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Hyaluronic acid is a polymer of disaccharides, which are composed of D-glucuronic acid and N-acetyl-D-glucosamine, linked via alternating β-(1→4) and β-(1→3) glycosidic bonds. Hyaluronic acid can be 25,000 disaccharide repeats in length. Polymers of hyaluronic acid can range in size from 5,000 to 20,000,000 Da in vivo.
Initiation of hyaluronan biosynthesis by Class I hyaluronan synthases involves in situ generation of an N-acetylglucosamine (GlcNAc) primer through hydrolysis of UDP-GlcNAc, followed by diffusion of the primer into the active site. [11]
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