Vnitr Lek 2020, 66(4):259-266 | DOI: 10.36290/vnl.2020.071

Hyperuricemia in renal disease patients

Štěpán Bandúr
I. interní klinika 3. LF UK a FN Královské Vinohrady Praha

Hyperuricemia is a common laboratory finding in different types of patients. Except of those with acute or chronic gout, it is frequently found in patients with metabolic syndrome, patients with malignancies or renal impairment - acute kidney injury (AKI) and chronic kidney disease (CKD). Hyperuricemia might cause renal dysfunction or might be a part of laboratory abnormalities associated with loss of renal function as well. There is also large body of evidence of hyperuricemia as a potential cardiovascular (CV) risk factor, which might even more increase CV risk in CKD patients. Association of asymptomatic hyperuricemia and progression of CKD remaines controversial, as well as indication for hypouricemic treatment in this clinical setting.

Keywords: acute kidney injury (AKI), cardiovascular risk, hyperuricemia, chronic kidney disease (CKD), uric acid.

Published: June 1, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bandúr Š. Hyperuricemia in renal disease patients. Vnitr Lek. 2020;66(4):259-266. doi: 10.36290/vnl.2020.071.
Download citation

References

  1. McCrudden F. Uric Acid: The Chemistry, Physiology, and Pathology of Uric Acid and the Physiologically Important Purine Bodies, With a Discussion of the Metabolism in Gout. New York, NY: Paul Hoeber Medical Books 1905. Go to original source...
  2. Maesaka JK, Fishbane S. Regulation of renal urate excretion: a critical review. Am J Kidney Dis 1998; 32: 917-933. Go to original source... Go to PubMed...
  3. Desideri G, Puig JG, Richette P. The management of hyperuricemia with urate deposition. Curr Med Res Opin 2015; 31: (Suppl. 2): 27-32. Go to original source... Go to PubMed...
  4. Shields GE, Beard SM. A Systematic Review of the Economic and Humanistic Burden of Gout. Pharmacoeconomics 2015; 33: 1029-1047. Go to original source... Go to PubMed...
  5. Lee H, Hall A, Nathan N, et al. Mechanisms of implementing public health interventions: a pooled causal mediation analysis of randomised trials. Implement Sci 2018; 13: 42. Go to original source... Go to PubMed...
  6. Oda M, Satta Y, Takenaka O, et al. Loss of urate oxidase activity in hominoids and its evolutionary implications. Mol Biol Evol 2002; 19: 640-653. Go to original source... Go to PubMed...
  7. Voet D, Voet J. Biochemistry. 4. Ed. (s.l.): John Wiley & Sons.
  8. Whiteman M, Halliwell B. Protection against peroxynitrite‑dependent tyrosine nitration and alpha 1-antiproteinase inactivation by ascorbic acid. A comparison with other biological antioxidants. Free Radic Res 1996; 25: 275-283. Go to original source... Go to PubMed...
  9. Ames BN, Cathcart R, Schwiers E, et al. Uric acid provides an antioxidant defense in humans against oxidant- and radical‑caused aging and cancer: a hypothesis. Proc Natl Acad Sci USA 1981; 78: 6858-6862. Go to original source... Go to PubMed...
  10. Wu XW, Muzny DM, Lee CC et al. Two independent mutational events in the loss of urate oxidase during hominoid evolution. J Mol Evol 1992; 34: 78-84. Go to original source... Go to PubMed...
  11. Susumu W, Duk‑Hee K, Lili F, et al. Uric Acid, Hominoid Evolution, and the Pathogenesis of Salt‑Sensitivity Originally published. Hypertension 2002; 40: 355-360. Go to original source... Go to PubMed...
  12. Keilin J. The biological significance of uric acid and guanine excretion. Biol Rev 1959; 34: 265-296. Go to original source...
  13. Conger JD. Acute uric acid nephropathy. Med Clin North Am 1990; 74: 859-871. Go to original source... Go to PubMed...
  14. Seldin DW, Giebisch G (eds). The Kidney, Physiology and Pathophysiology. Philadelphia, Lippincott Williams & Wilkins 2000, 193-222.
  15. Roch‑Ramel F, Guisan B. Renal Transport of Urate in Humans. News Physiol Sci 1999; 14: 80-84. Go to original source... Go to PubMed...
  16. Rice T, Vogler GP, Perry TS, et al. Heterogeneity in the familial aggregation of fasting serum uric acid level in five North American populations: the Lipid Research Clinics Family Study. Am J Med Genet 1990; 36: 219-225. Go to original source... Go to PubMed...
  17. Köttgen A, Albrecht E, Teumer A, et al. Genome‑wide association analyses identify 18 new loci associated with serum urate concentrations. Nat Genet 2013; 45: 145-154. Go to original source... Go to PubMed...
  18. Enomoto A, Kimura H, Chairoungdua A, et al. Molecular identification of a renal urate anion exchanger that regulates blood urate levels. Nature 2002; 417: 447-452. Go to original source... Go to PubMed...
  19. Igarashi T, Sekine T, Sugimura H, et al. Acute renal failure after exercise in a child with renal hypouricaemia. Pediatr Nephrol 1993; 7: 292-293. Go to original source... Go to PubMed...
  20. Richette P, Perez‑Ruiz F, Doherty M, et al. Improving cardiovascular and renal outcomes in gout: what should we target? Nat Rev Rheumatol 2014; 10: 654-661. Go to original source... Go to PubMed...
  21. Okafor O. Allopurinol as a therapeutic option in cardiovascular disease. Pharmacol Ther 2017; 172: 139-150. Go to original source... Go to PubMed...




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.