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高尿酸血症、代谢综合征与肾脏疾病的难题。

The conundrum of hyperuricemia, metabolic syndrome, and renal disease.

作者信息

Nakagawa Takahiko, Cirillo Pietro, Sato Waichi, Gersch Michael, Sautin Yuri, Roncal Carlos, Mu Wei, Sánchez-Lozada L Gabriela, Johnson Richard J

机构信息

Division of Nephrology, Hypertension and Transplantation, University of Florida, PO Box 100224, Gainesville, FL, 32610, USA,

出版信息

Intern Emerg Med. 2008 Dec;3(4):313-8. doi: 10.1007/s11739-008-0141-3. Epub 2008 Mar 5.

DOI:10.1007/s11739-008-0141-3
PMID:18320146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2895906/
Abstract

The level of serum uric acid in human has been increasing over the last decades, and correlates with an increase prevalence of renal disease and metabolic syndrome. Understanding the role of uric acid in these conditions may provide clues for preventing the current epidemic of renal disease. Controversy still remains if hyperuricemia is simply a consequence or a cause of renal disease although epidemiological studies have attempted to resolve this issue. In this review, we discuss the clinical and experimental evidence for a causal role of hyperuricemia in renal diseases and potential relationships of hyperuricemia with metabolic syndrome.

摘要

在过去几十年里,人类血清尿酸水平一直在上升,且与肾脏疾病和代谢综合征患病率的增加相关。了解尿酸在这些病症中的作用可能为预防当前的肾脏疾病流行提供线索。尽管流行病学研究试图解决这个问题,但高尿酸血症究竟只是肾脏疾病的一个后果还是病因仍存在争议。在这篇综述中,我们讨论了高尿酸血症在肾脏疾病中因果作用的临床和实验证据,以及高尿酸血症与代谢综合征之间的潜在关系。

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本文引用的文献

1
The effect of mild hyperuricemia on urinary transforming growth factor beta and the progression of chronic kidney disease.轻度高尿酸血症对尿转化生长因子β及慢性肾脏病进展的影响。
Am J Nephrol. 2007;27(5):435-40. doi: 10.1159/000105142. Epub 2007 Jul 4.
2
Adverse effects of the classic antioxidant uric acid in adipocytes: NADPH oxidase-mediated oxidative/nitrosative stress.经典抗氧化剂尿酸在脂肪细胞中的不良反应:NADPH氧化酶介导的氧化/亚硝化应激
Am J Physiol Cell Physiol. 2007 Aug;293(2):C584-96. doi: 10.1152/ajpcell.00600.2006. Epub 2007 Apr 11.
3
Effect of elevated serum uric acid on cisplatin-induced acute renal failure.血清尿酸升高对顺铂诱导的急性肾衰竭的影响。
Am J Physiol Renal Physiol. 2007 Jan;292(1):F116-22. doi: 10.1152/ajprenal.00160.2006.
4
High-dose allopurinol improves endothelial function by profoundly reducing vascular oxidative stress and not by lowering uric acid.高剂量别嘌醇通过显著降低血管氧化应激而非降低尿酸来改善内皮功能。
Circulation. 2006 Dec 5;114(23):2508-16. doi: 10.1161/CIRCULATIONAHA.106.651117. Epub 2006 Nov 27.
5
Uric acid restores endothelial function in patients with type 1 diabetes and regular smokers.尿酸可恢复1型糖尿病患者及经常吸烟者的内皮功能。
Diabetes. 2006 Nov;55(11):3127-32. doi: 10.2337/db06-0283.
6
Fructose-induced metabolic syndrome is associated with glomerular hypertension and renal microvascular damage in rats.果糖诱导的代谢综合征与大鼠肾小球高血压和肾微血管损伤有关。
Am J Physiol Renal Physiol. 2007 Jan;292(1):F423-9. doi: 10.1152/ajprenal.00124.2006. Epub 2006 Aug 29.
7
Hypothesis: fructose-induced hyperuricemia as a causal mechanism for the epidemic of the metabolic syndrome.假说:果糖诱导的高尿酸血症是代谢综合征流行的一个致病机制。
Nat Clin Pract Nephrol. 2005 Dec;1(2):80-6. doi: 10.1038/ncpneph0019.
8
Uric acid and endothelial dysfunction in essential hypertension.原发性高血压中的尿酸与内皮功能障碍
J Am Soc Nephrol. 2006 May;17(5):1466-71. doi: 10.1681/ASN.2005090949. Epub 2006 Apr 12.
9
Use of allopurinol in slowing the progression of renal disease through its ability to lower serum uric acid level.通过降低血清尿酸水平的能力,使用别嘌醇来减缓肾脏疾病的进展。
Am J Kidney Dis. 2006 Jan;47(1):51-9. doi: 10.1053/j.ajkd.2005.10.006.
10
Correlation of uric acid and urinary albumin excretion rate in patients with type 2 diabetes mellitus in Taiwan.台湾2型糖尿病患者尿酸与尿白蛋白排泄率的相关性
Kidney Int. 2005 Aug;68(2):796-801. doi: 10.1111/j.1523-1755.2005.00459.x.