High Waist Circumference and Increased Lipid Levels Predictive of Unfavorable Gout Outcomes Over 2 Years

Hibah Khaja, PharmD | January 17, 2024

Anthropometric measures remained stable over a 2-year period among patients actively treated for gout, while lipid levels showed a decrease. After 2 years, high waist circumference and lipid levels were associated with unfavorable gout outcomes.

Anthropometric measures remained stable over a 2-year period among patients actively treated for gout, while lipid levels showed a decrease. After 2 years, high waist circumference (WC) and lipid levels were associated with unfavorable gout outcomes, according to study results published in Rheumatic & Musculoskeletal Diseases Open.

Continue reading “High Waist Circumference and Increased Lipid Levels Predictive of Unfavorable Gout Outcomes Over 2 Years”

Does Gout Increase The Cardiovascular Disease Risk Factor?

Cardiovascular Disease and Gout

heart disease

The prevalence of cardiovascular disease continues to rise and is among the leading cause of mortality in the world. Inflammatory conditions such as Rheumatoid Arthritis and Gout are often associated with a higher risk and earlier onset of this disease. Research links gout to an increased risk of several types of cardiovascular disease, including heart attack, heart failure, and atrial fibrillation, or an irregular heartbeat. Epidemiological, experimental, and clinical data show that patients with hyperuricemia SUA are at increased risk of cardiac, renal, and vascular damage and CV events. Continue reading “Does Gout Increase The Cardiovascular Disease Risk Factor?”

Hyperuricemia as a potential plausible risk factor for periodontitis

Abstract

Author:  Zi-yun Chen,Lu-wen Ye,Li Zhao,Zhao-jia Liang,Ting Yu,Jie Gao

Publication:  Medical Hypotheses

Publisher: Elsevier

Date: April 2020

Elevated blood uric acid (UA) levels have been positively associated with the severity of periodontitis. It thus brings out a hypothesis that hyperuricemia, a pathological elevation of blood UA, might be a risk factor for periodontitis. Namely, periodontitis individuals with Hu might acquire more severe periodontal destruction compared to those without Hu. To support the hypothesis, four aspects of evidences are proposed.

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Wearable sweat sensor detects gout-causing compounds

Date:November 25, 2019

Source: California Institute of Technology

Summary: Scientists have developed an easier way to mass-produce highly sensitive sweat sensors that can detect a variety of low-concentration compounds related to health conditions.

There are numerous things to dislike about going to the doctor: Paying a copay, sitting in the waiting room, out-of-date magazines, sick people coughing without covering their mouths. For many, though, the worst thing about a doctor’s visit is getting stuck with a needle. Blood tests are a tried-and-true way of evaluating what is going on with your body, but the discomfort is unavoidable. Or maybe not, say Caltech scientists.

Continue reading “Wearable sweat sensor detects gout-causing compounds”

Is Uric Acid Good or Bad?

Purines perform multiple important functions within our cells, including regulating energy metabolism and signaling the energy conversion from one to another.  Purines are essentially the building blocks for all living things as a necessity for the growth, proliferation and survival of all cells.  The two purine bases, adenine and guanine, create bonds that form the DNA ladder. Humans breakdown purines and convert them into uric acid.

Uric acid happens to be a potent DNA protector.  All other mammals possess an enzyme known as uricase.  Uricase converts uric acid into allantoin, which can easily travel through the bloodstream and readily eliminated through the urine.  Humans do not possess this enzyme, therefore, we cannot oxidize uric acid into the more soluble compound of allantoin.  Our liver and kidneys are left to do the all-important jobs of purine breakdown and uric acid disposal, conducted respectively.

Blood serum uric acid levels are determined by two components:

  • uric acid synthesis
  • uric acid excretion

Synthesis takes place in the liver as a result of the breakdown of purines.  Purine levels are mostly determined by what is naturally produced by the body, with approximately the other 30% absorbed from the food we eat.  The second component, uric acid excretion, is determined by the rate at which the kidneys are able dispose of the excess.  According to a study conducted by Hyon K. Choi in 2005, about 90% of hyperuricemia is attributed to impaired renal excretion.

As we mentioned above, uric acid is a potent antioxidant and DNA protector.  Could this be why only 10% of the uric acid that enters a normal human kidney is disposed of?  Would it be safe to assume the other 90% that is reclaimed and sent back into the bloodstream is done so for our bodies to utilize its powerful antioxidant and free radical neutralizing powers? 

According to science…..

Uric acid is responsible for the neutralization of over 50% of the free radicals in our bloodstream.  Considering humans and primates are unable to naturally produce Vitamin C, we may have inherited the ability to utilize uric acid.  Uric acid remains extremely controversial and difficult to manage.  On one hand, uric acid protects high-oxygen tissues (like the brain) from damage and has been shown to increase the risks of several neurological disorders in the presence of sub-par levels.  On the other hand, high-serum uric acid levels are inversely associated with the severity of several diseases, especially the state of cardiovascular diseases.

Is there a balance?

Yes, although the course(s) of action to achieve this balance may be equally as complex, as well as individually determined.  As a former Gout sufferer, I naturally ventured down the path of reducing my purine intake by focusing on my diet.  Once I understood a bit more about the roles of purines and uric acid I was able to conclude that this path was not going lead me to success. 

I asked myself the following questions:

  1. If only 30% of the purines in my body come directly from food, then will a low-purine diet do anything to help with the main 70% of my production?
  2. Do I have any control over the other 70% that occurs naturally in my body?
  3. Am I doing anything to directly contribute to higher purine production aside from the food I eat?
  4. If the food I eat is low-purine, but still unhealthy, does that have any impact on the amount my body is naturally producing?

The last question truly gave me pause.  If the natural purine production stems from normal DNA and RNA turnover, were there things I was doing to my body to cause my cells to die and turnover faster than usual? 

This brought me to another series of questions, ones I believe to be more relevant to my cause:

  1. Do my medications and over-the-counter drugs contributing to faster cell death?
  2. Was I hydrated enough?  Cellular dehydration is extremely common and definitely causes cellular turnover.
  3. Did my slightly overweight body and lack of exercise have anything to do with the health of my cells?
  4. Was my rather heavy alcohol consumption a bigger problem than just the purines alone?  Does it affect my cells, too? 
  5. Did my high stress life contribute to faster cellular death?
  6. Does my sweet tooth and sugar intake affect my cells and uric acid production?
  7. If my body can’t naturally produce certain vitamins and antioxidants, could I help my body by supplying enough in my diet and supplementation in hopes of my kidneys not reclaiming as much uric acid to help in their absence?

Looking ahead….

These are some really important questions that opened my eyes to a whole new approach and a whole new outlook on the importance of taking better care of myself.  These questions initially targeted my efforts to gauge my cellular health (or lack thereof), but also really put my kidney and liver health into question. Many of us unknowingly damage the health of our cells, furthering excess uric acid production. In doing so, we are also placing unnecessary strain on the very organs we need to help us rid of the excess uric acid.  What a conundrum!

These epiphanies led me to better health, elimination of my medications (blood pressure, cholesterol, and Gout), correction of my glucose levels, secured my beliefs in the right all natural remedies, led to my blog, and changed my life! It doesn’t have to be so overwhelming. Take a step back and look at the bigger picture and you will find there is a lot of common sense in play here, and even more common sense solutions.  Take it slow, one adjustment at a time for attainable goals.  This site offers a series of articles to highlight a bit more on the specifics regarding stress, hydration, diet, and much more

Here’s to your Gout and Inflammation free 2020 and beyond!

What is TAK1 and why is it important to inhibit its potentially destructive pathway?

TAK1 is an enzyme and signaling molecule in humans encoded by the MAP3K7 gene (a mitogen-activated protein).  TAK1 regulates cellular death through various pathways.  As we have discussed before, programmed cell death is a normal, physiologic process intended to help remove damaged cells.  However, unattended cell death is the direct pathway for human disease.  TAK1 contains binding proteins that are responsible for cell viability and tissue balance in a variety of organs. 

TAK1 is a key molecular component that can readily determine of the fate of our body’s cells.  TAK1 has been typically considered pro-survival, however, recent studies have determined that various factors could cause it to induce cell death.  Scientifically speaking, studies are exploring the ability to inhibit TAK1 as a therapeutic approach to killing off rogue cancer cells and stopping chronic inflammatory response.

Continue reading “What is TAK1 and why is it important to inhibit its potentially destructive pathway?”

Gout and Kidney Disease

Chronic kidney disease (CKD)

Chronic kidney disease (CKD) limits the amount of waste filtration your body is capable of processing. Uric acid is not seen as a foreign matter to the body, therefore is usually last to be dealt with from a toxin filtering standpoint. This can allow for uric acid build-up, and, in turn, the increased likelihood of developing Gout. The medications used to treat kidney disease have also been associated with drug-induced cases of Gout. Diuretics and beta blockers are typically used for kidney disease induced high blood pressure and are well known to contribute to Gout development.

There is enough scientific research to confirm that kidney disease can cause Gout. How about the opposite? Can Gout lead to kidney disease? The chicken or the egg? Uric acid is filtered through the kidneys, an undeniable relation to both diseases. While this connection may be less established, the evidence is certainly present. Each condition is well-equipped to feed the other.

Continue reading “Gout and Kidney Disease”

Traditional Gout Medications

Most commonly prescribed Gout medication options include:

Xanthine Inhibitors: These actually block the enzyme, (xanthine oxidase) necessary for the conversion of purines to uric acid. As of result, blood serum levels are lowered and used to prevent chronic gout, stones, and hyperuricemia. It is not actually a treatment for an acute attack, and can even exacerbate an attack if used while it’s running its course. This treatment sounds good in theory, however, un-naturally stopping a very natural and necessary production such as uric acid must take its toll on the body somehow? After all, uric acid is a potent antioxidant vital to the human body. Attempting to halt its production could be detrimental to its important role as the protector of our DNA. As a result, it is necessary to monitor the liver, kidneys, and blood during its use.

Possible side effects include:

Continue reading “Traditional Gout Medications”

Understanding Uric Acid

Uric Acid

Purines perform multiple important functions within our cells, including regulating energy metabolism and signaling the energy conversion from one to another.  Purines are essentially the building blocks for all living things as a necessity for the growth, proliferation and survival of all cells.  The two purine bases, adenine and guanine, create bonds that form the DNA ladder. Humans breakdown purines and convert them into uric acid.

Uric acid happens to be a potent DNA protector.  All other mammals possess an enzyme known as uricase.  Uricase converts uric acid into allantoin, which can easily travel through the bloodstream and readily eliminated through the urine.  Humans do not possess this enzyme, therefore, we cannot oxidize uric acid into the more soluble compound of allantoin.  Our liver and kidneys are left to do the all-important jobs of purine breakdown and uric acid disposal, conducted respectively.

Continue reading “Understanding Uric Acid”

New evidence of increased risk of death with Febuxostat (Uloric)

According to the latest CARES trial, the Gout drug Febuxostat (Uloric) failed up against Allopurinol when it came down to a combined rate of fatal and nonfatal adverse events for those that suffer with both Gout and Cardiovascular disease.  In fact, there was a significant increased risk of death for those that took this drug for Gout while also suffering from heart disease.

The trial was mandated by the FDA and consisted of 6,190 patients, 84% of which were men.  Cardiovascular risk is naturally increased in patients with Gout.  The study was attempting to look at any difference in outcome for these patients taking Febuxostat, a nonpurine xanthine oxidase inhibitor, or those taking Allopurinol, a purine base analogue xanthine oxidase inhibitor.  The patients were followed for a median of 32 months, and a maximum of 85 months.  Without diving into all of the ratio statistics, the all-cause and cardiovascular mortality rate was higher in the Febuxostat group, 34% and 22% higher respectively. Continue reading “New evidence of increased risk of death with Febuxostat (Uloric)”

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