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
As to the _solubilities_ of uric acid and urates in gouty blood he points
out that the suspension capability of the blood-stream for uric acid much
transcends the highest amount of uric acid as yet found in the gouty
subject. Accordingly, to him, therefore, it seems that “neither chemical
nor physico-chemical processes suffice to explain the problem. There must
be something more, something vital, biological.”
Having ascertained as far as possible the measure of our knowledge in
regard to the foregoing points, we shall, in the succeeding chapter,
proceed to discuss the _sources_ of _uric acid_, whether of intrinsic or
extrinsic origin.
CHAPTER VII
SOURCES OF URIC ACID
Uric acid, like the “purin bodies” (xanthine, hypoxanthine, guanine,
and adenine), is derived from _nucleins_, _i.e._, from the breaking
down of tissues rich in cells. The end-product of purin or nuclein
katabolism _uric acid_ represents but a further stage in the oxidation
of the _purin_ bodies. To the serial enzymatic transformations that mark
its derivation from _nucleic acid_ we shall allude later, but at this
juncture we are concerned not with the _mode_ of _formation_ of uric
acid, but with the sources thereof.
In this sphere we are greatly indebted to the pioneer researches of
Burian and Schur. These observers noted that on a diet rich in _nucleins_
(sweetbreads, liver, kidneys) the total daily excretion of uric acid was
considerably higher than on a milk or purin-free diet. This difference
in response to varying dietaries, in respect of the excretion of uric
acid, led Burian and Schur to the conclusion that the purins excreted
must be partly of _exogenous_ and partly of _endogenous_ origin; in other
words, the exogenous purins are derived from the nucleins ingested in the
food, whereas the endogenous are the outcome of the breaking down of the
cellular tissue of the organism itself.
Here it may be noted that all the ingested purins are not excreted in the
urine as uric acid, for some pass away as _purins_. Moreover, the amount
excreted will vary with the kind of purin ingested, and also with the
_species_ of the animal that consumes it. Thus, in man “only one half of
the hypoxanthine administered as such appears as uric acid in the urine,
and but one fourth of the purin in nuclein when that is fed. In the
dog, compared with man, about ten times as much purin disappears in its
passage through the organism; in the rabbit, about three times” (Flack
and Hill).[11]
In amount about 0·4-0·7 gramme of uric acid is excreted in _human_ urine
daily, and the purin bodies, hypoxanthine, xanthine, and adenine, in
small quantities.
Public-domain text, read in full here on John Shaqi.
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