Hyperuricemia and chronic kidney disease: an enigma yet to be solved

Abstract The role of uric acid (UA) on the pathogenesis and progression of chronic kidney disease (CKD) remains controversial. Experimental and clinical studies indicate that UA is associated with several risk factors of CKD including diabetes, hypertension, oxidative stress, and inflammation and hy...

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Veröffentlicht in:Renal failure 2014-10, Vol.36 (9), p.1351-1359
Hauptverfasser: Dousdampanis, Periklis, Trigka, Konstantina, Musso, Carlos G., Fourtounas, Costas
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container_end_page 1359
container_issue 9
container_start_page 1351
container_title Renal failure
container_volume 36
creator Dousdampanis, Periklis
Trigka, Konstantina
Musso, Carlos G.
Fourtounas, Costas
description Abstract The role of uric acid (UA) on the pathogenesis and progression of chronic kidney disease (CKD) remains controversial. Experimental and clinical studies indicate that UA is associated with several risk factors of CKD including diabetes, hypertension, oxidative stress, and inflammation and hyperuricemia could be considered as a common dominator linking CKD and cardiovascular disease. Notably, the impact of serum UA levels on the survival of CKD, dialysis patients, and renal transplant recipients is also a matter of debate, as there are conflicting results from clinical studies. At present, there is no definite data whether UA is causal, compensatory, coincidental or it is only an epiphenomenon in these patients. In this article, we attempt to review and elucidate the dark side of this old molecule in CKD and renal transplantation.
doi_str_mv 10.3109/0886022X.2014.947516
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Experimental and clinical studies indicate that UA is associated with several risk factors of CKD including diabetes, hypertension, oxidative stress, and inflammation and hyperuricemia could be considered as a common dominator linking CKD and cardiovascular disease. Notably, the impact of serum UA levels on the survival of CKD, dialysis patients, and renal transplant recipients is also a matter of debate, as there are conflicting results from clinical studies. At present, there is no definite data whether UA is causal, compensatory, coincidental or it is only an epiphenomenon in these patients. 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subjects Chronic kidney disease
dialysis
Humans
hyperuricemia
Hyperuricemia - blood
Hyperuricemia - complications
Kidney - physiopathology
Kidney Transplantation
mortality
Renal Insufficiency, Chronic - blood
Renal Insufficiency, Chronic - complications
renal transplantation
Risk Factors
Uric Acid - blood
title Hyperuricemia and chronic kidney disease: an enigma yet to be solved
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