The possible role of the human corneal endothelium in the turnover of
anterior chamber hyaluronic acid (HA) was investigated. Hyaluronidase,
an endoglycosidase that degrades HA and other glycosaminoglycans, is
thought to play a role in HA homeostasis. The presence of hyaluronidas
e in the corneal endothelium was demonstrated immunohistochemically in
sections from normal adult human cornea. Additionally, by using a mod
ified enzyme-linked immunosorbent assay-like assay, active hyaluronida
se was detected in the supernatant from primary culture human corneal
endothelial cells. The optimal activity for the corneal endothelial hy
aluronidase was in the acid range (pH 4.0), similar to previously isol
ated lysosomal hyaluronidase. Further immunohistochemistry showed that
the corneal endothelial cells also express CD44, the receptor for HA,
which would allow endocytosis of HA. Human corneal endothelial hyalur
onidase may play a role in normal anterior segment HA metabolism and i
n the degradation of highly concentrated HA used as a viscoelastic.