Journal of the American Society of Nephrology
2007 JASN IMPACT FACTOR 7.111 HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP 
    advanced
CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ichida, K.
Right arrow Articles by Hosoya, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ichida, K.
Right arrow Articles by Hosoya, T.
J Am Soc Nephrol 15:164-173, 2004
© 2004 American Society of Nephrology


CLINICAL SCIENCE

Clinical and Molecular Analysis of Patients with Renal Hypouricemia in Japan-Influence of URAT1 Gene on Urinary Urate Excretion

Kimiyoshi Ichida*, Makoto Hosoyamada{dagger}, Ichiro Hisatome{ddagger}, Atsushi Enomoto§, Miho Hikita*, Hitoshi Endou{dagger} and Tatsuo Hosoya*

*Division of Kidney and Hypertension, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan; {dagger}Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Tokyo, Japan; {ddagger}Department of Cardiovascular Medicine, Tottori University, Yonago, Japan; and §Department of Clinical Preventive Medicine, Nagoya University School of Medicine, Nagoya, Japan.

Correspondence to Kimiyoshi Ichida, Division of Kidney and Hypertension, Department of Internal Medicine, Jikei University School of Medicine, 3–25–8 Nishishimbashi, Minato-ku, Tokyo 105–8461, Japan. Phone: 81-33433-1111 ext. 3221; Fax: 81-33433-4297;

ABSTRACT. Renal hypouricemia is an inherited and heterogeneous disorder characterized by increased urate clearance (CUA). The authors recently established that urate was reabsorbed via URAT1 on the tubular apical membrane and that mutations in SLC22A12 encoding URAT1 cause renal hypouricemia. This study was undertaken to elucidate and correlate clinical and genetic features of renal hypouricemia. The SLC22A12 gene was sequenced in 32 unrelated idiopathic renal hypouricemia patients, and the relationships of serum urate levels, and CUA/creatinine clearance (Ccr) to SLC22A12 genotype were examined. Uricosuric (probenecid and benzbromarone) and anti-uricosuric drug (pyrazinamide) loading tests were also performed in some patients. Three patients had exercise-induced acute renal failure (9.4%), and four patients had urolithiasis (12.5%). The authors identified eight new mutations and two previously reported mutations that result in loss of function. Thirty patients had SLC22A12 mutations; 24 homozygotes and compound heterozygotes, and 6 heterozygotes. Mutation G774A dominated SLC22A12 mutations (74.1% in 54 alleles). Serum urate levels were significantly lower and CUA/Ccr was significantly higher in heterozygotes compared with healthy subjects; these changes were even more significant in homozygotes and compound heterozygotes. These CUA/Ccr relations demonstrated a gene dosage effect that corresponds with the difference in serum urate levels. In contrast to healthy subjects, the CUA/Ccr of patients with homozygous and compound heterozygous SLC22A12 mutations was unaffected by pyrazinamide, benzbromarone, and probenecid. The findings indicate that SLC22A12 was responsible for most renal hypouricemia and that URAT1 is the primary reabsorptive urate transporter, targeted by pyrazinamide, benzbromarone, and probenecid in vivo. E-mail: ichida@jikei.ac.jp




This article has been cited by other articles:


Home page
J. Biol. Chem.Home page
N. Anzai, K. Ichida, P. Jutabha, T. Kimura, E. Babu, C. J. Jin, S. Srivastava, K. Kitamura, I. Hisatome, H. Endou, et al.
Plasma Urate Level Is Directly Regulated by a Voltage-driven Urate Efflux Transporter URATv1 (SLC2A9) in Humans
J. Biol. Chem., October 3, 2008; 283(40): 26834 - 26838.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
M. T. Le, M. Shafiu, W. Mu, and R. J. Johnson
SLC2A9--a fructose transporter identified as a novel uric acid transporter
Nephrol. Dial. Transplant., September 1, 2008; 23(9): 2746 - 2749.
[Full Text] [PDF]


Home page
Physiol. GenomicsHome page
S. A. Eraly, V. Vallon, T. Rieg, J. A. Gangoiti, W. R. Wikoff, G. Siuzdak, B. A. Barshop, and S. K. Nigam
Multiple organic anion transporters contribute to net renal excretion of uric acid
Physiol Genomics, April 1, 2008; 33(2): 180 - 192.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
R. Kikuchi, H. Kusuhara, N. Hattori, I. Kim, K. Shiota, F. J. Gonzalez, and Y. Sugiyama
Regulation of Tissue-Specific Expression of the Human and Mouse Urate Transporter 1 Gene by Hepatocyte Nuclear Factor 1 {alpha}/beta and DNA Methylation
Mol. Pharmacol., December 1, 2007; 72(6): 1619 - 1625.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Pathol.Home page
J Vazquez-Mellado, V Alvarado-Romano, R Burgos-Vargas, A L Jimenez-Vaca, G Pozo-Molina, and S A Cuevas-Covarrubias
Homozygous frameshift mutation in the SLC22A12 gene in a patient with primary gout and high levels of serum uric acid
J. Clin. Pathol., August 1, 2007; 60(8): 947 - 948.
[Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
R. Cunningham, M. Brazie, S. Kanumuru, X. E, R. Biswas, F. Wang, D. Steplock, J. B. Wade, N. Anzai, H. Endou, et al.
Sodium-Hydrogen Exchanger Regulatory Factor-1 Interacts with Mouse Urate Transporter 1 to Regulate Renal Proximal Tubule Uric Acid Transport
J. Am. Soc. Nephrol., May 1, 2007; 18(5): 1419 - 1425.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
Y. Hagos, D. Stein, B. Ugele, G. Burckhardt, and A. Bahn
Human Renal Organic Anion Transporter 4 Operates as an Asymmetric Urate Transporter
J. Am. Soc. Nephrol., February 1, 2007; 18(2): 430 - 439.
[Abstract] [Full Text] [PDF]


Home page
Rheumatology (Oxford)Home page
J. Vazquez-Mellado, A. L. Jimenez-Vaca, S. Cuevas-Covarrubias, V. Alvarado-Romano, G. Pozo-Molina, and R. Burgos-Vargas
Molecular analysis of the SLC22A12 (URAT1) gene in patients with primary gout
Rheumatology, February 1, 2007; 46(2): 215 - 219.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
T. Iwanaga, M. Sato, T. Maeda, T. Ogihara, and I. Tamai
Concentration-Dependent Mode of Interaction of Angiotensin II Receptor Blockers with Uric Acid Transporter
J. Pharmacol. Exp. Ther., January 1, 2007; 320(1): 211 - 217.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
I. Yamamoto, H. Yamamoto, K. Ichida, J. Mitome, Y. Tanno, N. Katoh, K. Yokoyama, and T. Hosoya
Successful living-related kidney transplantation in hereditary renal hypouricaemia
Nephrol. Dial. Transplant., July 1, 2006; 21(7): 2041 - 2041.
[Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
K. L. Price, Y. Y. Sautin, D. A. Long, L. Zhang, H. Miyazaki, W. Mu, H. Endou, and R. J. Johnson
Human Vascular Smooth Muscle Cells Express a Urate Transporter
J. Am. Soc. Nephrol., July 1, 2006; 17(7): 1791 - 1795.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
T. Sekine, H. Miyazaki, and H. Endou
Molecular physiology of renal organic anion transporters
Am J Physiol Renal Physiol, February 1, 2006; 290(2): F251 - F261.
[Abstract] [Full Text] [PDF]


Home page
ANN INTERN MEDHome page
H. K. Choi, D. B. Mount, and A. M. Reginato
Pathogenesis of Gout
Ann Intern Med, October 4, 2005; 143(7): 499 - 516.
[Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
I. Ishikawa, M. Nakagawa, S. Hayama, S. Yoshida, and T. Date
Acute renal failure with severe loin pain and patchy renal ischaemia after anaerobic exercise (ALPE) (exercise-induced acute renal failure) in a father and child with URAT1 mutations beyond the W258X mutation
Nephrol. Dial. Transplant., May 1, 2005; 20(5): 1015 - 1015.
[Full Text] [PDF]


Home page
PhysiologyHome page
M. A. Hediger, R. J Johnson, H. Miyazaki, and H. Endou
Molecular Physiology of Urate Transport
Physiology, April 1, 2005; 20(2): 125 - 133.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
N. Wakida, D. G. Tuyen, M. Adachi, T. Miyoshi, H. Nonoguchi, T. Oka, O. Ueda, M. Tazawa, S. Kurihara, Y. Yoneta, et al.
Mutations in Human Urate Transporter 1 Gene in Presecretory Reabsorption Defect Type of Familial Renal Hypouricemia
J. Clin. Endocrinol. Metab., April 1, 2005; 90(4): 2169 - 2174.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
N. Anzai, H. Miyazaki, R. Noshiro, S. Khamdang, A. Chairoungdua, H.-J. Shin, A. Enomoto, S. Sakamoto, T. Hirata, K. Tomita, et al.
The Multivalent PDZ Domain-containing Protein PDZK1 Regulates Transport Activity of Renal Urate-Anion Exchanger URAT1 via Its C Terminus
J. Biol. Chem., October 29, 2004; 279(44): 45942 - 45950.
[Abstract] [Full Text] [PDF]




HOME CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION AUTHOR INFO
EDITORIAL BOARD SUBSCRIBE FEEDBACK ALERTS HELP