Hyaluronic acid (HA) is a naturally occurring glycosaminoglycan and is essential in biomedical research due to its distinct properties, compatibility with biological tissues, and functions in preserving tissue hydration, lubrication, and the integrity of the extracellular matrix, a significance recognized since 1934. Its capability to develop hydrogels and react to environmental factors has provided it a strong factor for drug delivery, tissue engineering, and wound healing uses. This review emphasizes the various biomedical uses of HA-based materials, focusing on their functions in cancer treatment, wound healing, inflammation control, antibacterial properties, and antioxidant functions. In cancer treatment, HA-functionalized nanoparticles improve the targeted drug delivery by using the additional presence of CD44 receptors in cancer cells. HA-based hydrogels have demonstrated significant potential in advancing wound healing by regulating inflammatory responses, enhancing angiogenesis, and participating in the extracellular matrix remodeling. Moreover, HA’s anti-inflammatory and antioxidant characteristics have been utilized in the treatment of chronic inflammatory conditions including osteoarthritis and inflammatory bowel disease. The recent developments in HA-based materials have also demonstrated their promise in antibacterial applications, diabetes control, and in treating cardiovascular and neurological conditions. The advancement of HA-based intelligent drug delivery systems and bioactive scaffolds is ongoing, presenting new treatment options for tissue repair and disease management. This review emphasizes the diverse functions of HA in both health and disease, showcasing its capacity to tackle various medical issues through cutting-edge biomedical applications.
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