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
Despite V. Mach’s revelation, the origin of uric acid from nucleic acid
was still to seek. In the year following (1889) Horbaczewski traced it to
this source, and in the following manner. Mixed with water, the pulp of
the calf’s spleen was put to digest at 50° until putrefaction began. The
fluid was then sterilised with a solution of lead acetate, and arterial
blood being added it was kept at 50°, a current of air meanwhile being
passed slowly through the mixture. Subsequently the fluid was found to
contain _uric acid_; but the experiment being repeated, without the
passage of air, _xanthine and hypoxanthine_ and not uric acid resulted.
While Horbaczewski’s experimental findings were amply confirmed, some
of his deductions therefrom were subsequently proved faulty. (Thus, he
thought putrefaction an essential factor; also he believed that the
formation of uric acid ensued _before_ the purin groups were disengaged
from the nucleic acid, and definitely affirmed that the uric acid was not
produced by the oxidation of _free_ xanthine or hypoxanthine.)
But, nevertheless, this pioneer established that in both _man_ and
rabbits _uric acid_ was derived from _nucleic acid_. Also, having
observed that when after starvation the food intake was resumed, a
_leucocytosis_ occurred, he announced his belief in the following theory.
Thus, he noted that _leukæmics_, whose blood showed a high leucocyte
count, excreted an unusually large amount of uric acid; consequently,
he came to the conclusion that _uric acid_ was formed from _defunct
leucocytes_. Also that nuclein-rich food, when ingested, contributed to
the formation of uric acid only in so far as it induced leucocytosis.
Hence the origin of the increased uric acid excretion which occurs when
feeding is resumed after starvation.
This increased excretion of uric acid after the ingestion of food rich in
_nucleic acid_ has been amply confirmed; but all the earlier attempts to
achieve an increased excretion by the ingestion of _free_ purin bases,
as opposed to the _combined_ purin bases, existing as such in _nucleic
acid_, failed, although tried repeatedly.
So much for the various stages by which our knowledge of the purin
derivatives of nucleic acid has been gradually acquired, for though
_purin bases_ had, from early times, been known to exist in _animal_
tissues, their presence there could not be rationally accounted for prior
to the discovery of _nucleic acid_.
It still remains for us to deal in detail with the further developments
of our knowledge which concern the _disruption of nucleic acid in the
body_ and the process by which _uric acid_ is derived therefrom.
But before proceeding to consider in detail the complex series or
_enzymatic_ transformation that this entails, it will, I think, be wiser
to deal first with the _chemistry_ of uric acid, its _solubilities_, and
its _sources_, whether exogenous, endogenous or synthetic.
THE CHEMISTRY OF URIC ACID AND THE PURIN BODIES
Public-domain text, read in full here on John Shaqi.
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