Skip to main content
Log in

GOUT

Hyperferritinaemia and hyperuricaemia — a causal connection?

  • News & Views
  • Published:

From Nature Reviews Rheumatology

View current issue Sign up to alerts

A variety of comorbidities of gout exist, but most of these associations are not causally linked. Mendelian randomization analysis of genome-wide association study data now suggests that iron overload might increase serum uric acid levels and hence the risk of gout flares.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Dalbeth, N., Merriman, T. R. & Stamp, L. K. Gout. Lancet 388, 2039–2052 (2016).

    Article  CAS  Google Scholar 

  2. Fatima, T. et al. The relationship between ferritin and urate levels and risk of gout. Arthritis Res. Ther. 20, 179 (2018).

    Article  Google Scholar 

  3. Li, X. et al. Serum uric acid levels and multiple health outcomes: umbrella review of evidence from observational studies, randomised controlled trials, and Mendelian randomisation studies. BMJ 357, j2376 (2017).

    Article  Google Scholar 

  4. Ghio, A. J. et al. The association between serum ferritin and uric acid in humans. Free Radic. Res. 39, 337–342 (2005).

    Article  CAS  Google Scholar 

  5. Kuo, C. F. et al. Gout and risk of non-alcoholic fatty liver disease. Scand. J. Rheumatol. 39, 466–471 (2010).

    Article  CAS  Google Scholar 

  6. Liu, Z. et al. Dose-response relationship of serum uric acid with metabolic syndrome and non-alcoholic fatty liver disease incidence: a meta-analysis of prospective studies. Sci. Rep. 5, 14325 (2015).

    Article  CAS  Google Scholar 

  7. Richette, P. & Bardin, T. Purine-rich foods: an innocent bystander of gout attacks? Ann. Rheum. Dis. 71, 1435–1436 (2012).

    Article  Google Scholar 

  8. Benyanmin, B. et al. Novel loci affecting iron homeostasis and their effects in individuals at risk for hemochromatosis. Nat. Commun. 5, 4926 (2014).

    Article  Google Scholar 

  9. Li, X. et al. MR-PheWAS: exploring the causal effect of SUA level on multiple disease outcomes by using genetic instruments in UK Biobank. Ann. Rheum. Dis. 77, 1039–1047 (2018).

    Article  Google Scholar 

  10. Flais, J. et al. Hyperferritinemia increases the risk of hyperuricemia in HFE-hereditary hemochromatosis. Joint Bone Spine 84, 293–297 (2017).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pascal Richette.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Richette, P., Latourte, A. Hyperferritinaemia and hyperuricaemia — a causal connection?. Nat Rev Rheumatol 14, 628–629 (2018). https://doi.org/10.1038/s41584-018-0100-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41584-018-0100-y

  • Springer Nature Limited

Navigation