Article
Pharmacology & Pharmacy
Toshinari Takahashi, Takanobu Beppu, Yuji Hidaka, Tatsuo Hosoya
Summary: Dotinurad effectively lowers serum uric acid levels in hypertensive patients with gout or asymptomatic hyperuricemia, especially at a dose of 4 mg, with consistent long-term results. The drug has a high achievement rate of over 80% in reaching the target serum uric acid level of <= 6.0 mg/dL in both short-term and long-term analyses.
CLINICAL AND EXPERIMENTAL HYPERTENSION
(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
Endocrinology & Metabolism
Austin G. Stack, David Han, Ronald Goldwater, Susanne Johansson, Nalina Dronamraju, Jan Oscarsson, Eva Johnsson, Joanna Parkinson, Fredrik Erlandsson
Summary: The study found that combining dapagliflozin with verinurad and febuxostat can effectively lower sUA levels without increasing urinary uric acid excretion, indicating that this combination therapy does not adversely affect kidney function.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Pharmacology & Pharmacy
Tomohiko Ishikawa, Toshinari Takahashi, Tetsuya Taniguchi, Tatsuo Hosoya
Summary: Dotinurad, a selective urate reabsorption inhibitor (SURI), is approved for the treatment of gout and hyperuricemia in Japan. It is expected to be a new therapeutic option in hyperuricemic patients with and without gout, with efficacy in reducing serum urate levels and no safety concerns identified, even in patients with mild to moderate renal or hepatic impairment.
EXPERT OPINION ON PHARMACOTHERAPY
(2021)
Article
Medicine, General & Internal
Meng-Ko Tsai, Kuang-Chen Hung, Chun-Cheng Liao, Lung-Fa Pan, Chia-Lien Hung, Deng-Ho Yang
Summary: This study found that low testosterone levels in men may be associated with an increased risk of hyperuricemia.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Urology & Nephrology
Austin G. Stack, Nalina Dronamraju, Joanna Parkinson, Susanne Johansson, Eva Johnsson, Fredrik Erlandsson, Robert Terkeltaub
Summary: In patients with hyperuricemia and type 2 diabetes mellitus, treatment with verinurad combined with febuxostat lowered albuminuria levels and serum urate concentrations without impacting kidney function. Larger clinical studies are needed to definitively assess their combined impact on kidney preservation.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Article
Rheumatology
Tianyi Zhao, Ling Cao, Cong Lin, Rui Xu, Xingchen Du, Mengmeng Zhou, Xue Yang, Weiguo Wan, Hejian Zou, Xiaoxia Zhu
Summary: During acute gout attacks, spontaneous serum uric acid (SUA) decrease was observed in both gout patients and gouty mice, and it was correlated with increased levels of CRP and IL-1β. Intestinal uric acid excretion was found to be increased in mice during gout attacks, and this was associated with the upregulation of ABCG2 expression and PI3K/Akt activation in intestinal epithelial cells.
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)
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
Rheumatology
Shijia Liu, Yingzhuo Wang, Huanhuan Liu, Tingting Xu, Ma-Jie Wang, Jiawei Lu, Yunke Guo, Wenjun Chen, Mengying Ke, Guisheng Zhou, Yan Lu, Peidong Chen, Wei Zhou
Summary: Lipidomics was used to characterize the systemic lipid profile of patients with asymptomatic hyperuricemia (HUA) and gout. Serum biomarkers panel that have the potential to predict and diagnose HUA and gout patients were identified.
Article
Rheumatology
Ruriko Koto, Akihiro Nakajima, Hideki Horiuchi, Hisashi Yamanaka
Summary: While the prevalence of hyperuricemia is similar in Japan and worldwide, gout is relatively rare in Japan. Gout and asymptomatic hyperuricemia are often treated with low-dose urate-lowering therapy (ULT), but many patients fail to achieve target serum uric acid levels, suggesting suboptimal gout management in Japan. Patients would benefit from a stricter focus on a treat-to-target approach for gout management.
MODERN RHEUMATOLOGY
(2021)
Review
Medicine, General & Internal
Ayman Iqbal, Kinza Iqbal, Eisha Farid, Ali Ishaque, Muhammad Hasanain, Taha Bin Arif, Shajeea Arshad Ali, Sawai Singh Rathore, Mehreen Malik
Summary: Dotinurad demonstrates significant improvement in serum uric acid levels in hyperuricemic patients with or without gout, showing comparable urate-lowering effect to commonly available anti-hyperuricemic agents. The 2 mg dose is effective and well-tolerated.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Urology & Nephrology
Toshinari Takahashi, Takanobu Beppu, Yuji Hidaka, Tatsuo Hosoya
Summary: The efficacy of Dotinurad was confirmed in hyperuricemic patients with normal renal function (stage G1) and mild to moderate renal dysfunction (stage G2-G3b). Dotinurad was found to be effective in the treatment of hyperuricemia in patients with mild to moderate renal dysfunction, with stable eGFR levels observed even in stages G3a and G3b.
CLINICAL AND EXPERIMENTAL NEPHROLOGY
(2021)
Article
Pharmacology & Pharmacy
Haochen Guan, Huagang Lin, Xiaojun Wang, Ying Xu, Yuqi Zheng, Xun Zhou, Xuehong Diao, Zhibin Ye, Jing Xiao
Summary: This study found that autophagy plays a key role in renal tubular injury and abnormal urate reabsorption induced by hyperuricaemia. Inhibiting autophagy can alleviate NKA impairment-mediated mitochondrial dysfunction and abnormal urate reabsorption, which may be a promising treatment for hyperuricaemia.
EUROPEAN JOURNAL OF PHARMACOLOGY
(2022)
Review
Biochemistry & Molecular Biology
Robert Eckenstaler, Ralf A. Benndorf
Summary: Urate homeostasis in humans is a complex and highly heritable process that involves metabolic urate biosynthesis, renal urate reabsorption, and renal and extrarenal urate excretion. ABCG2 plays a crucial role in urate transport and is associated with early-onset gout.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)