Article
Nutrition & Dietetics
Stephen P. Juraschek, Edgar R. Miller, Beiwen Wu, Karen White, Jeanne Charleston, Allan C. Gelber, Sharan K. Rai, Kathryn A. Carson, Lawrence J. Appel, Hyon K. Choi
Summary: The study investigated the effects of a dietitian-directed DASH-patterned groceries on serum urate levels in gout patients, showing potential benefits but also noting the vulnerability to strong carryover effects in crossover trials without a washout period. Further research with controlled feeding trials is needed to definitively evaluate the DASH diet as a treatment for gout.
Article
Immunology
Lei Pang, Xiaomei Xue, Yuwei He, Can Wang, Lin Han, Maichao Li, Han Qi, Changgui Li, Jie Lu
Summary: This study aimed to explore the relationship between the decrease in serum urate and the risk of gout flares during urate-lowering therapy (ULT) initiation. The results showed that the degree of decrease in serum urate is affected by baseline serum urate, and higher baseline serum urate and greater decrease in serum urate increase the risk of gout flares.
JOURNAL OF INFLAMMATION RESEARCH
(2023)
Article
Rheumatology
T. Uhlig, L. F. Karoliussen, J. Sexton, T. K. Kvien, E. A. Haavardsholm, F. Perez-Ruiz, H. B. Hammer
Summary: This study investigates the relationship between fluctuation and change in serum urate (SU) levels and the occurrence of gout flares. The results show that fluctuations and changes in SU levels are related to gout flares, while changes between visits and reaching higher SU levels are not.
CLINICAL RHEUMATOLOGY
(2022)
Article
Medicine, General & Internal
Xiaomei Xue, Xuan Yuan, Lin Han, Xinde Li, Tony R. Merriman, Lingling Cui, Zhen Liu, Wenyan Sun, Can Wang, Fei Yan, Yuwei He, Aichang Ji, Jie Lu, Changgui Li
Summary: The study results demonstrate that a clinical hyperuricemia typing treatment strategy can help increase the proportion of gout patients achieving target serum urate levels.
FRONTIERS IN MEDICINE
(2022)
Article
Endocrinology & Metabolism
Zijing Ran, Xiaomei Xue, Lin Han, Robert Terkeltaub, Tony R. Merriman, Ting Zhao, Yuwei He, Can Wang, Xinde Li, Zhen Liu, Lingling Cui, Hailong Li, Aichang Ji, Shuhui Hu, Jie Lu, Changgui Li
Summary: The decrease in serum urate level is positively associated with reduced visceral fat area in male gout patients, suggesting a potential benefit of urate-lowering therapy in promoting loss of visceral fat.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Article
Medicine, General & Internal
Ted R. Mikuls
Summary: A 64-year-old man presents with pain, redness, and swelling in his left foot, and is unable to bear weight on it. He has a history of similar episodes in his right big toe and right elbow, which were relieved with naproxen. He also has hypertension, type 2 diabetes, and moderate chronic kidney disease. Physical examination reveals warmth, redness, and nodules in the left first metatarsophalangeal joint.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Rheumatology
Kanon Jatuworapruk, Rebecca Grainger, Nicola Dalbeth, Ratchaya Lertnawapan, Punchong Hanvivadhanakul, Patapong Towiwat, Lianjie Shi, William J. Taylor
Summary: This study developed and validated a risk stratification tool for predicting gout flare in hospitalized patients with comorbid gout. The GOUT-36 rule, which includes four items, showed good sensitivity and specificity for classifying high-risk patients. This tool can inform clinical decisions and future research on preventing inpatient gout flares.
Review
Rheumatology
Chang-Nam Son, Sarah Stewart, Isabel Su, Borislav Mihov, Gregory Gamble, Nicola Dalbeth
Summary: Global patterns in gout management show low proportions of patients achieving T2T indicators. Studies in Asia and Oceania are limited compared to North America and Europe.
SEMINARS IN ARTHRITIS AND RHEUMATISM
(2021)
Article
Genetics & Heredity
Yanfei Zhang, Ming Ta Michael Lee
Summary: The study validated the use of urate-PRS for early identification of high-risk gout patients. Enhancing the PRS with demographic factors significantly improved model performance, providing a valuable tool especially in population health.
FRONTIERS IN GENETICS
(2021)
Review
Medicine, General & Internal
Nicola Dalbeth, Anna L. Gosling, Angelo Gaffo, Abhishek Abhishek
Summary: Gout is a common and treatable disease caused by the deposition of monosodium urate crystals in the body, leading to arthritis. Long-term urate lowering therapy is effective in preventing gout flares and improving quality of life.
Article
Medical Laboratory Technology
Zheng Zhong, Yukai Huang, Qidang Huang, Shaoling Zheng, Zhixiang Huang, Weiming Deng, Tianwang Li
Summary: This study investigated the serum metabolic profiling of gout patients compared to healthy controls using UPLC-Q-TOF/MS, revealing significant differences in metabolites between the two groups. Bilirubin was identified as a potential biomarker for gout, and primary bile acid biosynthesis was suggested as a novel metabolic pathway.
CLINICA CHIMICA ACTA
(2021)
Article
Rheumatology
Lisa K. Stamp, Hamish Farquhar
Summary: The purpose of gout treatment is to alleviate symptoms of flares, prevent flares from recurring by lowering serum urate, and minimize structural joint damage and functional impairment. Despite the availability of multiple effective therapies, suboptimal management and outcomes are often due to under-prescribing of urate-lowering therapy by physicians and poor adherence with prescribed therapy by patients.
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
(2021)
Review
Biochemistry & Molecular Biology
Wei-Zheng Zhang
Summary: Gout is a multifactorial metabolic disease where the role of hyperuricemia in its development is not solely definitive. Understanding the intricate role of serum uric acid (SUA) in gout pathogenesis is crucial for advancing clinical and pharmaceutical approaches towards a cure for the disease.
Article
Rheumatology
Melanie Birger Morillon, Robin Christensen, Jasvinder A. Singh, Nicola Dalbeth, Kenneth Saag, William J. Taylor, Tuhina Neogi, Martin A. Kennedy, Birthe M. Pedersen, Geraldine M. McCarthy, Beverley Shea, Cesar Diaz-Torne, Sara K. Tedeschi, Rebecca Grainger, Abhishek Abhishek, Angelo Gaffo, Sabrina Mai Nielsen, Alexander Noerup, Lee S. Simon, Marissa Lassere, Peter Tugwell, Lisa K. Stamp
Summary: This paper outlines the definitions of biomarkers and surrogate outcome measures, respectively, as well as the available frameworks and challenges in assessing the validity of serum urate as a surrogate in gout treatment.
SEMINARS IN ARTHRITIS AND RHEUMATISM
(2021)
Article
Multidisciplinary Sciences
Anya Topiwala, Kulveer Mankia, Steven Bell, Alastair Webb, Klaus P. Ebmeier, Isobel Howard, Chaoyue Wang, Fidel Alfaro-Almagro, Karla Miller, Stephen Burgess, Stephen Smith, Thomas E. Nichols
Summary: The potential association between neurodegenerative disease risk and gout is not fully understood. Here the authors showed that gout is causally related to several measures of brain structure which may explain their higher vulnerability to dementia. Studies of neurodegenerative disease risk in gout are contradictory. Relationships with neuroimaging markers of brain structure, which may offer insights, are uncertain. Here we investigated associations between gout, brain structure, and neurodegenerative disease incidence. Gout patients had smaller global and regional brain volumes and markers of higher brain iron, using both observational and genetic approaches. Participants with gout also had higher incidence of all-cause dementia, Parkinson's disease, and probable essential tremor. Risks were strongly time dependent, whereby associations with incident dementia were highest in the first 3 years after gout diagnosis. These findings suggest gout is causally related to several measures of brain structure. Lower brain reserve amongst gout patients may explain their higher vulnerability to multiple neurodegenerative diseases. Motor and cognitive impairments may affect gout patients, particularly in early years after diagnosis.
NATURE COMMUNICATIONS
(2023)
Article
Rheumatology
Walter P. Maksymowych, Nele Herregods, Nisha Varma, Arthur B. Meyers, Jennifer Stimec, Andrea S. Doria, Nikolay Tzaribachev, Tarimobo M. Otobo, Marion A. van Rossum, Joel Paschke, Stephanie Wichuk, Robert G. Lambert
Summary: This study aimed to investigate whether systematic calibration improves the scoring proficiency of JAMRIS-SIJ and whether contrast-enhancement enhances its performance. The results showed that calibrated readers achieved greater reliability in scoring specific inflammatory and structural lesions. Sensitivity and reliability for scoring inflammatory lesions were higher on fluid-sensitive sequences compared to contrast-enhanced sequences. Therefore, systematic calibration should be implemented before using JAMRIS-SIJ in clinical trials, and it is unlikely that contrast-enhanced MRI will improve the performance of this method.
SEMINARS IN ARTHRITIS AND RHEUMATISM
(2024)
Article
Rheumatology
L. van Ouwerkerk, S. A. Bergstra, T. D. Maarseveen, T. W. J. Huizinga, R. Knevel, C. F. Allaart
Summary: This study evaluated whether the initial use of glucocorticoid (GC) bridging in RA patients leads to a higher probability of long-term GC and bDMARD use. The results showed that patients who initially started GC had a higher risk of later GC use, but the risk of bDMARD use was not significantly increased.
SEMINARS IN ARTHRITIS AND RHEUMATISM
(2024)
Article
Rheumatology
ShuangHua Liu, YiMei Tan, WeiDong Huang, HongSheng Luo, BingCheng Pan, Shuan Wu
Summary: This study assessed the cardiovascular safety of zoledronic acid in the treatment of primary osteoporosis. The results showed that in women with primary osteoporosis, zoledronic acid may increase the risk of atrial fibrillation and arrhythmias, but the cardiovascular risk in men with osteoporosis is uncertain.
SEMINARS IN ARTHRITIS AND RHEUMATISM
(2024)