Urate-lowering effects of dipeptidyl peptidase-4 inhibitors

Hyperuricemia is an increase of uric acid (UA) concentration in blood serum >420 pmol/L in men or >360 pmol/L in women and is considered to be a common biochemical abnormality. This condition shows that the extracellular fluid is oversaturated with urates, which concentration exceeds t...

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Main Authors: Taras S. Panevin, Olga V. Zhelyabina, Maxim S. Eliseev, Marina V. Shestakova
Format: Article
Language:English
Published: Endocrinology Research Centre 2020-12-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/12412
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author Taras S. Panevin
Olga V. Zhelyabina
Maxim S. Eliseev
Marina V. Shestakova
author_facet Taras S. Panevin
Olga V. Zhelyabina
Maxim S. Eliseev
Marina V. Shestakova
author_sort Taras S. Panevin
collection DOAJ
description Hyperuricemia is an increase of uric acid (UA) concentration in blood serum >420 pmol/L in men or >360 pmol/L in women and is considered to be a common biochemical abnormality. This condition shows that the extracellular fluid is oversaturated with urates, which concentration exceeds the limit of their solubility. This fact predisposes to the formation of crystals of sodium salt of UA and results in gout, urolithiasis, and other diseases. The frequent combination and relationship between purine and carbohydrate metabolism were noted in previous studies. In this regard, the choice of drugs for correcting these disorders should consider the possibility of a combined positive effect on the UA and serum glucose levels. The hypoglycemic drugs with pleiotropic effects on several metabolic syndrome components are considered to be of particular interest. Currently, one of the most frequently prescribed groups of drugs in the treatment of diabetes mellitus type 2 are dipeptidyl peptidase-4 inhibitors, which affect the level of incretins (gliptins). These drugs can be potentially attractive in patients with purine metabolism disorders since the available data indicate that these drugs affect UA level.
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spelling doaj-art-c40a611faf0a4b068cba3cdc613843582025-08-20T03:09:04ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782020-12-0123434935610.14341/DM1241210748Urate-lowering effects of dipeptidyl peptidase-4 inhibitorsTaras S. Panevin0Olga V. Zhelyabina1Maxim S. Eliseev2Marina V. Shestakova3V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyEndocrinology Research CentreHyperuricemia is an increase of uric acid (UA) concentration in blood serum >420 pmol/L in men or >360 pmol/L in women and is considered to be a common biochemical abnormality. This condition shows that the extracellular fluid is oversaturated with urates, which concentration exceeds the limit of their solubility. This fact predisposes to the formation of crystals of sodium salt of UA and results in gout, urolithiasis, and other diseases. The frequent combination and relationship between purine and carbohydrate metabolism were noted in previous studies. In this regard, the choice of drugs for correcting these disorders should consider the possibility of a combined positive effect on the UA and serum glucose levels. The hypoglycemic drugs with pleiotropic effects on several metabolic syndrome components are considered to be of particular interest. Currently, one of the most frequently prescribed groups of drugs in the treatment of diabetes mellitus type 2 are dipeptidyl peptidase-4 inhibitors, which affect the level of incretins (gliptins). These drugs can be potentially attractive in patients with purine metabolism disorders since the available data indicate that these drugs affect UA level.https://www.dia-endojournals.ru/jour/article/view/12412gouthyperuricemiauric acidtype 2 diabetesinsulin resistancedpp4 inhibitorslinagliptin
spellingShingle Taras S. Panevin
Olga V. Zhelyabina
Maxim S. Eliseev
Marina V. Shestakova
Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
Сахарный диабет
gout
hyperuricemia
uric acid
type 2 diabetes
insulin resistance
dpp4 inhibitors
linagliptin
title Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
title_full Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
title_fullStr Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
title_full_unstemmed Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
title_short Urate-lowering effects of dipeptidyl peptidase-4 inhibitors
title_sort urate lowering effects of dipeptidyl peptidase 4 inhibitors
topic gout
hyperuricemia
uric acid
type 2 diabetes
insulin resistance
dpp4 inhibitors
linagliptin
url https://www.dia-endojournals.ru/jour/article/view/12412
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AT olgavzhelyabina urateloweringeffectsofdipeptidylpeptidase4inhibitors
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AT marinavshestakova urateloweringeffectsofdipeptidylpeptidase4inhibitors