Gout, with a section on ocular disease in the goutyLlewellyn, Llewellyn J. (Llewellyn Jones)
Science
Gout, with a section on ocular disease in the gouty
Llewellyn, Llewellyn J. (Llewellyn Jones)
Eye -- Diseases; Gout
The question then arises as to what becomes of that moiety of the _food
purins_ which fails to appear in the urine as _uric acid_. Now the amount
of allantoin that appears in the urine is negligible. Moreover, Ackroyd,
having shown that the organism cannot destroy allantoin, it is possible
that the minimal amounts excreted thereof in the urine are all derived
from the food.
Accordingly, if, as experimental feeding with _purins_ or _nucleic acid_
appears to indicate, purins are destroyed in the body they “pass through
some other route than allantoin, and possibly, that part of the purin
which is destroyed does not pass through the stage of uric acid.” Such is
Wells’ opinion, and he reminds us that _in vitro_ the destruction of uric
acid can be attained by other routes than through allantoin. Thus, it can
be broken down into glycocoll, ammonia, and CO₂, or by another method of
disintegration it furnishes first alloxan (C₄H₂N₂O₄), then parabanic acid
(C₃H₂N₂O₃), which in turn yields oxalic acid and urea.
But while it is probable that there is more than one way in which uric
acid can be decomposed in the body, nevertheless there is, according to
Wells, no evidence that either of the alternative routes above suggested
is ever affected in the animal body. In this _impasse_ Siven suggests the
further possibility, viz., that the moiety of the food-purins which fail
of recovery from the urine undergo partial destruction in the intestine
by _bacteria_.
Stewart, however, in his “Physiology,” discussing _uricolysis_, maintains
that a considerable destruction of uric acid and other purin bodies
goes on in the body and mainly in the _liver_. He reminds us that when
uric acid is heated in a sealed tube with strong hydrochloric acid, it
breaks down into glycin, carbon-dioxide and ammonia, and he maintains
that “there are grounds for believing that a similar decomposition takes
place in the body, and that the products are then transformed into urea
in the _liver_”; this, through the agency of a special ferment called the
_uricolytic enzyme_.
Also, Flack and Hill, discussing the metabolism of _nuclein_, hold that
some of the uric acid thus formed may be transmuted into urea by an
uricolytic ferment present in the _liver_, muscles, and _kidneys_. This
same agent they consider “probably destroys a considerable amount of the
uric acid formed in the body. Indeed, uric acid, even when given in the
food, owing to the presence of this enzyme, causes no increase in the
uric acid output of the body.”
Public-domain text, read in full here on John Shaqi.
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