Urate oxidase

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Urate oxidase[edit | edit source]

Urate oxidase, also known as uricase, is an enzyme that plays a crucial role in the metabolism of uric acid. It catalyzes the conversion of uric acid into allantoin, a more soluble and less toxic compound. This process is essential for the elimination of excess uric acid from the body.

Structure[edit | edit source]

Urate oxidase is a homotetrameric enzyme, meaning it is composed of four identical subunits. Each subunit consists of approximately 300 amino acids and has a molecular weight of around 34 kDa. The enzyme contains a catalytic site where the conversion of uric acid takes place.

Function[edit | edit source]

The primary function of urate oxidase is to break down uric acid, a byproduct of purine metabolism. Purines are nitrogenous compounds found in various foods and are also produced by the body. Uric acid is normally excreted through the kidneys, but in some individuals, its levels can become elevated, leading to a condition called hyperuricemia.

Hyperuricemia is associated with the formation of urate crystals, which can accumulate in joints and tissues, causing inflammation and pain. Urate oxidase helps prevent the formation of these crystals by converting uric acid into allantoin, which is more soluble and easily excreted by the kidneys.

Clinical Applications[edit | edit source]

Urate oxidase has been used in the treatment of conditions associated with hyperuricemia, such as gout and tumor lysis syndrome. Gout is a type of arthritis caused by the deposition of urate crystals in the joints, leading to severe pain and inflammation. Urate oxidase can be administered as a medication to lower uric acid levels and alleviate symptoms.

Tumor lysis syndrome occurs when cancer cells are rapidly destroyed, releasing large amounts of uric acid into the bloodstream. This can lead to kidney damage and other complications. Urate oxidase can be used to prevent or treat tumor lysis syndrome by converting uric acid into a more soluble form, reducing the risk of crystal formation.

References[edit | edit source]

1. Hyperuricemia 2. Gout 3. Tumor lysis syndrome

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD