This study investigated the relationship between matrix metalloproteinase 9 (MMP-9), tissue inhibitor of metalloproteinase 1 (TIMP-1), and sialic acid (NANA) in human glial cells. Treatment with NANA upregulated MMP-9 and TIMP-1 mRNA expression, indicating NANA involvement in signaling pathways regulating these genes. At lower NANA concentrations, MMP-9 and TIMP-1 expression increased similarly, but at the highest concentration MMP-9 increased more than TIMP-1, resembling an imbalance seen in multiple sclerosis. This suggests NANA affects MMP-9 and TIMP-1 expression and their balance, which may influence inflammatory demyelination.