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Published on: June 7, 2013
The role of uric acid in pediatric hypertension
Daniel I Feig1, Richard J Johnson
1Department of Pediatrics, Renal Section, Baylor College of Medicine, Houston, Texas 77030, USA. dfeig@bcm.tmc.edu
Insights
Elevated uric acid is linked to new-onset high blood pressure in children. Lowering uric acid may help reduce blood pressure in some pediatric patients with essential hypertension.
Area of Science:
- Pediatric Nephrology
- Cardiovascular Research
- Metabolic Syndrome
Background:
- Emerging evidence suggests uric acid plays a role in mediating high blood pressure.
- Animal and tissue culture studies indicate a two-phase process involving uric acid in blood pressure regulation.
Purpose of the Study:
- To investigate the association between uric acid levels and newly diagnosed essential hypertension in children.
- To explore the potential of uric acid reduction in managing pediatric hypertension.
Main Methods:
- Cross-sectional studies and clinical trials were conducted on children with newly diagnosed essential hypertension.
- Assessment of uric acid levels and blood pressure in the pediatric cohort.
Main Results:
- A strong association was found between elevated uric acid and new-onset essential hypertension in children.
- Preliminary data indicate that reducing uric acid levels can lead to lower blood pressure in some pediatric patients.
Conclusions:
- Elevated uric acid is closely associated with essential hypertension in children.
- Further research is required to confirm if mechanisms observed in animal models are applicable to children and to validate uric acid-lowering therapies.
Abstract:
Over the past few years, increasing evidence has supported the possible role of uric acid as a mediator of high blood pressure. Both animal model data and tissue culture experiments suggest that uric acid might cause increased blood pressure through a 2-phase process. The first phase is dominated by a uric acid-mediated vasoconstriction followed by induction of renal afferent arteriolosclerosis and altered pressure natriuresis, leading to sodium-dependent hypertension. We have assessed children with newly diagnosed essential hypertension through cross-sectional studies and clinical trials. Elevated uric acid is closely associated with new-onset essential hypertension in children, and preliminary data suggest that lowering of uric acid can lower blood pressure in some patients. Future studies will be needed to determine whether the mechanisms shown in animal models can be extrapolated to children.
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