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黄嘌呤尿症患者的妊娠:胎儿尿酸生成的证明?

Pregnancy in xanthinuria: demonstration of fetal uric acid production?

作者信息

Simmonds H A, Stutchbury J H, Webster D R, Spencer R E, Fisher R A, Wooder M, Buckley B M

出版信息

J Inherit Metab Dis. 1984;7(2):77-9. doi: 10.1007/BF01805810.

DOI:10.1007/BF01805810
PMID:6434832
Abstract

This paper reports biochemical studies in a pregnant xanthinuric female (McKusick 27830) and compares the results with findings in three other xanthinurics studied by us, including a previously unreported female who had a nephrectomy for xanthine stones. The findings of raised levels of uric acid in plasma and urine at presentation in the third trimester of pregnancy, and the subsequent fall to almost undetectable levels 6 weeks post-partum, is regarded as evidence of the extent of fetal uric acid production and clearance by the maternal circulation.

摘要

本文报道了对一名患有黄嘌呤尿症的孕妇(麦库西克27830)的生化研究,并将结果与我们研究的其他三名黄嘌呤尿症患者的发现进行了比较,其中包括一名此前未报道过的因黄嘌呤结石接受肾切除术的女性。在妊娠晚期就诊时血浆和尿液中尿酸水平升高,产后6周随后降至几乎检测不到的水平,这一发现被视为胎儿尿酸产生和经母体循环清除程度的证据。

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1
Pregnancy in xanthinuria: demonstration of fetal uric acid production?黄嘌呤尿症患者的妊娠:胎儿尿酸生成的证明?
J Inherit Metab Dis. 1984;7(2):77-9. doi: 10.1007/BF01805810.
2
Renal handling of hypoxanthine and xanthine in normal subjects and in cases of idiopathic renal hypouricemia.正常受试者及特发性肾性低尿酸血症患者中次黄嘌呤和黄嘌呤的肾脏处理情况。
Adv Exp Med Biol. 1989;253A:309-15. doi: 10.1007/978-1-4684-5673-8_51.
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A new case with hereditary xanthinuria: response to exercise.一例遗传性黄嘌呤尿症新病例:对运动的反应
Clin Chim Acta. 1989 May 15;181(2):119-24. doi: 10.1016/0009-8981(89)90178-2.
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Abnormal purine and pyrimidine metabolism in inherited superactivity of PRPP synthetase.磷酸核糖焦磷酸合成酶遗传性超活性中的异常嘌呤和嘧啶代谢
Adv Exp Med Biol. 1994;370:15-8. doi: 10.1007/978-1-4615-2584-4_4.
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A xanthinuric family--the proposita having immunologically reactive xanthine oxidase but no xanthine oxidase activity.一个黄嘌呤尿症家族——先证者具有免疫反应性黄嘌呤氧化酶但无黄嘌呤氧化酶活性。
Adv Exp Med Biol. 1991;309A:369-72. doi: 10.1007/978-1-4899-2638-8_84.
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[Analysis of uric acid and oxypurines in normal subjects and in gout patients].[正常受试者和痛风患者尿酸及氧嘌呤分析]
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Decreased xanthine oxidase activities and increased urinary oxypurines in heterozygotes for hereditary xanthinuria.遗传性黄嘌呤尿症杂合子中黄嘌呤氧化酶活性降低及尿中氧嘌呤增加。
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Hereditary xanthinuria. Evidence for enhanced hypoxanthine salvage.遗传性黄嘌呤尿症。次黄嘌呤补救增强的证据。
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Hypoxanthine and xanthine concentrations determined by high performance liquid chromatography in biological fluids from patients with xanthinuria.采用高效液相色谱法测定黄嘌呤尿症患者生物体液中的次黄嘌呤和黄嘌呤浓度。
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[Routine urinary oxypurine assays for the detection of xanthine-oxidase deficiency (author's transl)].用于检测黄嘌呤氧化酶缺乏症的常规尿中氧嘌呤测定(作者译)
Nouv Presse Med. 1982 Mar 27;11(14):1059-61.

引用本文的文献

1
A role for xanthine oxidase in the control of fetal cardiovascular function in late gestation sheep.黄嘌呤氧化酶在妊娠晚期绵羊胎儿心血管功能控制中的作用。
J Physiol. 2012 Apr 15;590(8):1825-37. doi: 10.1113/jphysiol.2011.224576. Epub 2012 Feb 13.
2
Gout, uric acid and purine metabolism in paediatric nephrology.小儿肾脏病学中的痛风、尿酸与嘌呤代谢
Pediatr Nephrol. 1993 Feb;7(1):105-18. doi: 10.1007/BF00861588.
3
Pregnancy in and incidence of xanthine oxidase deficiency.黄嘌呤氧化酶缺乏症患者的妊娠情况及发病率。

本文引用的文献

1
Plasma urate, urea and creatinine levels during pregnancy and after the puerperium in normal primigravid Nigerians.正常初孕尼日利亚女性孕期及产褥期血浆尿酸、尿素和肌酐水平
Br J Obstet Gynaecol. 1983 Jan;90(1):21-5. doi: 10.1111/j.1471-0528.1983.tb06740.x.
2
Pyrimidine and purine metabolites in ornithine carbamoyl transferase deficiency.鸟氨酸氨甲酰基转移酶缺乏症中的嘧啶和嘌呤代谢物。
J Inherit Metab Dis. 1981;4(1):27-31. doi: 10.1007/BF02263578.
3
Xanthine oxidase deficiency and 'Dalmatian' hypouricaemia: incidence and effect of exercise.
J Inherit Metab Dis. 1986;9(4):407-8. doi: 10.1007/BF01800499.
4
Xanthine urolithiasis: ultrastructure analysis of renal and bladder calculi.黄嘌呤尿路结石:肾和膀胱结石的超微结构分析
Int Urol Nephrol. 1991;23(4):317-23. doi: 10.1007/BF02549601.
黄嘌呤氧化酶缺乏症与“达尔马提亚”低尿酸血症:运动的发生率及影响
J Inherit Metab Dis. 1983;6(3):114-20. doi: 10.1007/BF01800741.
4
The conversion of 4-hydroxypyrazolo[3,4-d]pyrimidine (allopurinol) into 4,6-dihroxypyrazolo[3,4-d]pyrimidine (Oxipurinol) in vivo in the absence of xanthine-oxen oxidoreductase.在缺乏黄嘌呤氧化还原酶的情况下,4-羟基吡唑并[3,4-d]嘧啶(别嘌呤醇)在体内转化为4,6-二羟基吡唑并[3,4-d]嘧啶(氧嘌呤醇)。
Biochem J. 1969 May;112(4):527-32. doi: 10.1042/bj1120527.
5
Urinary excretion of purines, pyrimidines and pyrazolopyrimidines in patients treated with allopurinol or oxipurinol.接受别嘌醇或氧嘌呤醇治疗的患者嘌呤、嘧啶及吡唑并嘧啶的尿排泄情况。
Clin Chim Acta. 1969 Feb;23(2):353-64. doi: 10.1016/0009-8981(69)90052-7.
6
Variations in allopurinol metabolism by xanthinuric subjects.黄嘌呤尿症患者对别嘌呤醇代谢的差异。
Clin Sci Mol Med. 1974 Aug;47(2):173-8. doi: 10.1042/cs0470173.
7
The effect of normal pregnancy upon the renal handling of uric acid.正常妊娠对尿酸肾脏处理的影响。
Br J Obstet Gynaecol. 1977 Jan;84(1):13-21. doi: 10.1111/j.1471-0528.1977.tb12459.x.