cold fat, while they get bilious with the other. The same thing
applies to butter. All these things we must honestly observe, each
man for himself, and we must not let our likes and our appetites,
nor our prejudices, sway the conclusions of personal experience and
scientific knowledge. Dr. Haig has shown us how many of our ailments
are connected with excess of uric acid in the blood, and how much
this excess is due to certain foods such as meat, which contains what
Fischer named purine bodies. The following extract from Halliburton’s
_Handbook of Physiology_ will partially explain this subject:
*Origin of Uric Acid.*--Uric acid is not made by the kidneys; when
these organs are removed, uric acid continues to be formed, and
accumulates in the organs, especially in the liver and spleen. After
extirpation of the liver in birds (in which animals uric acid is such
an important katabolite) the formation of uric acid practically ceases,
and its place is taken by ammonia and lactic acid, and the conclusion
is therefore drawn that in these animals ammonia and lactic acid are
normally synthesized in the liver to form uric acid. But in mammals
this is not the history of uric acid formation; in these animals,
including man, uric acid is the end-product of the metabolism of
nuclein, from the bases of which it arises by oxidization. Nuclein,
the main constituent of the nuclei of cells, yields on decomposition
certain products called purine substances, and their close relationship
to uric acid is shown by their formulæ:
PURINE BASES.
Purine C_{5}H_{4}N_{4}
Hypoxanthine (monoxypurine) C_{5}H_{4}N_{4}O
Xanthine (dioxypurine) C_{5}H_{4}N_{4}O_{2}
Adenine (amino-purine) C_{5}H_{3}N_{4}NH_{2}
Guanine (amino-oxypurine) C_{5}H_{3}N_{4}ONH_{2}
Uric acid (trioxypurine) C_{5}H_{4}N_{4}O_{3}
“Just as the ordinary protein metabolism is both exogenous and
endogenous, so is it the case with nuclein metabolism. There are
certain kinds of food (such as liver and sweetbread) which are rich
in nuclei, and others, such as meat, which are rich in purine bases
(especially hypoxanthine). The increase in uric acid excretion after
partaking of such food is exogenous, and those liable to uric acid
disorders should avoid such articles of diet. Other forms of diet
lead to an increase of uric acid formation by increasing the number
of leucocytes in the blood, and there is a consequent increase in
the metabolism of their nuclei. Increase in leucocytes may, however,
be present independently of diet, and in the disease known as
leucocythæmia this occurs to a marked degree; in such cases uric acid
formation increases. Although special attention has been directed to
the nuclei of leucocytes, because these can be readily examined during
life, it must be remembered that the nuclein metabolism of all cells
may contribute to uric acid formation. Uric acid, which originates by
metabolism, is spoken of as endogenous.”
Public-domain text, read in full here on John Shaqi.
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