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Effects of febuxostat on platelet-derived microparticles and adiponectin in patients with hyperuricemia. | LitMetric

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

Blood Coagul Fibrinolysis

aFirst Department of Internal Medicine, Kansai Medical University, Osaka bDivision of Internal Medicine, Daiwa Hospital, Japan.

Published: December 2015

AI Article Synopsis

  • PDMPs and adiponectin are key in the development of atherothrombosis, particularly in patients with high uric acid levels (hyperuricemia).
  • After 2 months of febuxostat treatment, uric acid and IL-6 levels decreased significantly, but changes in PDMP and adiponectin levels didn't occur until after 6 months of treatment.
  • The findings suggest that febuxostat may help prevent atherothrombosis in hyperuricemic patients by influencing PDMP levels through xanthine oxidase inhibition rather than merely lowering uric acid.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664023PMC
http://dx.doi.org/10.1097/MBC.0000000000000335DOI Listing

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