Background: HARE mediates systemic clearance of hyaluronan (HA), which turns over continuously in tissues. Results: HARE uptake of 40 -400-kDa, but not larger or smaller, HA stimulated NF-B activation. Conclusion: HA-HARE signal complexes activate NF-B and gene transcription only with optimally sized HA. Significance: HARE responsiveness to a narrow size range of HA degradation products may be a sensing system to detect tissue ECM stress.