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 that now confronted the observers was whether the
stimulation of nuclear metabolism was an _inherent_ property of
amino-acids. If so, “_substituted_ amino-acids might be expected to exert
a similar influence.” But, if on the contrary, it was due not to the
amino-acids as such but “either to the cellular work of their katabolism
or to the intermediary products of their breakdown, a substituted
amino-acid which does not follow the normal path of amino-acid catabolism
would in all probability be devoid of the power of stimulation.”
To this end, they selected _sarcosine_ or _methyl-glycocoll_ to elucidate
the point at issue; this, inasmuch as it has been found to pass through
the organism for the most part unchanged. The result justified their
inference, for _no_ perceptible influence on uric acid excretion was
noted. Hence, on the basis of this experiment, they inferred that the
stimulation of uric acid metabolism was not an _inherent_ property of
_amino-acids_; in other words, that if an amino-acid when ingested does
not undergo disruptive katabolism, it is without effect on uric acid
excretion.
Now _deaminisation_ is the first stage in the katabolism of
_amino-acids_, yielding as products _ammonia_ and _a-ketonic_ or _hydroxy
acids_. The ammonia thus formed normally undergoes conversion into _urea_
and is excreted as such. In order to ascertain whether the _ammonia_
stimulated uric acid excretion, _ammonium chloride_ was administered,
but no rise in the uric acid output above the normal level ensued.
Also, the ingestion of _urea_ seemed to entail no appreciable increase
in the uric acid elimination; in other words, these katabolic products
of the _nitrogenous_ moiety of the amino-acids are without effect.
As to the _non-nitrogenous_ intermediary products of the katabolism
of amino-acids, _i.e._, the _a-ketonic_ or _hydroxy acids_, it was
impossible to investigate the influence of these on the endogenous uric
acid elimination.[14]
Lusk also has brought forward evidence that in the presence of
amino-acids cellular activities are intensified markedly. According to
Taylor and Rose, too, not only _nuclear katabolism_, but also _nuclear
anabolism_, may be accelerated by the presence of large amounts of
amino-acids.
Lewis and his collaborators consider that the results of their researches
militate against Mares’ hypothesis, viz., that the origin of the
increased amounts of endogenous uric acid that follow the intake of
purin-free protein stuffs is referable to _intensified activity of the
digestive glands_.
_They hold that “it can be accounted for equally well as the result of
a general stimulation of all cellular metabolism by the products of
digestion of proteins the amino-acids.”_
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