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Asymptomatic Hyperuricemia: A Nephro-Rheumatological Perspective Cover

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).

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).

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
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue 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.