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Lactic acid bacteria act as potent interventions in improving hyperuricemia:a review
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作者 Qingling Wu Xiaodong Pei +2 位作者 Tiantian Gao Xiaoling Liu Chenghua Wang 《Food Science and Human Wellness》 2025年第4期1212-1223,共12页
Hyperuricemia(HUA)is characterized by elevated levels of uric acid(UA)in the bloodstream,resulting from either excessive production or insufficient excretion of UA within the body.If left untreated,progressive or pers... Hyperuricemia(HUA)is characterized by elevated levels of uric acid(UA)in the bloodstream,resulting from either excessive production or insufficient excretion of UA within the body.If left untreated,progressive or persistent HUA can lead to gout,causing significant harm to human health.Lactic acid bacteria(LAB),generally recognized as safe(GRAS)probiotics,have been shown to alleviate symptoms associated with gastrointestinal disorders such as irritable bowel syndrome and inflammatory bowel disease while supporting overall bodily functions and health.Recently,LAB has emerged as a potentially safe,cost-effective and efficient treatment for HUA.This comprehensive review aims to explore the current literature on the mechanisms through which LAB controls HUA.These mechanisms include suppressing purine metabolism,absorbing purine compounds,modulating microbiota to maintain host global purine homeostasis,reducing intestinal permeability,producing metabolites that alleviate HUA symptoms,promoting the expression of urate excretory proteins and inhibiting the expression of urate reabsorption proteins.The findings presented in this review provide a framework for further investigation into how probiotic LAB can alleviate HUA by influencing UA metabolism and elucidating their underlying action mechanisms. 展开更多
关键词 hyperuricemia GOUT Lactic acid bacteria Uric acid-lowering mechanism
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Andrias davidianus bone peptides alleviates hyperuricemia-induced kidney damage in vitro and in vivo 被引量:1
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作者 Wei Li Haihong Chen +6 位作者 Hongliang Chen Ziyin Li Wei Hu Qinxuan Zhou Bing Xu Yi Wang Xinhui Xing 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期1886-1905,共20页
Hyperuricemia(HUA)is a vital risk factor for chronic kidney diseases(CKD)and development of functional foods capable of protecting CKD is of importance.This paper aimed to explore the amelioration effects and mechanis... Hyperuricemia(HUA)is a vital risk factor for chronic kidney diseases(CKD)and development of functional foods capable of protecting CKD is of importance.This paper aimed to explore the amelioration effects and mechanism of Andrias davidianus bone peptides(ADBP)on HUA-induced kidney damage.In the present study,we generated the standard ADBP which contained high hydrophobic amino acid and low molecular peptide contents.In vitro results found that ADBP protected uric acid(UA)-induced HK-2 cells from damage by modulating urate transporters and antioxidant defense.In vivo results indicated that ADBP effectively ameliorated renal injury in HUA-induced CKD mice,evidenced by a remarkable decrease in serum UA,creatinine and blood urea nitrogen,improving kidney UA excretion,antioxidant defense and histological kidney deterioration.Metabolomic analysis highlighted 14 metabolites that could be selected as potential biomarkers and attributed to the amelioration effects of ADBP on CKD mice kidney dysfunction.Intriguingly,ADBP restored the gut microbiome homeostasis in CKD mice,especially with respect to the elevated helpful microbial abundance,and the decreased harmful bacterial abundance.This study demonstrated that ADBP displayed great nephroprotective effects,and has great promise as a food or functional food ingredient for the prevention and treatment of HUA-induced CKD. 展开更多
关键词 Andrias davidianus bone peptides hyperuricemia Uric acid Chronic kidney disease Gut microbiota
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A novel strain of Levilactobacillus brevis PDD-5 isolated from salty vegetables has beneficial effects on hyperuricemia through anti-inflammation and improvement of kidney damage 被引量:1
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作者 Jue Xu Maolin Tu +6 位作者 Xiankang Fan Yuxing Guo Tao Zhang Xiaoqun Zeng Zhendong Cai Zhen Wu Daodong Pan 《Food Science and Human Wellness》 SCIE CSCD 2024年第2期898-908,共11页
Hyperuricemia is a metabolic disorder caused by abnormal purine metabolism,resulting in abnormally high serum uric acid.In this study,a novel Levilactobacillus brevis PDD-5 isolated from salty vegetables was verified ... Hyperuricemia is a metabolic disorder caused by abnormal purine metabolism,resulting in abnormally high serum uric acid.In this study,a novel Levilactobacillus brevis PDD-5 isolated from salty vegetables was verified with the function of alleviating hyperuricemia.The relevant effects of L.brevis PDD-5 in lowering uric acid were analyzed by in vitro and in vivo experiments.The results showed that the L.brevis PDD-5 has(68.86±15.46)%of inosine uptake capacity and(95.75±3.30)%of guanosine uptake capacity in vitro.Oral administration of L.brevis PDD-5 to hyperuricemia rats reduced uric acid,creatinine,and urea nitrogen in serum,as well as decreased inosine and guanosine levels in the intestinal contents of rats.Analysis of relevant markers in the kidney by ELISA kits revealed that L.brevis PDD-5 alleviated oxidative stress and inflammation.Moreover,the gene expression of uric acid transporter 1(URAT1)and glucose transporter 9(GLUT9)was down-regulated,and the gene expression of organic anion transporter 1(OAT1)was up-regulated after treatment with L.brevis PDD-5.Western blot analysis showed that L.brevis PDD-5 alleviated hyperuricemia-induced kidney injury through the NLRP3 pathway.The se findings suggest that L.brevis PDD-5 can lower uric acid,repair kidney damage,and also has the potential to prevent uric acid nephropathy. 展开更多
关键词 Lactic acid bacteria Purine nucleoside hyperuricemia Uric acid nephropathy
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Food-derived bio-functional peptides for the management of hyperuricemia and associated mechanism
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作者 Yanxin Wang Mingxia Ma +6 位作者 Yumeng Huang Siqing Fan Jie Peng Shiming Li Xiurong Su Yanbo Wang Chenyang Lu 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期1767-1786,共20页
Hyperuricemia,a metabolic disorder related to uric acid metabolism dysregulation,has become a common metabolic disease worldwide,due to changes in lifestyle and dietary structure.In recent years,owing to their high ac... Hyperuricemia,a metabolic disorder related to uric acid metabolism dysregulation,has become a common metabolic disease worldwide,due to changes in lifestyle and dietary structure.In recent years,owing to their high activity and few adverse effects,food-derived active peptides used as functional foods against hyperuricemia have attracted increasing attention.This article aims to focus on the challenge associated with peptide-specific preparation methods development,functional components identification,action mechanism(s)clarification,and bioavailability improvement.The current review proposed recent advances in producing the food-derived peptides with high anti-hyperuricemia activity by protein source screening and matched enzymatic hydrolysis condition adjusting,increased the knowledge about strategies to search antihyperuricemia peptides with definite structure,and emphasized the necessity of combining computer-aided approaches and activity evaluations.In addition,novel action mechanism mediated by gut microbiota was discussed,providing different insights from classical mechanism.Moreover,considering that little attention was paid previously on the structure-activity relationships of anti-hyperuricemia peptides,we collected the sequences from published studies and make a preliminary summary about the structure-activity relationships,which in turn provided guides for enzymatic hydrolysis optimization and bioavailability improvement.Hopefully,this article could promote the development,application and commercialization of food-derived anti-hyperuricemia peptides in the future. 展开更多
关键词 hyperuricemia PEPTIDE Enzyme hydrolysis MECHANISM Structure-activity relationship BIOAVAILABILITY
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Lacticaseibacillus rhamnosus Fmb14 ameliorates hyperuricemia-induced hepatocyte pyroptosis via NLRP3 inflammasome cascade inhibition
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作者 Hongyuan Zhao Xiaoyu Chen +4 位作者 Li Zhang Fanqiang Meng Libang Zhou Zhaoxin Lu Yingjian Lu 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期2174-2186,共13页
Hyperuricemia is a high-risk factor for the development of gout and renal fibrosis,but the adverse effects of hyperuricemia on the liver have been seriously neglected.This research investigated the ameliorating effect... Hyperuricemia is a high-risk factor for the development of gout and renal fibrosis,but the adverse effects of hyperuricemia on the liver have been seriously neglected.This research investigated the ameliorating effect of Lacticaseibacillus rhamnosus Fmb14 on hyperuricemia induced liver dysfunction both in vitro and in vivo.Cell free extracts of high dose L.rhamnosus Fmb14 treatment reduced the death rate of HepG2 cell lines from 24.1%to 14.9%by inhibiting NLRP3 recruitment,which was mainly activated by reactive oxygen species release and mitochondrial membrane potential disorder.In purine dietary induced hyperuricemia(PDIH)mice model,liver oedema and pyroptosis were ameliorated after L.rhamnosus Fmb14 administration through downregulating the expression levels of NLRP3,caspase-1 and gasdermin-D from 1.61 to 0.86,3.15 to 1.01 and 5.63 to 2.02,respectively.L.rhamnosus Fmb14 administration restored mitochondrial inner membrane protein(MPV17)and connexin 43 from 2.83 and 0.73 to 0.80 and 0.98 respectively in PDIH mice,indicating that dysbiosis of mitochondrial membrane potential was restored in liver.Intriguingly,PDIH pyroptosis stimulates the process of apoptosis,which leads to severe leakage of hepatocytes,and both of pyroptosis and apoptosis were decreased after L.rhamnosus Fmb14 treatment.Therefore,L.rhamnosus Fmb14 is a promising biological resource to maintain homeostasis of the liver in hyperuricemia and the prevention of subsequent complications. 展开更多
关键词 Lacticaseibacillus rhamnosus Fmb14 hyperuricemia PYROPTOSIS NLRP3 pathway
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Abdominal Fat Accumulation with Hyperuricemia and Hypercholesterolemia Quail Model Induced by High Fat Diet 被引量:15
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作者 Zhi-jian Lin Bing Zhang Xiao-qing Liu Hong-lian Yang 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第3期191-194,共4页
Objective To establish abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model fed with high fat diet. And then to investigate the pathological characteristics of this quail model. Methods ... Objective To establish abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model fed with high fat diet. And then to investigate the pathological characteristics of this quail model. Methods Thirty Longcheng quails were randomly divided into two groups: control group and model group (n=15). The control group quails were fed with normal diet and model group quails were fed with high fat diet for 14 days. After a 12-hour overnight fast, liver and abdominal fat at euthanasia as well as serum were collected. The levels of serum uric acid, total cholesterol, high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglyceride, free fatty acid (FFA), and blood glucose were assayed. The activity changes of adenosine deaminase (ADA), xanthine oxidase (XOD), lipoprotein lipase (LPL), hepatic lipase (HL), and fatty acid synthetase (FAS) were analyzed. Results Compared with control group, the abdominal fat content (0.74±0.63 vs. 1.36±0.65 g, P〈0.05) and abdominal fat index (0.44%±0.30% vs. 0.85%±0.30%, P〈0.01) as well as live lipid index (3.61%±0.65% vs. 11.33%±2.14%, P〈0.01) in model group significantly increased; the levels of serum uric acid (210.61±94,76 vs. 304.25±141.94 /amol/L, P〈0.05), total cholesterol (4.20±0.51 vs. 20.10±11.25 mmol/L, P〈0.01), LDL-C (1.16±0.29 vs. 10.78±6.48 mmol/L, P〈0.01), and FFA (0.39±0.14 vs. 0.55±0.15 mmol/L, P〈0.01) in model group significantly increased; HDL-C (5.85±0.95 vs. 4.14±2.03 mmol/L, P〈0.05) significantly decreased; the levels of triglyceride and blood glucose had no significant changes (P〉0.05); the activities of ADA (9.71±3.05 vs. 17.19±5.10 U/ml, P〈0.01) and XOD (10.58±6,88 vs. 19.22+9.44 U/L, P〈0.01) in model group significantly increased; and FAS, LPL, HL had no significant changes (P〉0.05). Conclusions High fat diet can induce abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model. The changes of uric acid and lipid metabolic enzyme activities may he the pathological mechanism of abdominal fat accumulation with hyperuricemia and hypercholesterolemia. 展开更多
关键词 abdominal fat accumulation hyperuricemia HYPERCHOLESTEROLEMIA quail model
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Depression is associated with increased C-reactive protein levels in patients with heart failure and hyperuricemia 被引量:3
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作者 Yu WANG Yu-Zhi ZHEN +4 位作者 Jian-Long ZHAI Dan WU Kun-Shen LIU Qing-Zhen ZHAO Chao LIU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第4期289-292,共4页
Psychological depression is considered a major determinant of health status in patients with heart failure (HF). The incidence of depression in HF is four to five times higher than that in the general population.
关键词 C-reactive protein DEPRESSION Heart failure Inflammation hyperuricemia
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Chimonanthus nitens Oliv. leaves flavonoids alleviate hyperuricemia by regulating uric acid metabolism and intestinal homeostasis in mice 被引量:2
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作者 Wenya Meng Lingli Chen +4 位作者 Kehui Ouyang Suyun Lin Yang Zhang Jing He Wenjun Wang 《Food Science and Human Wellness》 SCIE CSCD 2023年第6期2440-2450,共11页
This study aimed to evaluate the alleviating effect of Chimonanthus nitens Oliv.leaves flavonoids(CLF)on hyperuricemia induced by potassium oxonate in mice.The results showed that CLF lowered the serum levels of uric ... This study aimed to evaluate the alleviating effect of Chimonanthus nitens Oliv.leaves flavonoids(CLF)on hyperuricemia induced by potassium oxonate in mice.The results showed that CLF lowered the serum levels of uric acid(UA),creatinine and blood urea nitrogen,downregulated hepatic mRNA expressions of xanthine oxidase(XO),phosphate ribose pyrophosphate synthetase(PRPS)and adenosine deaminase(ADA)in hyperuricemia mice.In addition,CLF repaired renal injury by significantly down-regulating mRNA and protein expressions of renal UA reabsorption-related proteins and up-regulating the mRNA and protein expressions of UA secretory-related proteins.Finally,CLF inhibited UA synthesis and promoted UA excretion to alleviate hyperuricemia.Besides,CLF supplementation repaired the intestinal barrier function as demonstrated by significant increased mRNA levels of intestinal zonula occludens-1(ZO-1),Occludin,mucin 2(MUC2)and mucin 4(MUC4),as well as decreased mRNA levels of toll-like receptor 4(TLR4)and myeloid differentiation factor 88(MyD88)in mice.Further research showed that CLF treatment restored intestinal homeostasis mediated by improving the composition of gut microbiota and elevating the abundance of beneficial bacteria like Lactobacillus,Alistipes,Prevotellaceae_UCG-001 and Parasutterella.Overall,our findings revealed a novel function of CLF as a promising therapeutic candidate for the treatment of hyperuricemia. 展开更多
关键词 Chimonanthus nitens Oliv.leaves FLAVONOIDS hyperuricemia Renal damage Gut microbiota
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Ameliorative effect of Lacticaseibacillus rhamnosus Fmb14 from Chinese yogurt on hyperuricemia 被引量:2
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作者 Hongyuan Zhao Xiaoyu Chen +4 位作者 Fanqiang Meng Libang Zhou Xinyi Pang Zhaoxin Lu Yingjian Lu 《Food Science and Human Wellness》 SCIE CSCD 2023年第4期1379-1390,共12页
Hyperuricemia is a critical threat to human health,and a high inosine diet can increase the prevalence of it.Lacticaseibacillus rhamnosus Fmb14 was isolated from traditional fermented Chinese yogurt,and its inosine de... Hyperuricemia is a critical threat to human health,and a high inosine diet can increase the prevalence of it.Lacticaseibacillus rhamnosus Fmb14 was isolated from traditional fermented Chinese yogurt,and its inosine degradation rate reached 36.3%at 109 CFU/mL for 24 h.LC-MS analysis revealed that high concentrations of inosine could activate compensatory metabolic pathways of L.rhamnosus Fmb14 to catalyse inosine as an energy source and produce intracellular folic acid and riboflavin.The contents of folic acid and riboflavin were 6.0 and 4.3 fold increased after inosine treatment in the cell-free extracts(CFE).L.rhamnosus Fmb14 CFE treatment ameliorates hyperuricemia through xanthine oxidase(XOD)inhibition and ATP-binding cassette subfamily G member 2(ABCG2)promotion,both of which are responsible for uric acid(UA)synthesis and secretion in HepG2 and Caco2 cells,respectively.The in vivo results showed that the serum UA level decreased from 236.28 to 149.28μmol/L after 8 weeks of oral administration of L.rhamnosus Fmb14 in inosine-induced hyperuricemia model mice.Our results revealed that L.rhamnosus Fmb14 has a potential as a biological therapeutic agent in hyperuricemia prevention. 展开更多
关键词 Lacticaseibacillus rhamnosus Fmb14 hyperuricemia Inosine degradation Uric acid metabolism
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Metabolic mechanism of dietary factors and effect of dietary types associated with hyperuricemia:a review
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作者 Kaina Qiao Xuewei Zhou +3 位作者 Lili Zhang Wangang Zhang Baoguo Sun Yuyu Zhang 《Food Science and Human Wellness》 2025年第3期835-849,共15页
Globally,hyperuricemia is a growing health,social,and economic problem which could cause gout,chronic kidney diseases and other diseases.There are increasing evidences that a sensible diet makes sense to reduce the ri... Globally,hyperuricemia is a growing health,social,and economic problem which could cause gout,chronic kidney diseases and other diseases.There are increasing evidences that a sensible diet makes sense to reduce the risk of hyperuricemia.This review aims to explore the metabolic mechanism of dietary factors and effects of dietary types associated with hyperuricemia.Recommendations for dietary modification to prevent hyperuricemia are as following:decreasing intake of animal organs,seafood,sugar-sweetened,and alcohol beverages is essential;choosing water or unsweetened tea and coffee instead of sweetened beverages is beneficial;and increasing intake of vegetables,reduced-fat dairy products,foods containing fiber,micronutrients and unsaturated fatty acids is helpful.In addition,consumption of fruits and legumes in moderation is advantageous,and low-fructose of fruits and low-purine of non-soy beans are recommended.Moreover,personalized diet needs to be emphasized for hyperuricemic patients accompanied with diverse metabolic diseases. 展开更多
关键词 Purine Metabolic mechanism Dietary types hyperuricemia Personalized diet
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汉麻仁多肽对高尿酸血症斑马鱼的降尿酸作用及其氨基酸序列分析
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作者 魏连会 董艳 +5 位作者 石杰 李国巍 张正海 姬妍茹 杨庆丽 潘静 《中国油脂》 北大核心 2025年第2期57-62,共6页
为促进汉麻仁多肽在功能食品及特医食品领域的应用,利用斑马鱼模型研究汉麻仁多肽的降尿酸作用及可能的机制,分析降尿酸活性肽组分的氨基酸序列。采用10mmol/L尿酸酶活性抑制剂氧嗪酸钾和50μmol/L尿酸合成前体黄嘌呤钠盐饲喂斑马鱼20h... 为促进汉麻仁多肽在功能食品及特医食品领域的应用,利用斑马鱼模型研究汉麻仁多肽的降尿酸作用及可能的机制,分析降尿酸活性肽组分的氨基酸序列。采用10mmol/L尿酸酶活性抑制剂氧嗪酸钾和50μmol/L尿酸合成前体黄嘌呤钠盐饲喂斑马鱼20h,建立斑马鱼高尿酸血症模型。以别嘌呤醇为阳性对照,以不同质量浓度的汉麻仁多肽饲喂斑马鱼,测定斑马鱼的尿酸荧光强度、次黄嘌呤鸟嘌呤磷酸核糖基转移酶(HPRT1)和有机阴离子转运蛋白(OAT1)基因的mRNA表达,利用液相色谱-串联质谱技术对降尿酸活性肽组分氨基酸序列进行分析。结果表明:汉麻仁多肽能够通过上调HPRT1和OAT1基因表达,有效降低高尿酸斑马鱼的尿酸水平;汉麻仁多肽活性组分中丰度较高的8个峰对应的肽段分子质量分别为499.23、578.24、628.27、653.29、715.31、918.43、982.41、1128.49Da,其氨基酸序列分别为PGTPE、MPDDV、TTSYTG、TPHWN、NNGDSPL、DDFNPRR、NPHDEFQP、YHSYLCKTD。综上,汉麻仁多肽可作为功能性成分用于降尿酸相关功能食品和保健品的开发。 展开更多
关键词 汉麻仁多肽 斑马鱼 高尿酸血症 降尿酸 氨基酸序列
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食药用菌中天然活性成分调控尿酸代谢机制研究进展
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作者 文静 殷朝敏 +4 位作者 范秀芝 史德芳 姚芬 于巍 高虹 《食品科学》 北大核心 2025年第7期328-336,共9页
高尿酸血症和痛风是由于人体中尿酸含量过高而导致的代谢性疾病。随着人们生活质量的不断提高,高尿酸血症和痛风的患病率逐渐增加,且患者呈年轻化趋势,对人体健康产生了巨大的危害。近年研究发现,食药用菌中一些天然活性成分在改善高尿... 高尿酸血症和痛风是由于人体中尿酸含量过高而导致的代谢性疾病。随着人们生活质量的不断提高,高尿酸血症和痛风的患病率逐渐增加,且患者呈年轻化趋势,对人体健康产生了巨大的危害。近年研究发现,食药用菌中一些天然活性成分在改善高尿酸血症方面具有显著效果。因此,本文结合国内外最新研究,以尿酸代谢过程、高尿酸血症和痛风的发病机制为基础,对食药用菌中主要活性成分调控尿酸代谢机制进行综述,以期为食药用菌中活性成分的开发利用提供参考和指导。 展开更多
关键词 高尿酸血症 痛风 尿酸代谢 食药用菌 肠道微生物
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大鲵骨肽缓解小鼠高尿酸作用研究
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作者 郑小莉 陈德经 +3 位作者 苏文 江海 曾允灏 祁珊珊 《食品与发酵工业》 北大核心 2025年第8期267-275,共9页
该研究以氧嗪酸钾诱导的高尿酸血症小鼠模型为对象,来评价不同剂量大鲵骨肽(Andrias davidianus bone peptides,ADBP)[150 mg/(kg·bw)、300 mg/(kg·bw)和600 mg/(kg·bw)]降尿酸功效。结果表明,ADBP可显著降低血清中尿酸(... 该研究以氧嗪酸钾诱导的高尿酸血症小鼠模型为对象,来评价不同剂量大鲵骨肽(Andrias davidianus bone peptides,ADBP)[150 mg/(kg·bw)、300 mg/(kg·bw)和600 mg/(kg·bw)]降尿酸功效。结果表明,ADBP可显著降低血清中尿酸(uric acid,UA)、肌酐和尿素氮水平,有效抑制UA合成相关酶,黄嘌呤氧化酶(xanthine oxidas,XOD)和腺苷脱氨酶的活力,下调高尿酸血症小鼠肝脏中XOD的mRNA表达水平。ADBP通过调节氧化应激(总抗氧化能力、超氧化物歧化酶、谷胱甘肽过氧化物酶、丙二醛含量),抑制促炎细胞因子(CXCL1、IL-1β、IL-6、TNF-α)水平,改善了肝脏和肾脏的组织病理学损伤。研究证实ADBP对高尿酸血症小鼠有明显的降尿酸作用,对长期高尿酸引起的机体损伤有一定的修复作用,可作缓解和治疗高尿酸血症的物质。 展开更多
关键词 大鲵骨肽 黄嘌呤氧化酶 高尿酸血症 氧化应激 炎症因子
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痛风和高尿酸血症与眼部疾病的研究进展
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作者 姜秀颖 段虎成 《国际眼科杂志》 CAS 2025年第1期94-98,共5页
痛风为一种系统性炎性疾病,是世界范围内最常见的关节炎之一,其中高尿酸血症是痛风发病的主要危险因素。痛风的发病机制包括尿酸盐结晶沉积继发炎症及氧化应激。而炎症及氧化应激正是多种眼病的发病机制。目前已有较多研究提示痛风和高... 痛风为一种系统性炎性疾病,是世界范围内最常见的关节炎之一,其中高尿酸血症是痛风发病的主要危险因素。痛风的发病机制包括尿酸盐结晶沉积继发炎症及氧化应激。而炎症及氧化应激正是多种眼病的发病机制。目前已有较多研究提示痛风和高尿酸血症与眼部疾病的相关性,包括尿酸盐结晶直接沉积在眼部结构、干眼、角膜内皮损伤、巩膜炎、葡萄膜炎、青光眼、年龄相关性黄斑变性、糖尿病视网膜病变,以及某些代谢性疾病如甲状腺相关眼病等。另外由于尿酸自身的抗氧化活性,尿酸水平还被认为与多种视神经病变如多发性硬化相关视神经炎、视神经脊髓炎等有关。尽管尿酸水平和眼部疾病的相关性已被报道,但仍存在许多问题亟待解决。为了更全面地了解痛风和高尿酸血症和眼部疾病的关系,文章将从发病机制、发病特点等逐一展开,以期提高对痛风和高尿酸血症的认识,并为将来相关研究提供参考。 展开更多
关键词 痛风 高尿酸血症 尿酸 眼病
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非透析慢性肾脏病患者NT-ProBNP的影响因素
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作者 毛逸鸣 唐慧莉 +2 位作者 贾蒙 王怡 徐艳秋 《中国中西医结合肾病杂志》 2025年第3期214-217,共4页
目的:NT-ProBNP通过肾脏代谢,在慢性肾脏病患者中不能准确评价其心功能,进一步探究可能影响非透析慢性肾脏病NT-ProBNP水平的相关因素。方法:收集513例非透析慢性肾脏病患者一般情况,心脏超声数据和肾功能、NT-ProBNP等生化指标。采用... 目的:NT-ProBNP通过肾脏代谢,在慢性肾脏病患者中不能准确评价其心功能,进一步探究可能影响非透析慢性肾脏病NT-ProBNP水平的相关因素。方法:收集513例非透析慢性肾脏病患者一般情况,心脏超声数据和肾功能、NT-ProBNP等生化指标。采用相关分析及多元线性回归分析NT-ProBNP的影响因素。结果:慢性肾脏病分期升高,NT-ProBNP浓度明显升高;在不同原发病中,DKD的NT-ProBNP浓度明显高于其他原发病(P<0.05);有心脏结构异常的NT-ProBNP浓度明显升高,与无心脏结构异常比较,差异有统计学意义(P<0.05)。多元线性回归分析显示慢性肾脏病NT-ProBNP与LVDs、Scr、cTnT、心脏结构异常、SUA、CK、冠心病、LVEF、Hb之间存在相关性(P<0.05),慢性肾脏病1~3期、4~5期以及不同原发病的NT-ProBNP相关因素存在差异。结论:NT-ProBNP随着肾功能下降而升高,心肌损伤、LVDs、Hb、SUA都是影响NT-ProBNP的相关因素。无论是否有心脏结构异常,糖尿病肾脏病的NT-ProBNP显著高于其他原发病。 展开更多
关键词 慢性肾脏病 NT-PROBNP 糖尿病肾脏病 贫血 高尿酸血症 左心室收缩末期内径
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中医治疗高尿酸血症研究进展
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作者 杨天宇 辛家东 +1 位作者 周洁 高建东 《长春中医药大学学报》 2025年第2期232-236,共5页
高尿酸血症成为继三高后严重威胁人类身体健康的慢性疾病。该种疾病以血尿酸升高为主要临床特征,不仅是痛风的早期阶段,如尿酸过高未及时采取有效的治疗措施,可发展为痛风性关节炎,累及机体多个器官组织,引发严重的心脑血管疾病。西医... 高尿酸血症成为继三高后严重威胁人类身体健康的慢性疾病。该种疾病以血尿酸升高为主要临床特征,不仅是痛风的早期阶段,如尿酸过高未及时采取有效的治疗措施,可发展为痛风性关节炎,累及机体多个器官组织,引发严重的心脑血管疾病。西医治疗此类疾病可取得显著效果,但存在一定副作用,导致患者难以长期坚持用药。中医治疗高尿酸症有着丰富的临床经验,治疗效果显著且安全性有保障,弥补了西药治疗的不足。现总结近3年来的文献资料,对中医治疗高尿酸血症研究进展进行系统综述。 展开更多
关键词 高尿酸血症 中医疗法 研究进展
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土茯苓、菊苣、川牛膝对高尿酸血症小鼠降血尿酸作用及机制研究
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作者 王聪慧 曹亚茹 +2 位作者 王淳 张建军 王林元 《环球中医药》 2025年第4期711-718,共8页
目的研究具有利水祛湿功效的中药土茯苓、菊苣、川牛膝对氧嗪酸钾诱导的高尿酸血症小鼠降尿酸作用及机制。方法48只雄性昆明小鼠按照血尿酸水平分为空白组、模型组、土茯苓组、菊苣组、川牛膝组、别嘌呤醇组,每组8只,采用氧嗪酸钾连续灌... 目的研究具有利水祛湿功效的中药土茯苓、菊苣、川牛膝对氧嗪酸钾诱导的高尿酸血症小鼠降尿酸作用及机制。方法48只雄性昆明小鼠按照血尿酸水平分为空白组、模型组、土茯苓组、菊苣组、川牛膝组、别嘌呤醇组,每组8只,采用氧嗪酸钾连续灌胃4周建立高尿酸血症小鼠模型,每日造模后间隔6小时给样,末次给样取血后测定小鼠血尿酸(serum uric acid,SUA)、血尿素氮(blood urea nitrogen,BUN)、血肌酐(serum creatinine,Scr)水平;肝脏中黄嘌呤氧化酶(xanthine oxidase,XOD)、腺苷脱氨酶(adenosine deaminase,ADA);血清中肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-1β(interleukin-1β,IL-1β)含量;回肠组织中三磷酸腺苷结合转运蛋白2(ATP-binding cassette sub-family G member 2,ABCG2)含量。苏木精—伊红(hematoxylin-eosin,HE)染色观察肾组织病理变化。利用蛋白免疫印迹法测定肾脏中ABCG2、有机阴离子转运体1(organic anion transporter 1,OAT1)、尿酸盐阴离子转运体1(recombinant urate transporter 1,URAT1)和葡萄糖转运蛋白9(glucose transporter 9,GLUT9)的蛋白表达。结果通过全自动生化仪检测各组小鼠SUA、BUN、Scr,与模型组比较,各给样组均显著降低;使用酶联免疫吸附法进行检测发现,与模型组比较,各给样组肝脏XOD、ADA、血清TNF-α、IL-1β含量均显著下降(P<0.05),回肠中ABCG2蛋白含量升高;肾组织病理特征明显改善;蛋白免疫印迹结果显示肾脏OAT1和ABCG2蛋白表达显著升高(P<0.05),URAT1和GLUT9蛋白表达有降低趋势。结论具有利水去湿功效的中药土茯苓、菊苣、川牛膝均具有降血尿酸作用,且能够通过抑制炎症因子保护肾脏,推测其作用机制可能与抑制XOD、ADA活性,增加肠道中ABCG2蛋白含量,下调肾脏URAT1、GLUT9蛋白表达,减少重吸收,上调ABCG2、OAT1蛋白表达促进尿酸分泌排泄有关。其中川牛膝抑制血清中炎症因子TNF-α、IL-1β表达效果较好;菊苣可通过增加回肠组织中ABCG2尿酸转运蛋白含量起到降低血尿酸的作用。 展开更多
关键词 高尿酸血症 土茯苓 菊苣 川牛膝 利水祛湿
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后生元粉在高尿酸血症中的降尿酸效果研究
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作者 王傲 梁武 +3 位作者 付田民 孙韵琪 刘晴晴 韩雪梅 《食品安全质量检测学报》 2025年第6期26-33,共8页
目的 探究复合后生元粉在高尿酸血症中的降尿酸效果。方法 在体外实验中验证后生元粉具有抑制黄嘌呤氧化酶(xanthine oxidase,XOD)活性和降解尿酸两种功效,建立大鼠高尿酸血症模型,并给予后生元粉治疗,分别对比了大鼠体重变化、关节增... 目的 探究复合后生元粉在高尿酸血症中的降尿酸效果。方法 在体外实验中验证后生元粉具有抑制黄嘌呤氧化酶(xanthine oxidase,XOD)活性和降解尿酸两种功效,建立大鼠高尿酸血症模型,并给予后生元粉治疗,分别对比了大鼠体重变化、关节增长情况、血清尿酸(uric acid,UA)含量、血清XOD活力、肝肾功能、血脂总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)水平等指标的变化。结果 复合后生元粉能显著降低高尿酸血症大鼠血清UA的含量以及血清尿素氮(blood urea nitrogen,BUN)、肌酐(creatinine,Cr)和TC水平;能够有效降低血清XOD、谷草转氨酶(aspartate aminotransferase,AST)、谷丙转氨酶(alanine aminotransferase,ALT)活力。结论 后生元粉具有降UA功效,对高尿酸血症引起的肝、肾损伤和血脂异常也有一定的治疗作用,并且治疗效果与后生元粉的摄入量呈正相关。 展开更多
关键词 后生元 高尿酸血症 黄嘌呤氧化酶 尿酸
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基于CiteSpace对中医药治疗高尿酸血症的可视化分析
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作者 朱楠 黄捡 +2 位作者 石行 潘赐明 陈云山 《实用中医内科杂志》 2025年第3期86-89,I0017-I0020,共8页
目的围绕中医药治疗高尿酸血症开展系统的文献计量学和可视化分析,全面了解近20年中医药治疗高尿酸血症相关的发展趋势与研究热点。方法以中国知网、万方、维普数据库2000年1月—2022年12月收录的所有相关文献为对象,开展计量学分析。... 目的围绕中医药治疗高尿酸血症开展系统的文献计量学和可视化分析,全面了解近20年中医药治疗高尿酸血症相关的发展趋势与研究热点。方法以中国知网、万方、维普数据库2000年1月—2022年12月收录的所有相关文献为对象,开展计量学分析。结果共纳入文献1655篇,年发文量总体呈上升趋势,发文量最高作者分别为陈娜、杨滨,发文量最高的机构分别为中国中医科学院中药研究所、北京中医药大学;痛风、黄嘌呤氧化酶、尿酸转运蛋白是出现最高的关键词,西红花、番红花去柱头花部、痰湿瘀阻证是近年受关注的主题。关键词共现聚类网络被分成13个聚类,包括辨证论治、痛风、尿酸、炎症、健脾渗湿方、急性痛风性关节炎、桃红四物汤、痛风性关节炎、复方土茯苓颗粒等。结论图谱初步直观地展示了中医药治疗高尿酸血症的发展趋势,中医方剂挖掘、中药对尿酸生产及代谢过程干预、痰湿瘀阻证型是中医药治疗高尿酸血症的研究热点,探索中药有效成分干预尿酸生成及代谢机制将是中医药治疗高尿酸血症研究的新趋势。 展开更多
关键词 高尿酸血症 中医药 文献计量学 CITESPACE 可视化分析
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非布司他联合枸橼酸钾颗粒在痛风伴高尿酸血症肾结石患者中的应用效果
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作者 刘正萌 刘小菊 李蓉 《成都医学院学报》 2025年第1期70-73,共4页
目的探讨应用非布司他联合枸橼酸钾颗粒治疗痛风伴高尿酸血症肾结石的效果。方法选取2020年9月至2024年1月四川省广元市中心医院收治的痛风伴高尿酸血症肾结石患者122例为研究对象,按照随机数字表法分为3组,A组(42例)采用枸橼酸钾颗粒... 目的探讨应用非布司他联合枸橼酸钾颗粒治疗痛风伴高尿酸血症肾结石的效果。方法选取2020年9月至2024年1月四川省广元市中心医院收治的痛风伴高尿酸血症肾结石患者122例为研究对象,按照随机数字表法分为3组,A组(42例)采用枸橼酸钾颗粒联合非布司他(80 mg/d)治疗,B组(42例)采用枸橼酸钾颗粒联合非布司他(40 mg/d)治疗,C组(30例)采用枸橼酸钾颗粒治疗。比较3组临床疗效、疼痛改善程度、微炎状态及细胞因子、肾功能指标、不良反应及预后。结果A组总有效率高于B、C组(P<0.05);A组治疗3个月后疼痛视觉模拟(VAS)评分均低于B、C组(P<0.05);治疗后A组白细胞介素-1β(IL-1β)、肿瘤坏死细胞-α(TNF-α)、血清超敏C-反应蛋白(hs-CRP)、血管内皮素-1(ET-1)、可溶性细胞间黏附分子-1(sICAM-1)、血清尿素氮(BUN)、血肌酐(Scr)、血尿酸均低于B、C组(P<0.05);3组不良反应发生率、结石复发率比较差异无统计学意义(P>0.05),A组痛风发作频率低于B、C组(P<0.05)。结论非布司他联合枸橼酸钾颗粒有助于改善痛风伴高尿酸血症肾结石疗效,降低炎症水平,改善肾功能,大剂量非布司他疗效及预后更优,且具有一定的安全性。 展开更多
关键词 痛风 高尿酸血症 肾结石 非布司他 枸橼酸钾 肾功能
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