential effects on prostate tumor cell growth and tumor angiogenesis. J Biol Chem. 2007;282:20561-20572
  4. ^ Gao F, et al. Hyaluronan oligosaccharides are potential stimulators to angiogenesis via RHAMM mediated signal pathway in wound healing. Clin Invest Med. 2008;31:E106-116
  5. ^ Gao F, et al. Hypoxia-induced alterations in hyaluronan and hyaluronidase. Adv Exp Med Biol. 2005;566:249-256
  6. ^ Starr CR, Engleberg NC (January 2006). "Role of hyaluronidase in subcutaneous spread and growth of group A streptococcus". Infection and immunity 74 (1): 40–8. doi:10.1128/IAI.74.1.40-48.2006. PMID 16368955. PMC: 1346594. http://iai.asm.org/cgi/pmidlookup?view=long&pmid=16368955. 
  7. ^ Zukaite V, Biziulevicius GA (March 2000). "Acceleration of hyaluronidase production in the course of batch cultivation of Clostridium perfringens can be achieved with bacteriolytic enzymes". Letters in applied microbiology 30 (3): 203–6. PMID 10747251. http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0266-8254&date=2000&volume=30&issue=3&spage=203. 

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Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Sci-Tech Encyclopedia. McGraw-Hill Encyclopedia of Science and Technology. Copyright © 2005 by The McGraw-Hill Companies, Inc. All rights reserved.  Read more
Food and Fitness. Food and Fitness: A Dictionary of Diet and Exercise. Copyright © 1997, 2003 by Oxford University Press. All rights reserved.  Read more
Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Drug Info. Gold Standard. Copyright © 2008 by Gold Standard. All rights reserved.  Read more
Sports Science and Medicine. The Oxford Dictionary of Sports Science & Medicine. Copyright © Michael Kent 1998, 2006, 2007. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Hyaluronidase" Read more