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 what becomes of that portion of the ingested purin that, so to
speak, disappears in the body, is largely a matter of speculation. As
MacCallum states, “the liberation of guanine and adenine is well in the
line of uric acid formation,” but “the fate of the pyrimidin groups,
thymine and cytosine, is still uncertain.” According to this observer,
Levene has hitherto been unable to find an enzyme which will decompose
the _nucleoside_ in which they occur, and that since they cannot form
uric acid, they are possibly excreted as _urea_ or in other forms. He
adds that only 50 per cent. of the nucleic acid nitrogen can be counted
on for the production of _uric acid_, viz., that in the guanine and
adenine groups.
MacLeod, discussing this same point, suggests that some of the
unrecovered purin may undergo decomposition in the intestine, but why so
much should, after absorption of the blood, disappear is, as he remarks,
difficult of explanation; for while _uricase_, which can decompose uric
acid, exists in the tissues of the lower animals, no such ferment is
found in man, and uric acid is excreted as such. According to MacLeod,
too, “the destroyed purins cannot be shown to influence any of the other
well-known nitrogenous metabolites of the urine.”
Lastly, Stewart, discussing the ultimate destiny of the absorbed
products of _nucleic acid_ digestion, suggests that, when undergoing
further cleavages, “they may be in part utilised for the synthesis
of nucleo-proteins, replacing those destroyed in the process of cell
metabolism;” or, that it is “possible that they may be wholly disrupted
into their components, and these again re-synthesised.”... “Finally, and
this fate is probably not long delayed in the case of the surplus of
purin compounds contained in ordinary dietaries, both the purins of the
food and the purins arising from the waste of the tissues, are for the
most part converted into uric acid and excreted in the urine.”
Also, it should be recollected that the purin bases normally found in
human _fæces_ are in part of _exogenous_ origin, and are increased in
amount after the ingestion of meat extract or thymus.
ENDOGENOUS PURINS
Even if we entirely eliminate all purin substances, by restricting the
diet to _purin-free_ foodstuffs (bread, milk, cheese, eggs and butter),
purin in the form of _uric acid_ is still excreted in the urine.
To this moiety the term _endogenous_ purin is applied; for the continued
excretion of purin on such a diet is explicable only on the view that
they are derived from the waste of the tissues, the daily “wear and
tear” of cells. In other words, it is the outcome of the katabolism of
the _nucleo-protein_ of the body tissues.
SOURCE OF ENDOGENOUS PURINS
_Is the nuclear destruction of localised or generalised distribution?_
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