This study investigated the relationship between MMP-9, TIMP-1, and sialic acid (NANA) in a human glial cell line and the effects of NANA on the expression of these genes. The study found that NANA upregulated the expression of both MMP-9 and TIMP-1 at lower concentrations in a way that maintained the MMP-9/TIMP-1 balance. However, at higher concentrations of 1000μM NANA, MMP-9 expression was upregulated to a significantly greater degree than TIMP-1 expression, causing an imbalance similar to reports in neurodegenerative diseases. This suggests NANA may be involved in signaling pathways regulating the expression of these genes linked to neuroinfl