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Published on: November 7, 2017
The pathophysiology of hyperuricaemia and its possible relationship to cardiovascular disease, morbidity and
David Gustafsson1, Robert Unwin
1Bioscience, CVMD iMED, AstraZeneca R&D Mölndal, Mölndal, Sweden. david.gustafsson@astrazeneca.com
Insights
High uric acid levels, known as hyperuricemia, are linked to gout and kidney stones. This review explores hyperuricemia
Area of Science:
- Biochemistry and Human Metabolism
- Cardiovascular Medicine
- Nephrology
Background:
- Uric acid is the final product of purine metabolism in humans.
- Elevated uric acid levels (hyperuricemia) are associated with gout and kidney stones (urolithiasis).
- Hyperuricemia is increasingly implicated in cardiovascular disease and related conditions like hypertension, chronic kidney disease (CKD), congestive heart failure (CHF), metabolic syndrome, type 2 diabetes mellitus (T2DM), and atherosclerosis.
Purpose of the Study:
- To review the metabolism of uric acid.
- To summarize current literature on the role of hyperuricemia in cardiovascular disease and associated comorbidities.
- To discuss emerging treatment strategies for hyperuricemia.
Main Methods:
- Literature review of scientific articles and clinical studies.
- Synthesis of existing research on uric acid metabolism and its clinical implications.
- Analysis of data linking hyperuricemia to various health conditions.
Main Results:
- Uric acid is a key indicator of purine metabolism.
- Hyperuricemia is a significant risk factor for cardiovascular events and comorbidities.
- Emerging treatments show promise in managing hyperuricemia and its related conditions.
Conclusions:
- Understanding uric acid metabolism is crucial for managing associated diseases.
- Hyperuricemia is a critical factor in the development and progression of cardiovascular and metabolic diseases.
- Further research into novel therapeutic options for hyperuricemia is warranted.
Abstract:
Uric acid is the end product of purine metabolism in humans. High levels are causative in gout and urolithiasis. Hyperuricaemia has also been implicated in the pathophysiology of hypertension, chronic kidney disease (CKD), congestive heart failure (CHF), the metabolic syndrome, type 2 diabetes mellitus (T2DM), and atherosclerosis, with or without cardiovascular events. This article briefly reviews uric acid metabolism and summarizes the current literature on hyperuricaemia in cardiovascular disease and related co-morbidities, and emerging treatment options.
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