HYAL1 Human

Hyaluronidase Human Recombinant
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Description

Introduction to HYAL1 Human

HYAL1 (Hyaluronidase-1) is a lysosomal enzyme encoded by the HYAL1 gene on chromosome 3p21.3. It is a glycosidase responsible for hydrolyzing hyaluronan (HA), a major glycosaminoglycan in the extracellular matrix (ECM), into smaller fragments. HYAL1 is critical for HA turnover, cell proliferation, and tissue remodeling, with implications in cancer progression, bone metabolism, and genetic disorders .

Mechanism of Action

HYAL1 cleaves β1→4 linkages in HA at acidic pH (optimal pH 4.0–4.3), generating fragments as small as tetrasaccharides. The reaction involves:

  1. Proton transfer between Asp129 and Glu131.

  2. Nucleophilic attack by the oxyanion intermediate stabilized by Tyr247 .

Recombinant HYAL1 Production

Recombinant HYAL1 is produced in mammalian systems (e.g., HEK293, CHO cells) for research and therapeutic applications:

PropertyDetails
Expression SystemHEK293 or CHO cells .
Molecular Mass46.9 kDa (non-glycosylated); ~55–60 kDa (glycosylated) .
PurificationHis-tag affinity chromatography; >90% purity by SDS-PAGE .
ActivityHydrolyzes HA at pH 4.0; inactive at neutral pH without mutations .

Role in Cancer

HYAL1 is overexpressed in multiple cancers, correlating with tumor progression and metastasis:

Cancer TypeFindingsReferences
Bladder CancerUrinary HA-HYAL1 levels detect cancer with ~88% accuracy .
Prostate CancerHigh HYAL1 expression predicts biochemical recurrence post-surgery .
Breast CancerElevated in invasive ductal carcinoma and metastatic lymph nodes .

Genetic Disorders

  • Mucopolysaccharidosis Type IX: Caused by HYAL1 mutations, leading to HA accumulation, periarticular masses, and skeletal abnormalities .

Bone Metabolism

  • Hyal1 knockout mice exhibit 15% reduced bone mineral density (BMD) and shortened femurs, highlighting HYAL1’s role in osteoclast differentiation .

Enzymatic Activity and pH Dependence

  • Optimal Activity: pH 4.0–4.3, with residual activity (50–80%) at pH 4.5 .

  • Neutral pH Mutants: Substitutions (e.g., S77D, P87E) enable HYAL1 activity at pH 7 via electrostatic repulsion, mimicking PH20 hyaluronidase .

Inhibitors and Therapeutic Potential

  • Natural Inhibitors: Chicoric acid (IC₅₀ = 171 µM) and glycyrrhizic acid (IC₅₀ = 177 µM) block HYAL1, reducing angiogenic HA fragments .

  • Therapeutic Targets: HYAL1 inhibition is explored for cancer (e.g., bladder, breast) and inflammatory diseases (e.g., arthritis) .

Research Advances and Challenges

  • Splice Variants: Truncated isoforms (e.g., v1–v5) lack enzymatic activity but regulate tumor progression by inducing apoptosis in cancer cells .

  • Dual Role in Cancer: HYAL1 acts as a tumor promoter (moderate expression) or suppressor (low/high expression), complicating therapeutic strategies .

Product Specs

Introduction

Hyaluronidase-1, also known as HYAL1, is a protein that belongs to the endolytic glycoside hydrolase family. In humans, there are five endo-β-N-acetylhexosaminidase enzymes, including HYAL1, HYAL2, and HYAL3. HYAL1 plays a crucial role in the breakdown of hyaluronic acid within the extracellular matrix of body tissues. It functions optimally in acidic environments and is the most prevalent hyaluronidase found in plasma. Genetic mutations affecting the HYAL1 gene can lead to mucopolysaccharidosis type IX and hyaluronidase deficiency.

Description

Recombinant human HYAL1, expressed in HEK cells, is a single-chain polypeptide with glycosylation. It consists of 420 amino acids (22-435 a.a) and has a molecular weight of 46.9 kDa. The HYAL1 protein includes a 6-amino acid His-tag at the C-terminus and is purified using proprietary chromatographic methods.

Physical Appearance
Clear, colorless solution that has been sterilized by filtration.
Formulation

The HYAL1 solution is supplied at a concentration of 0.25 mg/ml and contains 10% glycerol in phosphate-buffered saline (pH 7.4).

Stability
For short-term storage (up to 2-4 weeks), the HYAL1 solution should be kept at 4°C. For long-term storage, it is recommended to freeze the solution at -20°C. The addition of a carrier protein (0.1% HSA or BSA) is advisable for extended storage periods. It's important to avoid repeated freezing and thawing of the solution.
Purity

The purity of HYAL1 is determined by SDS-PAGE analysis and is greater than 90.0%.

Synonyms

Hyaluronidase-1, Hyal-1,Hyaluronoglucosaminidase-1, Lung carcinoma protein 1, LuCa-1, HYAL1, Hyaluronidase 1, Hyaluronoglucosaminidase 1, Hyaluronoglucosaminidase1, LUCA 1,MPS9, NAT6, Plasma hyaluronidase, Tumor suppressor LUCA 1.

Source

HEK293 Cells.

Amino Acid Sequence

FRGPLLPNRP FTTVWNANTQ WCLERHGVDV DVSVFDVVAN PGQTFRGPDM TIFYSSQLGT YPYYTPTGEP VFGGLPQNAS LIAHLARTFQ DILAAIPAPD FSGLAVIDWE AWRPRWAFNW DTKDIYRQRS RALVQAQHPD WPAPQVEAVA QDQFQGAARA WMAGTLQLGR ALRPRGLWGF YGFPDCYNYD FLSPNYTGQC PSGIRAQNDQ LGWLWGQSRA LYPSIYMPAV LEGTGKSQMY VQHRVAEAFR VAVAAGDPNL PVLPYVQIFY DTTNHFLPLD ELEHSLGESA AQGAAGVVLW VSWENTRTKE SCQAIKEYMD TTLGPFILNV TSGALLCSQA LCSGHGRCVR RTSHPKALLL LNPASFSIQL TPGGGPLSLR GALSLEDQAQ MAVEFKCRCY PGWQAPWCER KSMWHHHHHH

Q&A

What is HYAL1 and what is its primary function in human cells?

HYAL1 is a lysosomal hyaluronidase enzyme encoded by the HYAL1 gene located in the chromosome 3p21.3 region, an area associated with tumor suppression. The primary function of HYAL1 is to intracellularly degrade hyaluronan (hyaluronic acid), one of the major glycosaminoglycans present in the extracellular matrix . This degradation process is critical for normal tissue homeostasis and cellular functions.

Methodologically, researchers investigate HYAL1 function through enzymatic activity assays conducted at acidic pH (optimally pH 4.0-4.3), as HYAL1 is primarily active in lysosomal compartments. The enzyme is capable of degrading hyaluronan of all sizes into fragments as small as tetrasaccharides . This activity is crucial for hyaluronan turnover, which influences cell proliferation, migration, and differentiation processes.

In clinical contexts, HYAL1 serves as the major hyaluronidase detected in human plasma, making it accessible for diagnostic applications. Mutations in the HYAL1 gene are associated with mucopolysaccharidosis type IX (hyaluronidase deficiency), demonstrating its essential role in normal glycosaminoglycan metabolism .

What is the molecular structure of HYAL1?

HYAL1 was first purified from human plasma and urine, with structural analysis revealing it to be a 435 amino acid protein with a molecular weight of 55-60 kDa . The crystal structure of HYAL1, determined by Chao, Muthukumar, and Herzberg, reveals two closely associated domains:

  • An N-terminal catalytic domain (Phe22-Thr352) that adopts a distorted (β/α)8 barrel fold similar to bee venom hyaluronidase

  • A smaller C-terminal domain (Ser353-Trp435)

The enzyme contains 10 cysteines and three predicted N-glycosylation sites, with the glycosylation at Asn350 being particularly important for full enzymatic function . The protein also includes an N-terminal endoplasmic reticulum signal sequence that directs its subcellular localization .

For structural studies, HYAL1 can be crystallized at pH 4.6, which falls within its optimal pH range for enzymatic activity, allowing for high-resolution (2.0 Å) structural refinement and analysis . This structural information has been critical for understanding the catalytic mechanism and identifying key residues involved in substrate binding and hydrolysis.

How is HYAL1 gene expression regulated?

HYAL1 expression is regulated through multiple mechanisms, with transcriptional control playing a particularly important role. Research methodologies for studying this regulation include:

  • Real-time RT-PCR analysis, which has demonstrated that high HYAL1-expressing cancer cells show 10-30 fold elevated HYAL1 mRNA levels compared to low-expressing cells

  • Actinomycin-D treatment to assess mRNA degradation rates, which has shown that differential expression is not primarily due to differences in mRNA stability

  • Promoter analysis through cloning and luciferase reporter assays

Through these approaches, researchers have identified multiple transcription start sites (TSS) for HYAL1 mRNA in various tissues. The major TSS in many tissues, including bladder and prostate, is at nucleotide 27274 in the cosmid clone LUCA13 (AC002455) . A TACAAA sequence at position -31 has been identified as part of the minimal promoter region .

Epigenetic mechanisms also appear to play a significant role in HYAL1 regulation, which may explain the differential expression observed between normal and cancer tissues. This provides researchers with potential targets for modulating HYAL1 expression in experimental and therapeutic contexts.

What are the known splice variants of HYAL1 and their significance?

HYAL1 has several alternatively spliced variants that play important roles in regulating hyaluronidase activity. Five splice variants (designated v1 through v5) have been described that encode enzymatically inactive proteins . These variants are expressed at different levels in normal versus cancerous tissues:

  • HYAL1-v1: Lacks a 30-amino acid sequence present in full-length HYAL1

  • HYAL1-v5: The main transcript in normal bladder cells

Expression analysis methods have shown that these variants are expressed at higher levels in normal and low-grade (grade 1) bladder tumor tissues compared to advanced cancers. For example, HYAL1-v1 expression is 2.3-fold higher in normal bladder tissues than in bladder tumors , while full-length HYAL1 shows the opposite pattern, with elevated expression in higher-grade (grade 2/3) and invasive tumors .

Functional studies using stably transfected cell lines have revealed that these variants can modulate the activity of the full-length enzyme. For instance, HYAL1-v1 forms a noncovalent complex with the full-length HYAL1 protein, resulting in reduced hyaluronidase activity in the extracellular environment .

What experimental methods are most effective for measuring HYAL1 activity in tumor samples?

For researchers investigating HYAL1 in cancer contexts, several methodological approaches have proven effective:

  • HA-HAase Test: This assay measures both hyaluronic acid (HA) and hyaluronidase levels in patient samples. It has demonstrated approximately 88% accuracy in detecting bladder cancer regardless of tumor grade and stage . For bladder cancer specifically, this test can be performed on urine samples, providing a non-invasive diagnostic approach.

  • Enzymatic Activity Assays: These should be conducted at pH 4.0-4.3 (the optimal pH range for HYAL1) and can measure the degradation of hyaluronan into smaller fragments. Methods include:

    • Substrate gel zymography

    • Colorimetric or fluorometric assays tracking the release of N-acetylglucosamine

    • ELISA-like assays using biotinylated hyaluronan

  • Protein Detection Methods:

    • Western blotting for HYAL1 protein (55-60 kDa)

    • Immunohistochemistry for tissue localization

    • Pulse-chase experiments to study protein synthesis and degradation

  • mRNA Expression Analysis:

    • Real-time RT-PCR for quantitative analysis of full-length HYAL1 versus splice variants

    • Northern blotting for larger-scale expression differences

For the most comprehensive assessment, researchers should combine enzymatic activity measurements with protein and mRNA quantification, as HYAL1 activity can be modulated post-translationally and through interactions with splice variants .

How does the HYAL1-v1 variant affect tumor growth mechanisms at the molecular level?

HYAL1-v1, an alternatively spliced variant lacking a 30-amino acid sequence present in full-length HYAL1, demonstrates significant anti-tumor effects through multiple molecular mechanisms:

  • Formation of Inhibitory Complexes: HYAL1-v1 forms noncovalent complexes with full-length HYAL1 protein, resulting in approximately 4-fold reduction in extracellular hyaluronidase activity despite equivalent expression levels of active HYAL1 protein . This suggests a direct regulatory role for the variant.

  • Cell Cycle Arrest: HYAL1-v1 expression induces cell cycle arrest in the G2-M phase. Mechanistically, this occurs through:

    • ≥2-fold reduction in cyclin B1, cdc2/p34, and cdc25c levels compared to vector controls

    • Disruption of cell cycle checkpoints required for mitotic progression

  • Apoptosis Induction: HYAL1-v1 increases apoptosis through the extrinsic pathway, involving:

    • Upregulation of Fas and Fas-associated death domain proteins

    • Activation of caspase-8

    • BID cleavage leading to caspase-9 and caspase-3 activation

    • Poly(ADP-ribose) polymerase (PARP) cleavage

  • In vivo Tumor Effects: In athymic mouse models, HYAL1-v1-expressing tumors show:

    • 3-4 fold slower growth rates

    • 3-6 fold lower tumor weights by day 35 (p<0.001)

    • Increased necrosis

    • Neutrophil infiltration

    • Reduced mitotic activity

    • Decreased microvessel density, indicating anti-angiogenic effects

These findings suggest that HYAL1-v1 functions as a natural tumor suppressor by counteracting the tumor-promoting effects of full-length HYAL1. Experimental approaches to study these effects include stable transfection models, cell cycle analysis, apoptosis detection assays, and xenograft tumor studies .

What is the catalytic mechanism of HYAL1 and which residues are crucial for its function?

The catalytic mechanism of HYAL1 involves the hydrolysis of the β1→4 linkage between N-acetylglucosamine and glucuronic acid units in hyaluronan. Structural and functional studies have revealed the following details:

  • Key Catalytic Residues:

    • Asp129 and Glu131: Share a proton in the optimal pH state of 4.0, critical for substrate hydrolysis

    • Tyr247: Stabilizes the oxyanion intermediate through hydrogen bonding

    • Tyr202: Functions as a substrate binding determinant

    • Asn350: Requires proper glycosylation for full enzymatic function

  • Reaction Mechanism Steps:

    • Intermolecular resonance in the N-acetylglucosamine amide bond creates a transition state with a positive charge on nitrogen and an oxyanion nucleophile

    • The oxyanion performs an intramolecular attack on the electrophilic carbon

    • This forms a 5-membered ring stabilized by the negative charge from Asp129

    • The leaving hydroxyl group from glucuronic acid takes a proton from Glu131

    • The negatively charged Glu131 then activates a water molecule for hydrolysis of the intermediate

    • This restores N-acetylglucosamine and completes the reaction

  • pH Dependence:

    • Optimal activity occurs at pH 4.0-4.3

    • HYAL1 retains 50-80% activity at pH 4.5

    • This acidic pH optimum corresponds to the lysosomal environment where the enzyme typically functions

Experimental approaches to study HYAL1 catalysis include site-directed mutagenesis of key residues, pH-dependent activity assays, and structural analyses using X-ray crystallography at 2.0Å resolution under acidic conditions .

How do epigenetic factors influence HYAL1 expression in different cancer types?

Epigenetic regulation of HYAL1 expression appears to play a significant role in cancer progression, though this area requires further investigation. Current research methodologies and findings include:

  • Promoter Methylation Analysis: Examining CpG islands in the HYAL1 promoter region for differential methylation between normal and cancer tissues.

  • Histone Modification Studies: Investigating how histone acetylation and methylation patterns affect chromatin accessibility at the HYAL1 locus.

  • Transcription Start Site (TSS) Mapping: Multiple TSS have been detected for HYAL1 mRNA in various tissues, suggesting tissue-specific epigenetic regulation of promoter usage . The major TSS in many tissues, including bladder and prostate, is at nucleotide 27274 in the cosmid clone LUCA13 .

  • Expression Pattern Analysis: HYAL1 mRNA levels are elevated 10-30 fold in bladder and prostate cancer cells that express high hyaluronidase activity . This differential expression is likely regulated at the transcriptional level rather than through differences in mRNA stability or protein turnover.

  • Tumor Microenvironment Factors: Evidence suggests that hyaluronic acid itself or hyaluronan oligosaccharides may influence HYAL1 promoter activity, creating a feedback loop in tumor environments .

The patterns of HYAL1 expression across cancer progression (with full-length HYAL1 increasing and splice variants decreasing in advanced cancers) suggest epigenetic switches that favor certain transcript variants based on tumor stage and grade . This hypothesis provides promising avenues for developing epigenetic therapeutic approaches targeting HYAL1 regulation.

How can HYAL1 be utilized as a biomarker for cancer detection and prognosis?

HYAL1 has demonstrated significant potential as a biomarker for several cancer types, with particularly strong evidence in bladder, prostate, and head and neck carcinomas:

  • Bladder Cancer:

    • Urinary hyaluronan and hyaluronidase levels, measured by the HA-HAase test, demonstrate approximately 88% accuracy in detecting bladder cancer regardless of tumor grade and stage

    • Urinary hyaluronidase levels alone (HAase test) have approximately 85% accuracy in detecting high-grade bladder tumors, which have high invasive potential and worse prognosis

    • Elevated hyaluronan and HYAL1 expression in tumor tissues correlates with a positive HA-HAase test, confirming the tissue origin of these markers

  • Prostate Cancer:

    • HYAL1 expression serves as an accurate (86-88%) and independent prognostic indicator for disease progression in prostate cancer patients treated with radical prostatectomy

    • Expression patterns of HYAL1 versus its splice variants may provide additional prognostic information

  • Head and Neck Cancer:

    • Elevated HYAL1 levels in tumor tissues and saliva correlate with tumor aggressiveness

    • Salivary testing provides a non-invasive approach for biomarker assessment

  • Breast Cancer:

    • HYAL1 is overexpressed in cell lines MDA-MB-231 and MCF-7

    • Higher expression is detected in invasive duct cancer tissues and metastatic lymph nodes

    • Elevated HYAL1 expression in primary tumor tissue correlates with subsequent brain metastases

Methodologically, researchers can apply a combination of techniques for biomarker evaluation:

  • ELISA or similar assays for hyaluronan and hyaluronidase quantification in body fluids

  • Immunohistochemistry for tissue expression patterns

  • RT-PCR for distinguishing between full-length HYAL1 and splice variants, which may provide more nuanced prognostic information

What therapeutic approaches target HYAL1 in cancer management?

Based on HYAL1's role in tumor growth, invasion, and angiogenesis, several therapeutic approaches targeting this enzyme have been investigated:

  • HYAL1 Inhibition Strategies:

    • Small molecule inhibitors of hyaluronidase activity

    • Neutralizing antibodies against HYAL1

    • RNA interference (RNAi) approaches: Silencing HYAL1 expression in bladder and prostate cancer cells results in cell cycle arrest and decreased invasive activity in vitro

  • Splice Variant-Based Therapies:

    • HYAL1-v1 expression induces cell cycle arrest in G2-M phase and activates apoptosis pathways

    • Delivery of HYAL1-v1 or mimicking its function could potentially suppress tumor growth

  • Combination Approaches:

    • Anti-HYAL1 therapies combined with anti-angiogenic agents

    • HYAL1 inhibition to enhance drug delivery to tumors by normalizing hyaluronan content

  • Precision Medicine Considerations:

    • Careful titration of HYAL1 targeting is necessary, as both overexpression (at levels significantly higher than found in tumor tissues) and silencing of HYAL1 can inhibit tumor growth

    • This suggests a therapeutic window approach, where moderate modulation rather than complete inhibition might be optimal

  • Diagnostic-Therapeutic Combinations:

    • Using HYAL1 as both a biomarker and therapeutic target for personalized treatment approaches

These therapeutic strategies remain largely experimental, with most evidence coming from preclinical models. The tight regulation of HYAL1 expression observed in tumor tissues suggests that carefully calibrated approaches will be necessary for clinical translation .

What are the optimal conditions for measuring HYAL1 enzymatic activity in laboratory settings?

For accurate measurement of HYAL1 enzymatic activity, researchers should consider the following methodological parameters:

  • pH Conditions:

    • Optimal activity occurs at pH 4.0-4.3

    • HYAL1 retains 50-80% activity at pH 4.5

    • Buffers such as sodium acetate or sodium formate are appropriate for maintaining acidic pH

    • Crystal formation for structural studies can be achieved at pH 4.6

  • Temperature:

    • Standard enzymatic assays are typically performed at 37°C to mimic physiological conditions

    • Temperature stability studies should include controls at various temperatures

  • Substrate Considerations:

    • HYAL1 can cleave hyaluronan of all sizes, down to tetrasaccharides

    • High molecular weight hyaluronan provides the most sensitive substrate for activity detection

    • Defined substrate concentrations should be used for consistent results

  • Detection Methods:

    • Colorimetric assays measuring N-acetylglucosamine release

    • Substrate gel zymography for visualization of activity bands

    • ELISA-like assays using biotinylated hyaluronan

    • Mass spectrometry for detailed analysis of degradation products

  • Controls and Calibration:

    • Purified recombinant HYAL1 as a positive control

    • Heat-inactivated enzyme as a negative control

    • pH curves to verify optimal activity conditions

    • Testing in the presence of known hyaluronidase inhibitors for specificity

  • Sample Preparation:

    • For biological fluids: concentration methods may be required for low-abundance samples

    • For tissue samples: proper homogenization and extraction buffers are critical

    • For cell culture: conditioned medium collection timing affects enzyme concentration

Researchers should note that HYAL1-v1 can form noncovalent complexes with full-length HYAL1, reducing apparent hyaluronidase activity by approximately 4-fold despite equivalent expression levels of active HYAL1 protein . This interaction should be considered when interpreting activity measurements from complex biological samples.

How can researchers differentiate between HYAL1 and other human hyaluronidases in experimental systems?

Distinguishing HYAL1 from other human hyaluronidases (HYAL2-5) requires specific methodological approaches:

  • pH Profiling:

    • HYAL1: Optimal activity at pH 4.0-4.3

    • HYAL2: Active at pH ~6.0-7.0

    • This difference allows selective activity measurement in appropriate buffer systems

  • Substrate Specificity:

    • HYAL1: Degrades hyaluronan of all sizes into fragments as small as tetrasaccharides

    • HYAL2: Primarily cleaves high molecular weight hyaluronan into ~20 kDa fragments

    • Size-exclusion chromatography can distinguish between degradation products

  • Molecular Detection:

    • Specific antibodies for Western blotting, immunoprecipitation, or immunohistochemistry

    • PCR primers targeting unique regions for mRNA detection

    • Mass spectrometry for protein identification

  • Genetic Approaches:

    • siRNA or shRNA targeting specific hyaluronidases

    • CRISPR/Cas9 gene editing for knockout studies

    • Overexpression of tagged constructs

  • Subcellular Localization:

    • HYAL1: Primarily lysosomal and secreted

    • HYAL2: Primarily membrane-associated

    • Immunofluorescence microscopy with specific antibodies can differentiate localization

  • Expression Patterns:

    • Tissue-specific expression analysis to leverage natural differences in expression levels

    • Cancer type-specific expression patterns (e.g., HYAL1 elevation in bladder cancer)

  • Splice Variant Analysis:

    • Detection of HYAL1-specific splice variants (v1-v5) using variant-specific primers

    • RNA-seq for comprehensive isoform analysis

When designing experiments to study HYAL1, researchers should incorporate multiple approaches to ensure specificity, particularly in complex biological samples where multiple hyaluronidases may be present simultaneously.

Product Science Overview

Historical Context

The action of hyaluronidase was first described in 1936 and named in 1939 . Early research identified it as a “spreading factor” due to its ability to increase the permeability of connective tissue . This property has made hyaluronidase a valuable tool in medical and surgical settings for over 60 years, particularly for improving the diffusion of local anesthetics .

Mechanism of Action

Hyaluronidase is an enzyme that catalyzes the degradation of hyaluronic acid, a major component of the extracellular matrix . By hydrolyzing hyaluronic acid, hyaluronidase lowers its viscosity, thereby increasing tissue permeability . This action facilitates the absorption and dispersion of parenterally administered fluids, drugs, and contrast agents .

Production and Structure

The recombinant form of hyaluronidase is produced using CHO cells, which are genetically modified to express the enzyme. The enzyme itself is a protein with a molecular weight of approximately 61,000 Da . The recombinant version corresponds to the soluble fragment of human HYAL5 (PH20) .

Medical Uses

Hyaluronidase is used in various medical applications, including:

  • Subcutaneous Fluid Administration: It enhances the absorption of fluids for hydration .
  • Drug Dispersion: It increases the dispersion of other injectable drugs, making them more effective .
  • Radiopaque Agents: It improves the resorption of radiopaque agents in subcutaneous urography .
Regulatory Status

Hyaluronidase (Human Recombinant) was first used in prescription products in the United States on May 5, 2004 . It is approved for use in several countries and is available under various brand names, including Hylenex, HyQvia, and Vitrase .

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