

Гиперурикемия и нефро-церебральный континуум
https://doi.org/10.36485/1561-6274-2025-29-2-9-16
EDN: FQWGFC
Аннотация
Мочевая кислота играет важную роль в развитии заболеваний почек и цереброваскулярных заболеваний. Почки играют решающую роль в регулировании уровня мочевой кислоты в сыворотке крови, на их долю приходится 60–70 % экскреции мочевой кислоты. В норме почки реабсорбируют примерно 90 % мочевой кислоты, отфильтрованной клубочками в проксимальных канальцах. Мочевая кислота является продуктом распада пуринов и может выполнять множество физиологических функций, включая антиоксидантные и нейропротекторные, поддержание кровяного давления при приеме с низким содержанием соли и модуляцию иммунитета. Однако избыточная продукция мочевой кислоты и/или дисбаланс почечной секреции и реабсорбции мочевой кислоты, и/или недостаточная экскреция внепочечной мочевой кислоты, например, в кишечнике, будут способствовать гиперурикемии, которая является распространенным метаболическим заболеванием. Гиперурикемия и подагра связаны с многочисленными сердечно-сосудистыми и почечными нарушениями, например, гипертонией, инфарктом миокарда, инсультом, ожирением, гиперлипидемией, сахарным диабетом 2 типа и хроническими заболеваниями почек. В статье обсуждается нефро-церебральный континуум при гиперурикемии.
Ключевые слова
Об авторах
Ф. А. ЮсуповКыргызстан
Проф. Юсупов Фуркат Абдулахатович - д-р мед. наук. Кафедра неврологии, психиатрии и нейрохирургии медицинского факультета Ошского государственного университета. Зав. каф., член правления Общества специалистов по хронической болезни почек Кыргызстана.
714000, Ош, ул. Ленина, д. 331. Тел.: (+996) 557202071
И. Т. Ыдырысов
Кыргызстан
Проф. Ыдырысов Исматилла Токтосунович - д-р мед. наук. Ошский государственный университет, декан медицинского факультета.
714000, Ош, ул. Ленина, д. 331. Тел.: (+996) 772334433
А. А. Юлдашев
Кыргызстан
Юлдашев Акмал Акбарович - Кафедра неврологии, психиатрии и нейрохирургии медицинского факультета Ошского государственного университета, аспирант.
714000, Ош, ул. Ленина, д. 331. Тел.: (+996) 559062491
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Рецензия
Для цитирования:
Юсупов Ф.А., Ыдырысов И.Т., Юлдашев А.А. Гиперурикемия и нефро-церебральный континуум. Нефрология. 2025;29(2):9-16. https://doi.org/10.36485/1561-6274-2025-29-2-9-16. EDN: FQWGFC
For citation:
Yusupov F.A., Ydyrysov I.T., Yuldashev A.A. Hyperuricemia and the nephrocerebral continuum. Nephrology (Saint-Petersburg). 2025;29(2):9-16. (In Russ.) https://doi.org/10.36485/1561-6274-2025-29-2-9-16. EDN: FQWGFC