Encyclopedia of Molecular Mechanisms of Disease

2009 Edition
| Editors: Florian Lang

Hyperuricosuria

  • John R. Asplin
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29676-8_880

Synonyms

Hyperuricuria; Hyperuricaciduria

Definition and Characteristics

Excessive urinary uric acid excretion secondary to either iatrogenic overproduction or increased renal clearance. Excretion rates of over 800 mg (4.8 mmol) per day in men and 750 mg (4.5 mmol) per day in women are considered abnormal.

Prevalence

Using the above definition, 7–12% of adults in the United States have hyperuricosuria. Amongst kidney stone formers, 20–30% have hyperuricosuria.

Molecular and Systemic Pathophysiology

Uric acid is produced in the liver and intestinal mucosa as the end product of purine nucleotide degradation. Both endogenous and dietary purines contribute significantly to daily uric acid production. Approximately one third of the uric acid load is secreted into the gastrointestinal tract and degraded by bacteria. The kidneys account for the remainder of uric acid excretion. Uric acid is freely filtered at the glomerulus and then both secreted and reabsorbed in the proximal tubule. The...

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References

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    Grover PK, Ryall RL, Marshall VR (1990) Clin Sci 79: 9–15PubMedGoogle Scholar
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    Ohta T, Sakano T, Ogawa T, Kato J, Awaya Y, Kihara H, Kinoshita Y (2002) Clin Nephrol 58:313–316PubMedGoogle Scholar
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    Ettinger B, Tang A, Citron JT, Livermore B, Williams T (1986) N Engl J Med 315:1386–1389PubMedGoogle Scholar
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    Pui CH, Jeha S, Irwin D, Camitta B (2001) Leukemia 15:1505–1509PubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Berlin Heidelberg 2009

Authors and Affiliations

  • John R. Asplin
    • 1
  1. 1.Department of Medicine, Section NephrologyUniversity of ChicagoChicagoUSA