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我が国における痛風・高尿酸血症の動向 我国痛风、高尿酸血症的动向
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.110
M. Hakoda, Fumiyoshi Kasagi
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引用次数: 0
ガイドライン作成委員一覧 指南制作委员列表
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.suppl-5
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引用次数: 0
HPRT1欠損症9例の遺伝子解析 9例HPRT1缺陷的基因分析
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.123
Hikota Osawa, Atsuo Taniguchi, C. Sekita, H. Kaneko, Naomi Ichikawa, Y. Seto, H. Yamanaka, Yasukazu Yamada
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引用次数: 0
In vitro enhancement of ATP in human erythrocytes from a healthy subject and two patients with thalassemia and hemoglobinopathy. 一名健康受试者和两名地中海贫血和血红蛋白病患者红细胞ATP的体外增强。
Pub Date : 2018-07-25 DOI: 10.6032/GNAM.42.59
N. Kamatani, K. Furihata, A. Taniguchi, T. Fukuuchi, N. Yamaoka, K. Kaneko, H. Kanno
Objective: To examine whether the supplementation of inosine augments ATP in vitro in human erythrocytes incubated in saline. Methods : Peripheral blood was drawn from each of three subjects, i.e. one healthy male and two males with thalassemia and hemoglobinopathy. After washing the erythrocytes in saline, they were suspended in saline to which inosine was added to final concentrations of 0, 0.5 and 2.5 mM. The suspension was incubated at 37 °C for 1 or 3 hours, and 0.5 ml ice cold 8% perchloric acid was added to the 0.5 ml erythrocyte-containing solution. After removing precipitates and perchloric acid, the supernatant was submitted to HPLC for the measurement of ATP. Results : Since the blood samples of the two subjects with thalassemia and hemoglobinopathy were transported from the clinics to the laboratory, ATP in the blood decreased considerably during the transportation. However, the reduction of ATP with time was observed in the erythrocytes in saline obtained from each of the three subjects during the incubation from 1 hour to 3 hours. In addition, dosedependent suppression of the decrease of ATP with inosine was observed in all the three cases at both 1 hour and 3 hour incubation times. Conclusions : Incubation of erythrocytes from a healthy subject and two thalassemia /hemoglobinopathy patients in saline at 37 °C resulted in time-dependent decreases of ATP. Supplementation of inosine to the solutions resulted in the suppression of the decreases of ATP in a dose-dependent manner. Background ATP(adenosine triphosphate)is the most important compound for storing energy in living organisms and supplying it when needed. It is considered that ATP reduction is related to the pathology of various diseases. An example is the hemolytic anemia caused by glycolytic enzyme deficiencies such as hexokinase deficiency1), pyruvate kinase deficiency2), glucose phosphate isomerase deficiency3), phosphofructokinase deficiency4)and phosphoglycerate kinase deficiency5). Since mature erythrocytes lack mitochondria, they are heavily dependent on the anaerobic generation of ATP during glycolysis for nearly all of their 受付:2018年4月2日,受理:2018年4月25日 1) Tsukuba International Clinical Pharmacology Clinic, Tsukuba, Japan 2) StaGen Co. Ltd, Tokyo, Japan 3) P-One Clinic, Keikokai Medical Corporation, Hachioji, Tokyo, Japan 4) Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan 5) Laboratory of Biomedical and Analytical Sciences, Faculty of Pharma-Science, Teikyo University, Tokyo, Japan 6) Department of Transfusion Medicine and Cell Processing, Tokyo Women's Medical University, Tokyo, Japan
目的:探讨补充肌苷是否能提高体外生理盐水培养的人红细胞ATP水平。方法:选取健康男性1例,地中海贫血和血红蛋白病男性2例。将红细胞在生理盐水中洗涤后,将肌苷加入最终浓度为0、0.5和2.5 mM的生理盐水中悬浮,37℃孵育1或3小时,0.5 ml含红细胞溶液中加入0.5 ml冰冷的8%高氯酸。除去沉淀物和高氯酸后,将上清液提交高效液相色谱法测定ATP。结果:2例地中海贫血和血红蛋白病患者的血液样本在从诊所运送到实验室的过程中,血液中ATP含量明显下降。然而,在孵育1小时至3小时期间,从3名受试者中获得的盐水红细胞中观察到ATP随时间的减少。此外,在1小时和3小时的孵育时间内,在所有三种情况下都观察到肌苷对ATP减少的剂量依赖性抑制。结论:将1名健康受试者和2名地中海贫血/血红蛋白病患者的红细胞在37℃盐水中孵育可导致ATP的时间依赖性降低。在溶液中补充肌苷可以抑制ATP的减少,并呈剂量依赖性。ATP(三磷酸腺苷)是生物体内储存能量和在需要时提供能量的最重要的化合物。ATP的减少被认为与多种疾病的病理有关。一个例子是由糖酵解酶缺陷引起的溶血性贫血,如己糖激酶缺陷1)、丙酮酸激酶缺陷2)、葡萄糖磷酸异构酶缺陷3)、磷酸果糖激酶缺陷4)和磷酸甘油激酶缺陷5)。由于成熟红细胞缺乏线粒体,它们在几乎所有的糖酵解过程中都严重依赖于ATP的厌氧生成1)日本筑波国际临床药理学诊所2)日本东京StaGen有限公司3)日本东京八街Keikokai医疗公司P-One诊所4)日本东京女子医科大学风湿病研究所5)生物医学和分析科学实验室,东京女子医科大学输血医学与细胞处理学系,东京,日本
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引用次数: 2
Development of“ Clinical Practice Guideline for Renal Hypouricemia” (1st edition) 制定《肾性低尿酸血症临床实践指南》(第一版)
Pub Date : 2018-07-25 DOI: 10.6032/GNAM.42.1
A. Nakayama, H. Matsuo, A. Ohtahara, K. Ogino, M. Hakoda, T. Hamada, M. Hosoyamada, Satoshi Yamaguchi, I. Hisatome, K. Ichida, N. Shinomiya
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引用次数: 0
腎性低尿酸血症の合併症(尿路結石症) 腎性低尿酸血症の合併症(尿路結石症)
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.suppl-39
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引用次数: 0
初回痛風発作を起こした母趾MTP関節における単純X線撮影と関節超音波検査所見の検討 引起了初次痛风发作的母趾MTP关节的单纯X线摄影和关节超音波检查所见的检讨
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.68
T. Morito
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引用次数: 0
第52回日本痛風・核酸代謝学会総会ご案内 第52回日本痛風・核酸代謝学会総会ご案内
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.info_1_1
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引用次数: 0
小児ウイルス腸炎における高尿酸血症―尿酸排泄動態からの検討― 儿童病毒肠炎引起的高尿酸血症
Pub Date : 2018-07-25 DOI: 10.6032/gnam.42.127
Atsushi Hayashi, A. Ohtahara, E. Mizuta
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引用次数: 0
Yogurt containing Lactobacillus gasseri PA-3 alleviates increases in serum uric acid concentration induced by purine ingestion: a randomized, double-blind, placebo-controlled study 一项随机、双盲、安慰剂对照研究:含有乳酸杆菌PA-3的酸奶可减轻嘌呤摄入引起的血清尿酸浓度升高
Pub Date : 2018-07-25 DOI: 10.6032/GNAM.42.31
Masafumi Kurajoh, Y. Moriwaki, H. Koyama, H. Tsuboi, H. Matsuda, Yamada Naruomi, C. Saito, H. Kano, Y. Asami, Tetsuya Yamamoto
Objective: Ingestion of yogurt containing Lactobacillus gasseri PA-3(PA-3, Accession No : NITE BP-224) (PA-3Y)has been shown to reduce serum uric acid(SUA)levels by interfering with the intestinal absorption of food-derived purines in animal studies. To confirm this mechanism in humans, the ability of PA-3 intake to alleviate purine ingestion-induced increases in SUA levels was analyzed. Research Methods and Procedures: In this randomized, double-blind, placebo-controlled crossover study, 16 healthy adults were randomized to groups ingesting of 112 g of PA-3Y or yogurt without PA-3(control yogurt)in addition to standardized meals for 3 days. Purine-loading tests, in which subjects ingested 112 g of PA-3Y or control yogurt followed immediately by 498 mg of a mixture of purine nucleotides, were performed on the fourth day of each test period. Blood and urine samples were collected before and after the purine-loading tests. Results : The increase in the SUA concentration from the baseline was significantly lower following the ingestion of PA-3Y than of control yogurt alone, especially at 30(P=0.033)and 60(P=0.028)minutes. In addition, the area under the curve for the increase in the SUA concentration from the baseline to 150 minutes was also significantly lower (P=0.041)in the PA-3Y than in the control yogurt group. However, urinary and fractional excretions of uric acid were not different between the two groups. Conclusion : The ingestion of PA-3 before purine intake alleviates the increase in SUA levels, probably by reducing purine absorption in the intestine, and not by enhancing urinary excretion of uric acid. Introduction Hyperuricemia is defined as a serum uric acid (SUA)concentration over 7.0 mg dL1. Persistent hyperuricemia can lead to the deposition of urate crystals in the joints and kidneys, resulting in acute arthritis or kidney injury such as nephrolithiasis and nephropathy13). Hyperuricemia has also been associated Masafumi Kurajoh1, 2) Yuji Moriwaki1) Hidenori Koyama1) Hiroshi Tsuboi3) Hirotaka Matsuda3) Naruomi Yamada3) Chizuru Saito3) Hiroshi Kano3) Yukio Asami3) Tetsuya Yamamoto1) Yogurt containing Lactobacillus gasseri PA-3 alleviates increases in serum uric acid concentration induced by purine ingestion: a randomized, double-blind, placebo-controlled study 受付:2017年11月10日,受理:2018年3月2日 1) Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine 2) Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine 3) Food Science Research Laboratories, Meiji Co., LTD.
目的:在动物研究中,摄入含有乳酸杆菌PA-3(PA-3,文献号:NITE BP-224) (PA-3Y)的酸奶已被证明通过干扰肠道对食物来源嘌呤的吸收来降低血清尿酸(SUA)水平。为了在人体中证实这一机制,研究人员分析了PA-3摄入减轻嘌呤摄入引起的SUA水平升高的能力。研究方法和程序:在这项随机、双盲、安慰剂对照的交叉研究中,16名健康成年人被随机分为各组,在标准化膳食的基础上,连续3天摄入112克PA-3Y或不含PA-3的酸奶(对照酸奶)。嘌呤负荷试验,在每个试验期的第四天进行,受试者摄入112克PA-3Y或对照酸奶,然后立即摄入498毫克嘌呤核苷酸混合物。在嘌呤负荷试验前后分别采集血样和尿样。结果:摄入PA-3Y后,与单独服用对照酸奶相比,SUA浓度较基线的增加明显降低,特别是在30分钟(P=0.033)和60分钟(P=0.028)时。此外,从基线到150分钟,PA-3Y组的SUA浓度增加的曲线下面积也显著低于对照组(P=0.041)。然而,两组之间的尿液和部分尿酸排泄没有差异。结论:在摄入嘌呤之前摄入PA-3可以减轻SUA水平的升高,可能是通过减少肠道对嘌呤的吸收,而不是通过增加尿中尿酸的排泄。高尿酸血症定义为血清尿酸(SUA)浓度超过7.0 mg dL1。持续的高尿酸血症可导致尿酸盐晶体沉积在关节和肾脏,导致急性关节炎或肾损伤,如肾结石和肾病(13)。高尿酸血症也与kurajo1、2、moriwaki Yuji 1、koyamhidenori 1、Tsuboi3、matsudahirotak3、yamadnaruomi 3、Chizuru Saito3、Kano3、asamiyukio 3、yamamoto哲也1、含有乳酸杆菌PA-3的酸奶可减轻嘌呤摄入引起的血清尿酸浓度升高;一项随机、双盲、安慰剂对照研究兵库医学院内科糖尿病、内分泌和代谢科2大阪城市大学医学院代谢、内分泌和分子医学系3明治株式会社食品科学研究实验室
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引用次数: 5
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GOUT AND NUCLEIC ACID METABOLISM
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