International Journal of Medical Sciences,
Journal Year:
2023,
Volume and Issue:
21(1), P. 188 - 199
Published: Nov. 15, 2023
Gout
is
a
dangerous
metabolic
condition
related
to
monosodium
urate
(MSU).
Our
aim
study
the
molecular
mechanisms
underlying
gout
and
identify
potential
clinical
biomarkers
by
bioinformatics
analysis
experimental
validation.
Journal of Ethnopharmacology,
Journal Year:
2024,
Volume and Issue:
330, P. 118182 - 118182
Published: April 15, 2024
Acute
Gouty
Arthritis
(AGA)
is
characterized
by
a
rapid
inflammatory
reaction
caused
the
build-up
of
monosodium
urate
(MSU)
crystals
in
tissues
surrounding
joints.
This
condition
often
associated
with
hyperuricemia,
distinguished
its
symptoms
intense
pain,
active
inflammation,
and
swelling
Traditional
approaches
AGA
management
fall
short
desired
outcomes
clinical
settings.
However,
recent
ethnopharmacological
investigations
have
been
focusing
on
potential
Herbal
Medicine
(THM)
various
forms,
exploring
their
therapeutic
impact
targets
treatment.
review
briefly
summarizes
current
pharmacological
mechanisms
THMs
–
including
ingredients,
extracts,
prescriptions
–in
treatment
AGA,
discusses
relevant
molecular
depth.
The
objective
this
study
to
offer
extensive
information
reference
point
for
exploration
targeted
using
THMs.
obtained
scientific
publications
focused
vitro
vivo
studies
anti-AGA
Medicines
(THMs)
conducted
between
2013
2023.
literature
was
collected
from
journals
electronic
databases,
PubMed,
Elsevier,
ScienceDirect,
Web
Science,
Google
Scholar.
retrieval
analysis
articles
were
guided
keywords
such
as
"acute
gouty
arthritis
Chinese
herbal
medicine,"
prescription,"
immune
cells,"
inflammation,"
NLRP3,"
miRNA,"
oxidative
stress."
We
found
that
has
large
number
targets,
highlighting
effectiveness
through
studies.
ingredients
can
mitigate
variety
influencing
macrophage
polarization,
neutrophils,
T
cells,
natural
killer
(NK)
addressing
factors
like
NLRP3
inflammasome,
signaling
pathways,
stress,
miRNA
multi-target
interactions.
properties
THMs,
components
prescriptions,
systematically
summarized
categorized
based
respective
targets.
phenolic,
flavonoid,
terpenoid
alkaloid
compounds
are
considered
key
improve
AGA.
achieve
enhanced
efficacy
interactions
multiple
which
main
target.
Nonetheless,
given
intricate
composition
traditional
medicine,
additional
research
required
unravel
underlying
alleviate
Frontiers in Endocrinology,
Journal Year:
2025,
Volume and Issue:
16
Published: Feb. 4, 2025
Serum
urate
(SU)
levels
are
significantly
elevated
in
conditions
such
as
gout,
type
2
diabetes
(T2D),
obesity,
and
other
metabolic
syndromes.
Recently,
due
to
the
high
prevalence
of
hyperuricemia
(HUA),
numerous
clinical
connections
between
SU
musculoskeletal
disorders
like
sarcopenia,
osteoarthritis
(OA),
rheumatoid
arthritis
(RA),
intervertebral
disc
degeneration
(IDD),
osteoporosis
(OP)
have
been
identified.
This
review
discusses
mechanisms
linking
disorders,
well
associations
with
T2D
McArdle
disease,
heart
failure,
OA,
IDD,
OP
exercise-induced
acute
kidney
injury
(EIAKI),
offering
valuable
insights
for
improved
prevention
treatment
strategies.
Mechanisms
include
oxidative
stress,
MSU
(monosodium
urate)
crystal
deposition,
inflammation,
factors.
In
adults,
both
age
should
be
considered
preventing
while
gender
may
directly
impact
muscle
mass
children
adolescents.
HUA
gout
risk
factors
OA
progression,
although
some
reports
suggest
otherwise.
A
U-shaped
relationship
IDD
has
reported,
particularly
Chinese
men,
indicating
lower
or
higher
level
IDD.
Maintaining
within
a
certain
range
help
prevent
fractures.
Future
research,
including
epidemiological
studies
new
pathogenesis
findings,
will
further
clarify
diseases
SU.
Annals of the Rheumatic Diseases,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 1, 2025
Gout,
prevalent
inflammatory
arthritis
caused
by
urate
crystal
deposition,
involves
immune
cell
activation,
yet
the
precise
role
of
CD14
monocytes
in
initiating
response
is
poorly
understood.
This
study
aimed
to
characterise
molecular
and
cellular
landscape
gout
using
single-cell
transcriptomic
analysis.
Single-cell
RNA
sequencing
was
performed
on
peripheral
blood
mononuclear
cells
from
8
patients
6
age-
sex-matched
healthy
controls.
The
findings
were
validated
publicly
available
datasets.
Differential
gene
expression
pathway
enrichment
analyses
conducted
identify
gout's
key
regulators
subclusters.
At
level,
we
identified
hypoxia-related
pathways,
including
HIF1A,
as
interleukin-1β
production
gout.
We
also
observed
significant
downregulation
CLEC12A
across
all
monocyte
an
S100Ahigh
subcluster,
characterized
high
S100A8/A9/A12
linked
metabolic
found
drive
NLRP3
CLEC7A
inflammasome
well
prostaglandin
secretion.
In
vitro
stimulation
with
monosodium
crystals
revealed
that
differentially
expressed
genes
enriched
monocytes,
highlighting
synergistic
these
pathways
driving
inflammation.
Additionally,
genome-wide
association
study-prioritised
underscored
fatty
acid
metabolism
inflammation,
promoting
secretion
monocytes.
These
provide
new
insights
into
pathogenesis,
particularly
contribution
hypoxia
suggest
potential
therapeutic
targets
for
precision
medicine
treatment.
Chinese Medicine,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Feb. 28, 2025
Abstract
Background
Acute
gout
arthritis
(AGA)
is
a
common
metabolic
joint
disease
and
urgently
needs
safer
alternative
therapy
due
to
the
significant
side
effects
from
long-term
use
of
primary
medications.
Folium
Hibisci
Mutabilis
,
traditional
medicinal
herb,
has
demonstrated
promising
therapeutic
efficacy
in
clinical
management
AGA,
but
its
pharmacological
mechanisms
remain
be
elucidated.
Methods
Mutabili
was
isolated
refined
into
Extract
(FHME).
Then,
monosodium
urate-induced
AGA
animal
models
were
applied
identify
anti-inflammatory
analgesic
FHME
vivo
through
various
techniques,
including
ultrasonography,
Paw
withdrawal
thresholds,
histological
staining,
etc.
We
used
RNA-seq,
qRT-PCR,
ELISA,
flow
cytometry
evaluate
on
M1
polarization.
Utilizing
transmission
electron
microscope
oxygen
consumption
rate
examinations
conjunction
with
Mito-Tracker
we
observed
mitochondrial
morphology
function.
Finally,
employed
proteomics
analysis,
siRNA,
western
blot
other
techniques
investigate
underlying
mechanism
FHME's
actions
between
two
phenotypes
key
targets.
Results
notable
reduction
inflammation
pain,
as
well
decreased
infiltration
inflammatory
cells
expression
IL-1β
synovial
tissue
mice
upon
treatment
FHME.
suppressed
TNF-α,
IL-1β,
iNOS,
IL-18
BMDM-derived
macrophages
inhibited
formation
F4/80
+
CD86
cells.
Mechanically,
protected
stimulated
oxidative
phosphorylation
proteins,
such
Ubiquinol
Cytochrome
c
Reductase
Core
Protein
I
(UQCRC1),
UQCRC2,
CYCS,
NDUFA4.
Additionally,
it
enhanced
activity
respiratory
complex
III,
recovered
cellular
aerobic
respiration
under
LPS
MSU
induction.
lost
effect
downregulate
macrophage
polarization
presence
rotenone
or
si-UQCRC1.
10
compounds
identified
having
potential
binding
affinity
UQCRC1
protein.
Conclusions
The
for
associated
maintenance
function
inhibit
polarization,
which
intimately
linked
UQCRC1.
Our
findings
highlight
safe
effective
approach
AGA.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 17, 2025
Objectives
Lymphocytes
and
their
subsets
are
implicated
in
both
the
onset
remission
of
gout.
However,
specific
roles
gout
recurrence
complete
remain
unclear.
This
study
aimed
to
characterize
lymphocyte
immunophenotypes
across
different
stages
developed
a
predictive
model
for
Methods
Plasma
levels
75
were
determined
using
multiplex
flow
cytometry
patients
with
acute
flare
(AG,
n=78),
(RG,
n=63),
healthy
controls
(NC,
n=66).
Lymphocyte
immunophenotyping
candidates
significant
clinical
parameters
subjected
LASSO
regression
conducting
model.
Results
Significant
variations
profiles
identified
among
groups.
A
combination
T
peripheral
helper
cells,
virus-specific
cytotoxic
natural
killer
(NK)
inhibition
Vδ1
Vδ2
along
BMI,
eGFR,
hemoglobin,
uric
acid,
distinguished
RG
from
NC
(AUC=0.934).
Similarly,
NK
inactive
terminally
differentiated
CD8
+
plus
hematological
parameters,
classified
AG
(AUC
=
0.814)
predicted
one-year
follow-up
validation
cohort
0.724).
Inhibition
cells
virus-infected
strongly
associated
remission.
Conclusion
alterations
immunophenotypes,
notably
during
transition
remission,
provide
compelling
evidence
enhance
delineation
propel
mechanistic
investigations
into
progression