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Asymptomatic Hyperuricemia: A Nephro-Rheumatological Perspective

Open Access
|Nov 2024

Figures & Tables

Fig 1.

Types of HU. FEUA, fractional excretion of uric acid (unit: %), HU, hyperuricemia; UUE, urinary urate excretion (unit: mg/h/1.73 m2).
Types of HU. FEUA, fractional excretion of uric acid (unit: %), HU, hyperuricemia; UUE, urinary urate excretion (unit: mg/h/1.73 m2).

Fig 2.

UA contributes to the kidney injury by nonimmunological (green arrows) and immunological (red arrows) pathways. Process description in the main text. IL, interleukin; UA, uric acid; URAT1, urate transporter gene 1. Adapted from Ponticelli et al. (2020).
UA contributes to the kidney injury by nonimmunological (green arrows) and immunological (red arrows) pathways. Process description in the main text. IL, interleukin; UA, uric acid; URAT1, urate transporter gene 1. Adapted from Ponticelli et al. (2020).

Comparison of meta-analyses published between 2022 and 2018 with various treatment regimens for HU in CKD against each other or placebo_ Trials including patients with gout were not mentioned

YearUA (mg/dL)aCKD stageNo. of ptsbDrugsEnd pointscConclusionFollow-up, monthsReference
20246.3 ± 1.49G2–G42516FBXeGFRFavoring FBX3–12Yang et al. (2024)
2023>6G2–G51521ALL/FBXΔDGFRFavoring ULT3–36Liu et al. (2018b)
20227G1–G5447ALL/FBX/BZBeGFRFavoring ALL>6Tien et al. (2022)
2022NSG1–G4722ALL
  • eGFR

  • UAER

  • No impact

  • No impact

21–38Wu et al. (2022)
2022NSG2–G51249ALL/FBX/TPXeGFRNo impact5–84Yu et al. (2022)
2022VariousdVarious866ALL24HPDecreased2–36Luo et al. (2022)
20225.96 ± 1.21G2–G41469ALL/FBXeGFRNo impact4–27Liang et al. (2022)
20227.26 ± 0.15G1–G43095ALL/FBX
  • eGFR slope

  • eGFR

  • No impact

  • Increase

4–36Zhang et al. (2022)
20227/NAG2–G41480TPX/FBX/ALL
  • eGFR

  • UACR

  • Favoring TPX, other NSe

  • Reduction under TPX, other NS

3–24Tsukamoto et al. (2022)
2022VariousVarious3209
  • ALL

  • FBX

  • CRE

  • eGFR

  • Reduction

  • Increase

0.5–84Sapankaew et al. (2022)
20214.61 (F)/5.5 (M)/NIG2–G4 or NI1943ALL/FBX/BZB
  • eGFR

  • 24HP

  • NS

  • NS

3–27Liu et al. (2021a)
20217Various5439ALL/FBX/TPX/BZB
  • eGFR

  • 24HP

Favoring ULT>12Sharma et al. (2021)
20215.5Various2141FBXeGFRIncreased6–NIChewcharat et al. (2021)
20194.61G2–HD1317FBXeGFRIncreased1–25Lin et al. (2019)
2019NSVarious402FBXeGFRIncreased1–12Lin et al. (2019)
20185.46 ± 1.25G2–G4437FBXeGFRIncreased3–48Zeng et al. (2018)
2018NIG1–G4832ALL/FBXeGFRFavoring ULT4–24Liu et al. (2018b)
Language: English
Submitted on: Jun 11, 2024
Accepted on: Oct 18, 2024
Published on: Nov 29, 2024
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2024 Barbara Moszczuk, Katarzyna Życińska, Krzysztof Mucha, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.