黄嘌呤脱氢酶突变和内皮功能正常的1型黄嘌呤尿

S. Miyazaki, T. Hamada, S. Sugihara, E. Mizuta, Yusuke Endo, A. Ohtahara, K. Komatsu, M. Kuwabara, T. Fukuuchi, K. Kaneko, K. Ichida, K. Ogino, H. Ninomiya, K. Yamamoto, Takashi Nakamura, I. Hisatome
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引用次数: 2

摘要

黄嘌呤尿中极低水平的血清尿酸(SUA)是否与内皮功能损害和运动性急性肾损伤(EIAKI)有关尚不清楚。一名59岁女性,无EIAKI或尿石症,血清和尿液中UA水平未检测到,尿液中次黄嘌呤和黄嘌呤水平升高。遗传分析显示XDH基因纯合突变[c.1585][3] [j]。血流介导的舒张在正常范围内。这是首例SUA水平极低,黄嘌呤脱氢酶(XDH)突变的黄嘌呤尿和内皮功能正常的病例报告。
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Xanthinuria Type 1 with a Novel Mutation in Xanthine Dehydrogenase and a Normal Endothelial Function
Whether or not extremely low levels of serum uric acid (SUA) in xanthinuria are associated with impairment of the endothelial function and exercise-induced acute kidney injury (EIAKI) is unclear. A 59-year-old woman without EIAKI or urolithiasis had undetectable levels of UA in serum and urine and elevated levels of hypoxanthine and xanthine in urine. A genetic analysis revealed homozygous mutations in the XDH gene [c.1585 C>T (p. Gln529*)]. Flow-mediated dilation was within the normal range. This is the first report of a case with extremely low levels of SUA, xanthinuria with novel mutations of xanthine dehydrogenase (XDH) and a normal endothelial function.
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