Effects of febuxostat on platelet-derived microparticles and adiponectin in patients with hyperuricema

被引:22
作者
Nishizawa, Tohru [1 ]
Taniura, Takehito [2 ]
Nomura, Shosaku [1 ]
机构
[1] Kansai Med Univ, Dept Internal Med 1, Osaka, Japan
[2] Daiwa Hosp, Div Internal Med, Nara, Japan
关键词
adiponectin; febuxostat; hyperuricemia; platelet-derived microparticle; sP-selectin; HIGH-SHEAR-STRESS; OXIDATIVE STRESS; URIC-ACID; NITRIC-OXIDE; INSULIN-RESISTANCE; ALLOPURINOL; PROCOAGULANT; HYPOADIPONECTINEMIA; FAILURE; PROTEIN;
D O I
10.1097/MBC.0000000000000335
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Platelet-derived microparticles (PDMPs) and adiponectin play an important role in the development of atherothrombosis. We investigated the effect of febuxostat on circulating PDMP levels and adiponectin in hyperuricemic patients. Levels of PDMP and biomarkers were measured using an ELISA at baseline and after 2 and 6 months of treatment. Plasma levels of PDMPs and biomarkers were higher, while those of adiponectin were lower in hyperuricemic patients than in normouricemic controls. Uric acid and interleukin (IL)-6 levels decreased significantly in hyperuricemic patients after 2 months of febuxostat treatment. However, PDMP and biomarkers decreased significantly in hyperuricemic patients after only 6 months of febuxostat treatment and adiponectin increased significantly. These results suggest that the effects of febuxostat for PDMPs seen may be the effect on xanthine oxidase but not the decrease of uric acid, and febuxostat may be beneficial for primary prevention of atherothrombosis in hyperuricemic patients. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:887 / 892
页数:6
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