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Hyaluronic acid in viscous malignant mesothelioma pleural effusion.


ABSTRACT: Malignant pleural effusion (MPE) is common with mesothelioma. We report two cases of extraordinarily viscous MPEs associated with mesothelioma. The viscosity prohibited spontaneous gravity-dependent drainage via indwelling pleural catheters. Our ex vivo experiments found very high hyaluronic acid (HA) content within the fluid. Treatment of the fluid with hyaluronidase, but not with deoxyribonucleases, significantly reduced fluid viscosity. The results provide proof that HA can contribute to high viscosity of pleural fluid in mesothelioma. Research into strategies of counteracting HA properties in the management of MPEs may provide further insight.

SUBMITTER: Cheah HM 

PROVIDER: S-EPMC7715921 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Hyaluronic acid in viscous malignant mesothelioma pleural effusion.

Cheah Hui Min HM   Fitzgerald Deirdre D   Louw Amber A   Creaney Jenette J   Lee Y C Gary YCG  

Respirology case reports 20201203 1


Malignant pleural effusion (MPE) is common with mesothelioma. We report two cases of extraordinarily viscous MPEs associated with mesothelioma. The viscosity prohibited spontaneous gravity-dependent drainage via indwelling pleural catheters. Our ex vivo experiments found very high hyaluronic acid (HA) content within the fluid. Treatment of the fluid with hyaluronidase, but not with deoxyribonucleases, significantly reduced fluid viscosity. The results provide proof that HA can contribute to high  ...[more]

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