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Gout
Abnormal Amnio - Biochem - Gout
13
Biochemistry
Professional
09/11/2012

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Cards

Term
tophi
Definition
aggregates of urate crystals in soft tissues
Term
idiopathic
Definition
biochemical defect unknown
Term
what does increase in PRPP have on uric acid levels?
Definition
PRPP activates regulated, committed step in purine de novo synthesis. This leads to more uric acid.
Term
PRPP super synthetase
Definition
x-linked; less inhibition by purine nucleotides; found in some gout patients
Term
partial deficiency in HGPRT
Definition
x-linked; increases availability of PRPP for de novo synthesis (since it isn't consumed in salvage)
Term
lead poisoning
Definition
saturine (secondary) gout; impairment of renal excretion
Term
treatment of gouty inflammation
Definition
NSAIDs, colchicine, steroidal agents
Term
colchicine
Definition
inhibits microtubule assembly (& therefore phagocytosis of urate crystals by neutrophils)
Term
uricosuric agents
Definition
increase renal excretion of urate
Term
xantine oxidase inhibitors
Definition
inhibits catalyzation of hypoxanthine to xanthine and xanthine to uric acid
Term
allopurinol
Definition
inhibits XO; competitively inhibits oxidation of hypoxanthine
Term
oxypurinol
Definition
product of allopurinol; analog of xanthine; noncompetitive inhibitor of XO
Term
febuxostat
Definition
nonpurine-analog inhibitor of XO; for gout treatment
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