The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
The more fortunate of human beings need never concern themselves
with the chemical history of uric acid. It is always present in
their body-fluids. It is excreted by the kidney. Its formation is
of no greater interest than that of creatinin and other nitrogenous
compounds which escape the almost universal reduction to urea. Persons
who have a uric acid diathesis are in a very different plight. Every
scrap of evidence bearing upon its origin is of supreme importance.
Unfortunately, the evidence collected as yet is scanty, and its
application for remedial purposes impracticable.
The only disease in which uric acid is invariably in excess is
leucocythæmia. This is a condition or habit marked by the presence
in the blood of a very great number of white blood-corpuscles and
a paucity of red ones. The connection between this disease and the
production of uric acid is made plain by certain experiments in diet.
If flesh which contains relatively a large proportion of cell-nuclei
is eaten, the uric acid excreted is markedly increased. Sweetbread,
especially “neck sweetbread”—_i.e._, thymus gland—is a mass of
comparatively small cells with large nuclei. If thymus gland be
substituted for all other meaty foods, the quantity of uric acid
appearing in the urine is doubled. A large increase in the quantity of
ordinary meat or fish consumed also increases uric acid, because all
meat-fibres contain nuclei. If egg-albumin be taken instead of meat,
uric acid is not increased. A sudden excess of muscular work leads to
an increase in uric acid, owing presumably to the unusual activity
of the tissues. This used to be very noticeable in the case of young
men during the first few days of “training” under the old system;
but it may have been due to the generous consumption of chops and
steaks, rather than to the increase in physical work, and consequent
destruction of tissue. Nuclei contain nucleo-proteins, which split
into proteins and nuclein. Chemically, it is reasonable to attribute
to nuclein the parentage of uric acid; a plausible line of descent can
be traced. The association of leucocythæmia with the production of uric
acid is probably due to the destruction of leucocytes which are present
in abnormal numbers (_cf._ p. 53).
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