Skip to main content

Krankheiten mit Urolithiasis

  • Chapter

Zusammenfassung

Für die Nephrolithiasis beim Menschen sind die drei endogenen Purinbasen Harnsäure, Xanthin und 2,8-Dihydroxyadenin (2,8-DHA) von Bedeutung. Alle drei sind metabolische Endprodukte (s. Abb. 1.14). Die Harnsäure wird als Endprodukt des normalen Purinstoffwechsels im Urin ausgeschieden, während Xanthin und 2,8-DHA nur unter speziellen, im folgenden beschriebenen Bedingungen akkumulieren. Daher treten Harnsäuresteine am häufigsten auf und sind der Menschheit seit Jahrtausenden bekannt. Im Gegensatz dazu wurden Xanthinsteine erst im letzten Jahrhundert (Hitchings 1978) und 2,8-DHA Steine vor etwas mehr als einer Dekade (Simmonds et al. 1988 a) zuerst beschrieben.

Übersetzt von B. Gathof.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   59.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   74.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Allsop J, Watts RWE (1985) Purine synthesis and salvage in brain and liver. Adv Exp Med Biol 195B: 21–26.

    Google Scholar 

  • Bartlett GR (1977) Biology of free and combined adenine distribution and metabolism. Transfusion 17: 339–353.

    Article  PubMed  CAS  Google Scholar 

  • Becker MA, Puig JG, Mateos FA, Jiminez ML, Kim M, Simmonds HA (1988) Inherited superactivity of phosphoribosylpyrophosphate synthetase: association of uric acid overproduction and sensorineural deafness. Am J Med 85: 383–390.

    Article  PubMed  CAS  Google Scholar 

  • Burian R, Schur H (1900, 1910) Über die Stellung der Purinkörper im menschlichen Stoffwechsel. Drei Untersuchungen. Pflugers Arch 80: 241, 187: 239.

    Article  CAS  Google Scholar 

  • Cameron JS, Simmonds HA (1987) Use and abuse of allopurinol. Br Med J 294: 1504–1505.

    Article  CAS  Google Scholar 

  • De Vries A, Sperling O (1977) Implications of disorders of purine metabolism for the kidney and urinary tract. In: Purine and pyrimidine metabolism in man. Ciba foundation Symposium 48, p 179–206.

    PubMed  Google Scholar 

  • Duley JA, Simmonds HA, Hopkinson DA, Levinsky RJ (1990) Further evidence for a,new’ purine defect, inosine triphosphate (ITP) pyrophosphohydrolase deficiency in a hindred with adenosine deaminase deficiency. Clin Chem Acta (in press).

    Google Scholar 

  • Easterfield TE, Bruce A (1930) The occurrence of xanthine calculi in New Zealand Sheep. NZ J Sci Technol 11: 357–361.

    CAS  Google Scholar 

  • Eddy LJ, Stewart JR, Jones HP, Engerson TD, McCord JE, Downey JM (1987) Free radical-producing enzyme, xanthine oxidase, is undetectable in human hearts. Am J Physiol 253: H709–H711.

    PubMed  CAS  Google Scholar 

  • Fischer E (1884) Über die Harnsäure I. Ber Dtsch Chem Ges 17: 828–838.

    Google Scholar 

  • Gaspar GS, Puig JG, Mateos FA, Cabanillas AJ (1986) Hypouricaemia due to renal tubular defect. Arch Intern Med 146: 1241–1243.

    Article  PubMed  CAS  Google Scholar 

  • Gerlach E, Becker BF (eds) (1987) Topics and perspectives in adenosine research. Springer, Berlin Heidelberg New York Tokyo.

    Google Scholar 

  • Henderson JF (1978) Purine nucleotide interconversions. In: Kelley WN, Weiner IM (eds) Uric acid. Springer, Berlin Heidelberg New York, pp 75–91.

    Chapter  Google Scholar 

  • Hers H-G, van den Berghe G (1979) Enzyme defect in primary gout. Lancet 1: 585–588.

    Article  PubMed  CAS  Google Scholar 

  • Hershfield MS (1983) S-adenosylhomocysteine hydrolase as a target in genetic and drug-induced deficiency of adenosine deaminase. In: Berne RM, Rall TW, Rubio R (eds) Regulatory function of adenosine. Martinus Nijhoff, The Hague, pp 171–179.

    Chapter  Google Scholar 

  • Holmes EW (1978) Regulation of purine biosynthesis de novo. Chapter 2. In: Kelley WN, Weiner IM (eds) Uric acid. Springer, Berlin Heidelberg New York, pp 21–41.

    Chapter  Google Scholar 

  • Hikada Y, Palella TD, O’Toole T, Tarie SA, Kelley WN (1987) Human adenine phosphoribosyltransferase: Identification of allelic mutations at the nucleotide level as a cause of complete deficiency of the enzyme. J Clin Invest 80: 1409–1415.

    Article  Google Scholar 

  • Hikada Y, Palella TD, O’Toole TE, Tarie SA, Kelley WN (1988) Human adenine phosphoribosyltransferase: demonstration of a single mutant allele common to the Japanese. J Clin Invest 81: 945–951.

    Article  Google Scholar 

  • Hitchings GH (1978) Uric acid: chemistry and synthesis. In: Kelley WN, Weiner IM (eds) Uric acid. Springer, Berlin Heidelberg New York, pp 1–20.

    Chapter  Google Scholar 

  • Kamatani N, Terai C, Kuroshima S, Nishioka K, Mikanagi K (1987) Genetic and clinical studies on 19 families with adenine phosphoribosyltransferase deficiencies. Hum Genet 75: 163–168.

    Article  PubMed  CAS  Google Scholar 

  • Jung P, Brommert R, Jesberger H-J (1987) 2,8-Dihydroxyadenine lithiasis: a case with a complete deficiency of adenine phosphoribosyltransferase. Klin Wochenschr 65(Suppl X): 12–13.

    Google Scholar 

  • Löffler W, Gröbner W, Zöllner N (1981) Nutrition and uric acid metabolism: Plasma level, turnover, excretion. Fortschr Urol Nephrol 16: 8–18.

    Google Scholar 

  • Marcolongo R, Marinello E, Pompucci G, Pagani R (1974) The role of xanthine oxidase in hyperuricaemic states. Arthritis Rheum 17: 430–438.

    Article  PubMed  CAS  Google Scholar 

  • Minkowski O (1898) Untersuchungen zur Physiologie und Pathologie der Harnsäure bei Säugethieren. Archiv Exp Pathol Pharmacol 41: 375–420.

    Article  Google Scholar 

  • Niklasson F (1983) Experimental and clinical studies on human purine metabolism. Acta Univ Uppsala (Abstracts of Uppsala Dissertations from the Faculty of Medicine) 473: 74.

    Google Scholar 

  • Reiter S, Simmonds HA, Zöllner N, Braun S, Knebel M (1988) On the role of aldehyde oxidase in the metabolism of allopurinol: demonstration of the combined deficiency of xanthine oxidase and aldehyde oxidase in xanthinuric patients not forming oxipurinol. Clin Chem Acta (in press).

    Google Scholar 

  • Simmonds HA (1987) Purine and pyrimidine disorders. In: Holton JB (ed) The inherited metabolic diseases. Churchill Livingstone, Edinburgh, pp 215–225.

    Google Scholar 

  • Simmonds HA, Rising TJ, Cadenhead A, Hatfield PJ, Jones AS, Cameron JS (1973) Radioisotope studies of purine metabolism during the administration of guanine and allopurinol in the pig. Biochem Pharmacol 22: 2553–2563.

    Article  CAS  Google Scholar 

  • Simmonds HA, Sahota AS, Van Acker KJ (1988a) Adenine phosphoribosyltransferase deficiency and 2,8-dihydroxyadenine lithiasis. In: Scriver CR, Beaudet AL, Sly WS, Valle D (eds) The metabolic basis of inherited disease, 6th edn. McGraw-Hill, New York.

    Google Scholar 

  • Thompson LF (1986) Ecto-5′-nucleotidase can use IMP to provide the total purine requirements of mitogen-stimulated human T cells and human B lymphoblasts. Adv Exp Med Biol 195B: 467–473.

    CAS  Google Scholar 

  • Willis RC, Seegmiller JE (1980) Increases in purine excretion and rate of synthesis by drugs inhibiting IMP dehydrogenase and adenylosuccinate synthetase activities. Adv Exp Med Biol 122B: 237–241.

    CAS  Google Scholar 

  • Willis RC, Kaufman AH, Seegmiller JE (1984) Purine nucleotide reutilisation by human lymphoblast lines with abberrations of the inosinate cycle. J Biol Chem 259: 4157–4161.

    PubMed  CAS  Google Scholar 

  • Wyngaarden JB, Kelley WN (1983) Gout. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) The metablic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 1043–1115.

    Google Scholar 

  • Zöllner N (1960) Moderne Gichtprobleme. Ätiologie, Pathogenese, Klinik. Ergeb Inn Med Kinderheilkd 14: 231–389.

    Google Scholar 

  • Zöllner N, Gröbner W (1970 a) Effects of allopurinol on endogenous and exogenous urates. Eur J Clin Pharmacol 3: 56–58.

    Article  Google Scholar 

  • Zöllner N, Dofel W, Gröbner W (1970b) Die Wirkung von Benzbromaron auf die renale Harnsäureausscheidung Gesunder. Klin Wochenschr 48: 426–432.

    Article  PubMed  Google Scholar 

  • Zöllner N, Gröbner W (1977) Dietary feedback regulation of purine and pyrimidine biosynthesis in man. In: Purine and pyrimidine metabolism in man. Ciba Foundation Symposium 48, pp 165–179.

    PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Simmonds, H.A. (1990). Krankheiten mit Urolithiasis. In: Zöllner, N. (eds) Hyperurikämie, Gicht und andere Störungen des Purinhaushalts. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93422-3_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-93422-3_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-93423-0

  • Online ISBN: 978-3-642-93422-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics