Hao Shijun, Zhang Chunlei, Song Haiyan
School of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.
Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.
Evid Based Complement Alternat Med. 2016;2016:7390504. doi: 10.1155/2016/7390504. Epub 2016 Oct 25.
This review aims to put forth an overview of natural products reducing uric acid level with hepatorenal dual effects. The prevalence of hyperuricemia increased rapidly in recent years and has closely interdependent relationship with other metabolic disorders. Current therapeutically used drugs including a few uricostatic and uricosuric chemical drugs are proved efficient to control serum uric acid level. However, their side effects as well as contraindication in some cases with liver, kidney injury, or other conditions frequently limit their clinic application. More attention thus has been paid to natural products as an alternative means in treating hyperuricemia. Many natural products have been proved efficient in downregulating uric acid level, among which some can improve hyperuricemia with hepatorenal dual effects. It means these natural products can regulate both the production and the excretion of uric acid by targeting the key metabolic enzymes mainly in liver or uric acid transporters in kidneys. Thus, these natural products could have stronger efficacy and broader application, which may be developed for the treatment of hyperuricemia in clinic.
本综述旨在概述具有肝肾双重作用的降低尿酸水平的天然产物。近年来,高尿酸血症的患病率迅速上升,且与其他代谢紊乱密切相关。目前治疗用的药物包括一些抑制尿酸生成和促进尿酸排泄的化学药物,已被证明能有效控制血清尿酸水平。然而,它们的副作用以及在某些肝、肾损伤或其他情况下的禁忌症常常限制了它们的临床应用。因此,天然产物作为治疗高尿酸血症的替代手段受到了更多关注。许多天然产物已被证明能有效下调尿酸水平,其中一些可以通过肝肾双重作用改善高尿酸血症。这意味着这些天然产物可以通过靶向主要在肝脏中的关键代谢酶或肾脏中的尿酸转运蛋白来调节尿酸的生成和排泄。因此,这些天然产物可能具有更强的疗效和更广泛的应用,有望开发用于临床治疗高尿酸血症。