high plasma uric acid concentration causes and consequences高血浆尿酸浓度的原因和后果.pdfVIP

de Oliveira and Burini Diabetology Metabolic Syndrome 2012, 4:12 DIABETOLOGY /content/4/1/12 METABOLIC SYNDROME REVIEW Open Access High plasma uric acid concentration: causes and consequences Erick Prado de Oliveira1,2,3* and Roberto Carlos Burini1 Abstract High plasma uric acid (UA) is a precipitating factor for gout and renal calculi as well as a strong risk factor for Metabolic Syndrome and cardiovascular disease. The main causes for higher plasma UA are either lower excretion, higher synthesis or both. Higher waist circumference and the BMI are associated with higher insulin resistance and leptin production, and both reduce uric acid excretion. The synthesis of fatty acids (tryglicerides) in the liver is associated with the de novo synthesis of purine, accelerating UA production. The role played by diet on hyperuricemia has not yet been fully clarified, but high intake of fructose-rich industrialized food and high alcohol intake (particularly beer) seem to influence uricemia. It is not known whether UA would be a causal factor or an antioxidant protective response. Most authors do not consider the UA as a risk factor, but presenting antioxidant function. UA contributes to 50% of the antioxidant capacity of the blood. There is still no consensus if UA is a protective or a risk factor, however, it seems that acute elevation is a protective factor, whereas chronic elevation a risk for disease. Keywords: Uric acid, Diet, Protection, Risk, Metabolic syndrome Introduction Chemical characterization and biological High plasma uric ac