Nakamura H
1st Department of Medicine, School of Medicine, National Defence Medical College.
Nihon Rinsho. 1996 Dec;54(12):3289-92.
Various epidemiological evidences have shown the increased incidence of hyperuricemia in the subjects with hyperlipidemia and/or obesity. Our clinical study indicated the association was more close in hypertriglyceridemia to hyperuricemia than in hypercholesterolemia. Serum uric acid level increased more in Type IIb with elevated lipoprotein lipase (LPL) than those with low or normal LPL. Elevated LPL may be involved in the retarded uric acid clearance due to increased free fatty acids (FFA) in the serum, resulting in the elevation of uric acid and may be linked to the obesity-insulin resistance syndrome. Increased FFA may play an important role on the association of hyperuricemia with hypertriglyceridemia.
各种流行病学证据表明,高脂血症和/或肥胖症患者高尿酸血症的发病率有所增加。我们的临床研究表明,高甘油三酯血症与高尿酸血症之间的关联比高胆固醇血症更为密切。与脂蛋白脂肪酶(LPL)水平低或正常的IIb型患者相比,脂蛋白脂肪酶升高的IIb型患者血清尿酸水平升高得更多。由于血清中游离脂肪酸(FFA)增加,脂蛋白脂肪酶升高可能参与了尿酸清除延迟,导致尿酸升高,并且可能与肥胖-胰岛素抵抗综合征有关。游离脂肪酸增加可能在高尿酸血症与高甘油三酯血症的关联中起重要作用。