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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
P.A. Simkin. Uric acid excretion in patients with gout. Arthritis Rheum 22: 98–99 (1979).
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).
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).
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).
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).
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).
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).
L. Hernández Nieto, W.L. Nyhan, T. Page, et al. Síndrome de Lesch-Nyhan. Med Clin (Barc) 84: 68–71 (1985).
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).
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).
W.H. Michener. Hyperuricemia and mental retardation with athetosis and self-mutilation. Am J Dis Child 113: 195–206 (1967).
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).
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).
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).
R.A. Harkness, R.J. Simmonds, and S.B. Coade. Purine transport and metabolism in man. Clin Sci 64: 333–340 (1983).
N. Kageyama. A direct colorimetric determination of uric acid in serum and urine with uricase catalase system. Clin Chim Acta 31: 421–426 (1971).
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).
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).
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).
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).
J.E. Seegmiller, A.F. Grazzel, L. Laster, and L. Liddle. Uric acid production in gout. J Clin Invest 40: 1304–1314 (1961).
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).
S. Goldfinger, J.R. Klinenberg, and J.E. Seegmiller. The renal excretion of oxypurines. J Clin Invest 44: 623–628 (1965).
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).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights 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