Disease ⇒ Gout {40000127} Record Keys Type:Disease Parent:[ ] Definition:Gout Details Initialisation date:2020-09-06 Other Terms:Podagra arthritis uric acid Hyperuricemia LinksWickipediaMerck Manual Meta Information MedDra ID:[ ] MedDra Level:[ ] ICD:[ ] Category:Rheumatology Zone:[ ] Mechanism:[ ] Notes: [ ]Shared Reference Notes [1.1] [1.2] [#Butyrate] [1.3] [#Uric acid] [#Antibiotic Therapy] - Ablation of the microbiota in uricase-deficient mice causes severe #Hyperuricemia - anaerobe-targeted antibiotics increase the risk of gout in humans. [#Xanthine] - #Uric acid elimination is facilitated by the enzyme uricase. - Human uricase is a pseudogene, having been inactivated early in hominid evolution. - anaerobic #Uric acid metabolism is widespread among members of the human gut. [1.4] - increased abundance of the phylum #Actinobacteria in gout patients - the abundance of phylum #Actinobacteria is negatively correlated with SUA levels. - elevated SUA levels can also increase the abundance of phylum #Actinobacteria, suggesting a potential negative feedback and regulatory mechanism between phylum #Actinobacteria and SUA levels. - SUA levels and gout simultaneously affect the abundance of the genus #Faecalibacterium and #Prevotella. - gout patients had lower levels of the genus #Faecalibacterium compared to healthy individuals. - negative association between SUA levels and #Faecalibacterium abundance. - SUA levels are a risk factor for the increased abundance of genus Prevotella9 [1.5] [1.6] - Altered compositions of microbiota, characterized by a reduced abundance of genus #Coprococcus, were found in subjects with #Hyperuricemia compared with those with normouricemia. [1.7] [#Hyperuricemia] - #Escherichia-#Shigella exhibited a positive association with SU levels, while #Lachnospiraceae NC2004 group and Family XIII AD3011 group were associated with a reduced HUA risk. - Gout > #Coprococcus 3 was causally associated with a higher gout risk. [1.8] - In gout, #Bacteroides caccae and #Bacteroides xylanisolvens are enriched. - #Faecalibacterium prausnitzii and #Bifidobacterium pseudocatenulatum depleted. - The established reference microbial gene catalogue for gout revealed disorder in purine degradation and #Butyric acid biosynthesis in gout patients. - Intestinal microbiota of gout are more similar to those of type-2 diabetes than to liver cirrhosis, whereas depletion of #Faecalibacterium prausnitzii and reduced butyrate biosynthesis are shared in each of the metabolic syndromes. - #Bacteroides caccae is one biomarker of IBD. OmpW protein produced by B. caccae is a target of the IBD-associated immune response, thus the enriched intestinal B. caccae in gout patients could potentially induce serious inflammatory response. - #Faecalibacterium prausnitzii has anti-inflammatory properties and contribute to gut health through butyrate production. for gout patients, potentially explaining the decline in #Butyric acid biosynthesis in gout patients.References Notes[ ]