High-Molecular-Weight Hyaluronic Acid Can Be Used as a Food Additive to Improve the Symptoms of Persistent Inflammation, Immunosuppression and Catabolism Syndrome (PICS).

Simple Summary: Persistent inflammation, immunosuppression, and catabolic syndrome (PICS) are the main causes of poor outcomes in patients transferred out of ICU. Hyaluronic acid has a potential function to alleviate PICS, and, as a widely accepted food additive, HA can be consumed through food products such as dairy products, greatly increasing patient medical compliance. This study evaluated the remission effect of PICS model mice after oral administration of HA with different molecular weights. The results showed a nonlinear relationship between HA molecular weight and its effect of intervention with symptoms in PICS mice and the high molecular weight HA (HMW-HA) was more effective in relieving symptoms in PICS model mice. Therefore, we believe that HMW-HA can be used to prepare functional foods for the purpose of intervening with PICS disease. Hyaluronic acid (HA) is a new functional food additive which has the potential to ameliorate persistent inflammation, immunosuppression and catabolism syndrome (PICS), but the biological effects of HA with various molecular weights differ dramatically. To systematically investigate the efficacy of HA in altering PICS symptoms, medium-molecular-weight (MMW) HA was specifically selected to test its intervention effect on a PICS mouse model induced by CLP through oral administration, with high-molecular-weight (HMW) and low-molecular-weight (LMW) HA also participating in the experimental validation process. The results of pathological observations and gut flora showed that MMW HA rapidly alleviated lung lesions and intestinal structural changes in PICS mice in the short term. However, although long-term MMW HA administration significantly reduced the proportions of harmful bacteria in gut flora, inflammatory responses in the intestines and lungs of PICS mice were significantly higher in the MMW HA group than in the HMW HA and LMW HA groups. The use of HMW HA not only rapidly reduced the mortality rate of PICS mice but also improved their grip strength and the recovery of spleen and thymus indices. Furthermore, it consistently promoted the recovery of lung and intestinal tissues in PICS mice, and it also assisted in the sustained restoration of their gut microbiota. These effects were superior to those of LMW HA and MMW HA. The experimental results indicate that HMW weight HA has the greatest potential to be an adjunct in alleviating PICS as a food additive, while the safety of other HAs requires further attention. [ABSTRACT FROM AUTHOR]