Skip to main content

Impaired Renal Excretion of Hypoxanthine and Xanthine in Primary Gout

  • Chapter
Purine and Pyrimidine Metabolism in Man VI

Abstract

Most patients with primary gout show a relative underexcretion of uric acid when compared to normal subjects (1–3). It has been suggested that an alteration in the tubular transport of uric acid could reflect a more extensive defect which might involve related compounds (4). Hypo-xanthine and xanthine are intermediates of the purine nucleotide degradation pathway. Disturbances of hypoxanthine and xanthine metabolism may provide important insights for better understanding the mechanism underlying primary gout.

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

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. P.A. Simkin. Uric acid excretion in patients with gout. Arthritis Rheum 22: 98–99 (1979).

    Article  PubMed  CAS  Google Scholar 

  2. H.D. Senekjian, T.F. Knight, and E.J. Weinman. Abnormalities of uric acid transport, In: “Renal Tubular Disorders”, H.C. Gonick, and V.M. Jr. Buckalew, ed., Marcel Dekker, New York, 239–259 (1985).

    Google Scholar 

  3. J.G. Puig, F.A. Mateos, M.L. Jiménez, and P.G. Conthe. Renal handling of uric acid in gout: Impaired tubular transport of urate not dependent on serum urate levels. Metabolism 35: 1147–1153 (1986).

    Article  Google Scholar 

  4. J.B. Wyngaarden, and W.N. Kelley. Gout. In: “The Metabolic Basis of Inherited Diseases”, J.B. Stanbury, J.B. Wyngaarden, D.S. Frederickson, J.L. Goldstein, and M.S. Brown, eds., McGraw-Hill, New York, (1983).

    Google Scholar 

  5. S.L. Wallace, H. Robinson, A.T. Masi, J.L. Decker, D.J. McCarty, and T-F. Yü. Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 20: 895–900 (1981).

    Article  Google Scholar 

  6. W. Löffler, H.A. Simmonds, and W. Gröbner. Gout and uric acid nephro-pathy: Some new aspects in diagnosis and treatment. Klin Wochenschr 61: 1233–1239 (1983).

    Article  PubMed  Google Scholar 

  7. I. Pascual-Castroviejo, A. Vélez, J.G. Puig, and M.L. Jiménez. Síndrome de Lesch-Nyhan con díficit total de la enzima HPRT. Neurología 1: 44–45 (1986).

    PubMed  CAS  Google Scholar 

  8. L. Hernández Nieto, W.L. Nyhan, T. Page, et al. Síndrome de Lesch-Nyhan. Med Clin (Barc) 84: 68–71 (1985).

    Google Scholar 

  9. A. Andrés, M. Praga, L.M. Ruilope, et al. Partial defect of hypo-xanthine guanine phosphoribosyl transferase presenting as acute renal failure. Nephron 46: 179–181 (1987).

    Article  PubMed  Google Scholar 

  10. M.A. Becker, J.G. Puig, F.A. Mateos, M.L. Jiménez, M. Kim, and H.A. Simmonds. Inherited superactivity of PRPP synthetase (PS): Association of purine overproduction and sensorineural deafness. (This Symposium).

    Google Scholar 

  11. W.H. Michener. Hyperuricemia and mental retardation with athetosis and self-mutilation. Am J Dis Child 113: 195–206 (1967).

    PubMed  CAS  Google Scholar 

  12. F.A. Mateos, J.G. Puig, M.L. Jiménez, and I.H. Fox. Hereditary xanthinuria: Evidence for enhanced hypoxanthine salvage. J Clin Invest 79: 847–852 (1987).

    Article  PubMed  CAS  Google Scholar 

  13. R. Boulieu, C. Bory, P. Baltassat, and C. Gonnet. Hypoxanthine and xanthine levels determined by high-performance liquid chromatography in plasma, erythrocyte, and urine samples from healthy subjects. Anal Biochem 129: 398–404 (1983).

    Article  PubMed  CAS  Google Scholar 

  14. J.R. Sutton, C.J. Tows, G.R. Ward, and I.H. Fox. Purine metabolism during strenous muscular exercise in man. Metabolism 29: 254–260 (1980).

    Article  PubMed  CAS  Google Scholar 

  15. R.A. Harkness, R.J. Simmonds, and S.B. Coade. Purine transport and metabolism in man. Clin Sci 64: 333–340 (1983).

    PubMed  CAS  Google Scholar 

  16. N. Kageyama. A direct colorimetric determination of uric acid in serum and urine with uricase catalase system. Clin Chim Acta 31: 421–426 (1971).

    Article  PubMed  CAS  Google Scholar 

  17. A.W. Wahlefeld, G. Holz, and H.U. Bergmeyer. Creatinine. In: “Methods of Enzymatic Analysis”. H.U. Bergmeyer, ed., Academic Press, New York, 4: 1786–1790 (1974).

    Google Scholar 

  18. R.A. Hartwick, and P.R. Brown. Evaluation of micropartition chemically bonded reversed-phase packing in the high-pressure liquid Chromatographie analysis of nucleosides and their bases. J Chromatogr 126: 679–691 (1976).

    Article  PubMed  CAS  Google Scholar 

  19. M.J. Wojtusik. Peak identification. In: “HPLC Nucleic Acid Research: Methods and Applications”. P.R. Brown, ed., Marcel Dekker, New York, 28: 81–98 (1984).

    Google Scholar 

  20. H.A. Simmonds, J.S. Cameron, G.S. Morris, and P.M. Davies. Allopurinol in renal failure and the tumour lysis syndrome. Clin Chim Acta 160: 189–195 (1986).

    Article  PubMed  CAS  Google Scholar 

  21. J.E. Seegmiller, A.F. Grazzel, L. Laster, and L. Liddle. Uric acid production in gout. J Clin Invest 40: 1304–1314 (1961).

    Article  PubMed  CAS  Google Scholar 

  22. T. Kojima, T. Nishina, M. Kitamura, T. Hosoya, and K. Nishioka. Biochemical studies on the purine metabolism of four cases with hereditary xanthinuria. Clin Chim Acta 197: 189–198 (1984).

    Google Scholar 

  23. S. Goldfinger, J.R. Klinenberg, and J.E. Seegmiller. The renal excretion of oxypurines. J Clin Invest 44: 623–628 (1965).

    Article  PubMed  CAS  Google Scholar 

  24. W.N. Kelley, and J.B. Wyngaarden. Effect of dietary purine restriction, allopurinol, and oxipurinol on urinary excretion of ultraviolet absorbing compounds. Clin Chem 16: 707–713 (1970).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Plenum Press, New York

About this chapter

Cite this chapter

Puig, J.G., Mateos, F.A., Jiménez, M.L., Ramos, T., Capitán, M.C., Gil, A.A. (1989). Impaired Renal Excretion of Hypoxanthine and Xanthine in Primary Gout. In: Mikanagi, K., Nishioka, K., Kelley, W.N. (eds) Purine and Pyrimidine Metabolism in Man VI. Advances in Experimental Medicine and Biology, vol 253A. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5673-8_45

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-5673-8_45

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5675-2

  • Online ISBN: 978-1-4684-5673-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics