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 experiments were conducted with great care, and with as complete
control as possible of the variable factors concerned. The investigators
realised that, if any significance was to be attached to fluctuations
in uric acid excretion following the intake of proteins and their
derivatives, it was essential that accurate information be obtained as to
the extent of the _variations_ to be expected _normally_ in the subjects
when _fasting_. “Controls,” therefore, in which no food was consumed
throughout the experiments, were instituted at frequent intervals so as
to make sure that the level of endogenous uric acid metabolism was not
altered by the long-continued _purin-free_ diet.[13]
Passing now to the results obtained, it was noted that, after the intake
of three types of _purin-free_ protein food (egg white, cottage cheese,
and glidine), there ensued _a rise in uric acid output_, reaching
its maximum during the third or fourth hour after their intake. No
quantitative differences in the uric acid output after ingestion of these
three types of protein were observed; in short, the findings did but
confirm what had been repeatedly demonstrated, viz., that the _excretion
of the endogenous uric acid is increased by purin-free protein food_.
AMINO-ACIDS AND DICARBOXYLIC AMINO-ACIDS
But the further interesting fact emerged, viz., that _glycocoll_ and
_alanine_, end-products of protein digestion, also _augmented_ uric acid
excretion; moreover, this even more swiftly than _proteins_, the maximum
being reached within two hours after their intake.
In addition, like results followed the ingestion of the _dicarboxylic_
amino-acids (glutaminic and aspartic acids), the increase in endogenous
uric acid excretion being even more pronounced than with glycocoll or
alanine.
Now, it must be recalled that the _amino-acids_ represent the
_end-products_ of protein digestion. Accordingly, Lewis and his
co-workers argue that “since no digestive processes are required for
the utilisation of amino-acids, it can hardly be considered that the
_rises in endogenous uric acid_ observed following the ingestion of four
different amino-acids can be attributed to the _work of the digestive
glands_.” The effect, they held, is more probably attributable to “a
direct stimulation of the body cells by amino-acids or their katabolism
products, a stimulation of nuclear metabolism,” for it is known that
amino-acids disappear very swiftly from the _blood-stream_ to be stored
up temporarily in the _tissues_.
Public-domain text, read in full here on John Shaqi.
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