Uric acid and neurological disease: a narrative review

Hyperuricemia often accompanies hypertension, diabetes, dyslipidemia, metabolic syndrome, and chronic renal disease; it is also closely related to cardiovascular disease. Moreover, several epidemiological studies have linked hyperuricemia and ischemic stroke. However, uric acid may also have neuropr...

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Main Authors: Naoyuki Otani, Eisei Hoshiyama, Motoshi Ouchi, Hidehiro Takekawa, Keisuke Suzuki
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1164756/full
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author Naoyuki Otani
Eisei Hoshiyama
Motoshi Ouchi
Hidehiro Takekawa
Hidehiro Takekawa
Keisuke Suzuki
author_facet Naoyuki Otani
Eisei Hoshiyama
Motoshi Ouchi
Hidehiro Takekawa
Hidehiro Takekawa
Keisuke Suzuki
author_sort Naoyuki Otani
collection DOAJ
description Hyperuricemia often accompanies hypertension, diabetes, dyslipidemia, metabolic syndrome, and chronic renal disease; it is also closely related to cardiovascular disease. Moreover, several epidemiological studies have linked hyperuricemia and ischemic stroke. However, uric acid may also have neuroprotective effects because of its antioxidant properties. An association between low uric acid levels and neurodegenerative diseases has been suggested, which may be attributed to diminished neuroprotective effects as a result of reduced uric acid. This review will focus on the relationship between uric acid and various neurological diseases including stroke, neuroimmune diseases, and neurodegenerative diseases. When considering both the risk and pathogenesis of neurological diseases, it is important to consider the conflicting dual nature of uric acid as both a vascular risk factor and a neuroprotective factor. This dual nature of uric acid is important because it may help to elucidate the biological role of uric acid in various neurological diseases and provide new insights into the etiology and treatment of these diseases.
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spelling doaj.art-5654753c890e4f3e837384589b8869162023-06-01T12:18:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-06-011410.3389/fneur.2023.11647561164756Uric acid and neurological disease: a narrative reviewNaoyuki Otani0Eisei Hoshiyama1Motoshi Ouchi2Hidehiro Takekawa3Hidehiro Takekawa4Keisuke Suzuki5Department of Cardiology, Dokkyo Medical University Nikkyo Medical Center, Mibu, JapanDepartment of Neurology, Dokkyo Medical University, Mibu, JapanDepartment of Pharmacology and Toxicology, Dokkyo Medical University School of Medicine, Mibu, JapanDepartment of Neurology, Dokkyo Medical University, Mibu, JapanStroke Center, Dokkyo Medical University, Mibu, JapanDepartment of Neurology, Dokkyo Medical University, Mibu, JapanHyperuricemia often accompanies hypertension, diabetes, dyslipidemia, metabolic syndrome, and chronic renal disease; it is also closely related to cardiovascular disease. Moreover, several epidemiological studies have linked hyperuricemia and ischemic stroke. However, uric acid may also have neuroprotective effects because of its antioxidant properties. An association between low uric acid levels and neurodegenerative diseases has been suggested, which may be attributed to diminished neuroprotective effects as a result of reduced uric acid. This review will focus on the relationship between uric acid and various neurological diseases including stroke, neuroimmune diseases, and neurodegenerative diseases. When considering both the risk and pathogenesis of neurological diseases, it is important to consider the conflicting dual nature of uric acid as both a vascular risk factor and a neuroprotective factor. This dual nature of uric acid is important because it may help to elucidate the biological role of uric acid in various neurological diseases and provide new insights into the etiology and treatment of these diseases.https://www.frontiersin.org/articles/10.3389/fneur.2023.1164756/fullhyperuricemiauric acidneurological diseasestrokeneurodegenerative disease
spellingShingle Naoyuki Otani
Eisei Hoshiyama
Motoshi Ouchi
Hidehiro Takekawa
Hidehiro Takekawa
Keisuke Suzuki
Uric acid and neurological disease: a narrative review
Frontiers in Neurology
hyperuricemia
uric acid
neurological disease
stroke
neurodegenerative disease
title Uric acid and neurological disease: a narrative review
title_full Uric acid and neurological disease: a narrative review
title_fullStr Uric acid and neurological disease: a narrative review
title_full_unstemmed Uric acid and neurological disease: a narrative review
title_short Uric acid and neurological disease: a narrative review
title_sort uric acid and neurological disease a narrative review
topic hyperuricemia
uric acid
neurological disease
stroke
neurodegenerative disease
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1164756/full
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