Uric Acid Metabolism in Pre-hypertension and the Metabolic Syndrome

被引:28
|
作者
Rizzo, Manfredi [1 ,2 ,3 ]
Obradovic, Milan [4 ]
Labudovic-Borovic, Milica [5 ]
Nikolic, Dragana [1 ,4 ]
Montalto, Giuseppe [1 ]
Rizvi, Ali A. [3 ]
Mikhailidis, Dimitri P. [6 ]
Isenovic, Esma R. [4 ]
机构
[1] Univ Palermo, Biomed Dept Internal Med & Med Specialties, I-90133 Palermo, Italy
[2] Euro Mediterranean Inst Sci & Technol, Palermo, Italy
[3] Univ S Carolina, Sch Med, Div Endocrinol Diabet & Metab, Columbia, SC USA
[4] Univ Belgrade, Inst Vinca, Lab Radiobiol & Mol Genet, Belgrade 11000, Serbia
[5] Univ Belgrade, Fac Med, Inst Histol & Embryol Aleksandar D Kostic, Belgrade 11000, Serbia
[6] UCL, Sch Med, Vascu Dis Prevent Clin, Dept Clin Biochem, London W1N 8AA, England
关键词
Cardiovascular risk; metabolic syndrome; metabolism; pre-hypertension; uric acid; CORONARY-HEART-DISEASE; SERUM RESISTIN LEVELS; LIPOPROTEIN LDL SUBCLASSES; TYPE-2; DIABETIC-PATIENTS; POST-HOC ANALYSIS; CARDIOVASCULAR-DISEASE; INSULIN-RESISTANCE; LOW-DENSITY; ARTERY-DISEASE; RISK-FACTOR;
D O I
10.2174/1570161111999131205160756
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
In humans uric acid (UA) is the end product of degradation of purines. The handling of UA by the renal system is a complex process which is not fully understood. To date, several urate transporters in the renal proximal tubule have been identified. Among them, urate transporter 1 (URAT1) and a glucose transporter 9 (GLUT9) are considered of greater importance, as potential targets for treatment of hyperuricemia and the potential associated cardio-metabolic risk. Therefore, the recognition of the metabolic pathway of UA and elucidation of occurrence of hyperuricemia may provide important insights about the relationship between UA, pre-hypertension (preHT) and the metabolic syndrome (MetS). We also review the available clinical studies in this field, including experimental studies dealing with the mechanisms of UA transport via different transporters, as well as current treatment options for hyperuricemia in patients with MetS, preHT or cardiovascular risk factors.
引用
收藏
页码:572 / 585
页数:14
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