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A comparative study of the concentrations of hypoxanthine, xanthine, uric acid and allantoin in the peripheral blood of normals and patients with acute myocardial infarction and other ischaemic diseases.

Abstract
The aim of this study was the elucidation of the role of the xanthine oxidoreductase in the purine metabolism in ischaemic diseases of man. The serum concentrations of hypoxanthine, xanthine, uric acid and allantoin were determined in peripheral blood samples from patients with angina pectoris, cerebral insult and myocardial infarction with thrombolytic therapy and were compared with the concentrations obtained for healthy males and females. No significant differences were observed for the serum hypoxanthine concentrations, xanthine concentrations, the sum (hypoxanthine+xanthine) and the ratio (xanthine/hypoxanthine) between the healthy males, healthy females, the patients suffering from angina pectoris and the patients suffering from cerebral insult. An increase of the serum xanthine concentration in patients with myocardial infarction indicates a significant metabolic involvement of xanthine oxidoreductase in this disease and therefore a possible role in the development of tissue damage in the postischaemic phase due to oxygen radicals generated by the oxidase activity of this enzyme. The serum concentrations of uric acid and allantoin showed no differences between any of the studied groups. Study of the non-enzymatic oxidation of uric acid to allantoin by oxygen radicals, a relevant radical-scavenging mechanism in other diseases, provided no indication of an increased concentration of oxygen radicals due to the xanthine oxidoreductase reaction or other radical-producing mechanisms.
AuthorsR Kock, B Delvoux, M Sigmund, H Greiling
JournalEuropean journal of clinical chemistry and clinical biochemistry : journal of the Forum of European Clinical Chemistry Societies (Eur J Clin Chem Clin Biochem) Vol. 32 Issue 11 Pg. 837-42 (Nov 1994) ISSN: 0939-4974 [Print] Germany
PMID7888480 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Hypoxanthines
  • Isoenzymes
  • Xanthines
  • Xanthine
  • Uric Acid
  • Hypoxanthine
  • Allantoin
  • Creatine Kinase
Topics
  • Adult
  • Allantoin (blood)
  • Creatine Kinase (blood)
  • Female
  • Humans
  • Hypoxanthine
  • Hypoxanthines (blood)
  • Isoenzymes
  • Male
  • Myocardial Infarction (blood, enzymology)
  • Myocardial Ischemia (blood, enzymology)
  • Reference Values
  • Uric Acid (blood)
  • Xanthine
  • Xanthines (blood)

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