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Liu Y, Li M, Zhao Z, Zhao Z, Li M. A Rapid and Sensitive SERS-Based Au/MIL-125(Ti) Biosensor for Hyperuricemia Diagnosis via Saliva Analysis. Anal Chem 2025; 97:6438-6446. [PMID: 40108773 DOI: 10.1021/acs.analchem.4c05499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2025]
Abstract
An Au/MIL-125(Ti) nanocomposite was developed as a novel Raman-based biosensor platform for the noninvasive evaluation of uric acid (UA) levels in saliva. The intensity ratio (I497/I1648) for the Raman spectrum of uric acid was found to exhibit a quantitative correlation with uric acid concentration upon its adsorption onto MIL-125(Ti). This innovative method achieves an impressive limit of detection (LOD) of 0.01 μM with consistent performance in physiological media. This platform shows a wide linear detection range from 50 μM to 5000 μM, showcasing its sensitivity and versatility. Furthermore, this biosensor facilitates rapid UA detection in saliva samples and can distinguish clearly hyperuricemia sufferers from healthy controls within a remarkable time frame of only 90 s without complicated pretreatments, highlighting its great potential for real-time diagnostics. This research underscores the transformative potential of composite biosensors based on metal-organic frameworks (MOFs) for biomarker sensing applications, paving the way for future innovations in noninvasive diagnostic technologies.
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Affiliation(s)
- Yifan Liu
- CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, Multi-discipline Research Center, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China
- Key Laboratory of New Low-carbon Green Chemical Technology, Education Department of Guangxi Zhuang Autonomous Region, Guangxi Key Laboratory of Clean Pulp & Papermaking and Pollution Control, School of Chemistry and Chemical Engineering, School of Light Industry and Food Engineering, Guangxi University, Nanning 530004, China
| | - Miao Li
- CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, Multi-discipline Research Center, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China
- Key Laboratory of New Low-carbon Green Chemical Technology, Education Department of Guangxi Zhuang Autonomous Region, Guangxi Key Laboratory of Clean Pulp & Papermaking and Pollution Control, School of Chemistry and Chemical Engineering, School of Light Industry and Food Engineering, Guangxi University, Nanning 530004, China
| | - Zhenxia Zhao
- Key Laboratory of New Low-carbon Green Chemical Technology, Education Department of Guangxi Zhuang Autonomous Region, Guangxi Key Laboratory of Clean Pulp & Papermaking and Pollution Control, School of Chemistry and Chemical Engineering, School of Light Industry and Food Engineering, Guangxi University, Nanning 530004, China
| | - Zhongxing Zhao
- Key Laboratory of New Low-carbon Green Chemical Technology, Education Department of Guangxi Zhuang Autonomous Region, Guangxi Key Laboratory of Clean Pulp & Papermaking and Pollution Control, School of Chemistry and Chemical Engineering, School of Light Industry and Food Engineering, Guangxi University, Nanning 530004, China
| | - Min Li
- CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, Multi-discipline Research Center, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China
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Xiang Y, Yu H, Wu K, Quan Z, He D, Ou C, Chai X, Liang Y, Duan X, Zhang X, Zha Q, Xie W. Smartphone-based non-invasive detection of salivary uric acid based on the fluorescence quenching of gleditsia sinensis carbon dots. Mikrochim Acta 2025; 192:100. [PMID: 39836311 DOI: 10.1007/s00604-025-06949-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2024] [Accepted: 01/01/2025] [Indexed: 01/22/2025]
Abstract
A smartphone-based non-invasive method was developed for salivary uric acid detection using Gleditsia Sinensis carbon dots (GS-CDs). The GS-CDs synthesized by the one-pot hydrothermal method emitted blue fluorescence at a maximum excitation wavelength of 350 nm and had good fluorescence stability in the presence of different ions, while showing selectivity to uric acid solution. The ability of uric acid (UA) to quench the fluorescent substances present in the GS-CDs, was confirmed through HPLC-FLD and LC-MS, FTIR and XPS. The results showed that UA reacted with GS-CDs, with a decrease in hydroxyl groups and the formation of carboxyl groups. The fluorescence quenching suggested a possible dynamic quenching mechanism. In addition, a smartphone-based non-invasive detection method was developed for the detection of salivary UA levels, which reflects blood UA levels. This study provides a new perspective on the utilization of GS shells and advances the development of non-invasive testing for UA.
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Affiliation(s)
- Yujuan Xiang
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Hongpeng Yu
- Guangdong Provincial Laboratory of Chemistry and Fine Chemical Engineering Jieyang Center, Guangdong University of Technology, Jieyang City, 522000, People's Republic of China
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Kegang Wu
- Guangdong Provincial Laboratory of Chemistry and Fine Chemical Engineering Jieyang Center, Guangdong University of Technology, Jieyang City, 522000, People's Republic of China
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Ziting Quan
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Dong He
- Guangdong Provincial Laboratory of Chemistry and Fine Chemical Engineering Jieyang Center, Guangdong University of Technology, Jieyang City, 522000, People's Republic of China.
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China.
| | - Cansheng Ou
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Xianghua Chai
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Yinglin Liang
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Xuejuan Duan
- School of Chemical Engineering and Light Industry, Guangdong University of Technology, No. 100 Waihuan Xi Road, Panyu District, Guangzhou, 510006, People's Republic of China
| | - Xiangyu Zhang
- Institute of Traditional Chinese Medicine, Guizhou Province, Bijie City, 551700, China
| | - Qin Zha
- Institute of Traditional Chinese Medicine, Guizhou Province, Bijie City, 551700, China
| | - Wei Xie
- Guizhou Province, Qianzhi Mingguang Soaphorn Rice Processing Base, Zhijin County, Maochang Town, Bijie CityBijie City, 552103, China
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Bai J, Zhou C, Liu Y, Ding M, Zhang Z, Chen Z, Feng P, Song J. Relationship between serum uric acid levels and periodontitis-A cross-sectional study. PLoS One 2024; 19:e0310243. [PMID: 39331593 PMCID: PMC11432880 DOI: 10.1371/journal.pone.0310243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 08/28/2024] [Indexed: 09/29/2024] Open
Abstract
OBJECTIVES Whether there is an association between serum uric acid level (sUA) and periodontitis remains unclear. The aim of this study was to investigate the association between moderate/severe periodontitis and sUA in US adults. MATERIALS AND METHODS A total of 3398 participants were included in the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2014. The independent variable was sUA and the dependent variable was periodontitis. SUA for continuous variables, periodontitis as classification variables. Covariate including social demographic variables, life style, systemic diseases, etc. Multiple linear regression models were used to investigate the distribution of differences in covariates between different independent groups. To investigate the association between serum uric acid levels and moderate/severe periodontitis, three models were used (Model 1: unadjusted model; Model 2: adjusted for age, sex, and race/ethnicity; Model 3: adjusted for age, sex, race/ethnicity, education, household income/poverty ratio, smoking behavior, alcohol consumption, dental floss frequency, obesity, hypertension, diabetes, high cholesterol, hyperlipidemia, and sleep disorders). RESULTS Among the 3398 patients, 42.5% had moderate/severe periodontitis. Multivariate logistic regression analysis showed that sUA was significantly associated with moderate/severe periodontitis (OR = 1.10, 95%CI: (1.03, 1.16), P = 0.0020) after adjusting for potential confounding factors. In addition, it may vary by race/ethnicity and gender. The association between sUA levels and the prevalence ofperiodontitis was U-shaped in women and non-Hispanic blacks. CONCLUSION sUA level is associated with moderate to severe periodontitis. However, the association between sUA levels and the occurrence of periodontitis in women and non-Hispanic blacks followed a U-shaped curve. CLINICAL RELEVANCE sUA may directly or indirectly contribute to the global burden of periodontal disease, but there is little evidence that sUA is directly related to periodontitis.This study further supports that high uric acid levels are closely related to periodontitis and may contribute to the control of periodontitis. It also provides new insights into whether it can be used as an indicator to assess the risk or progression of periodontitis. More studies are needed to confirm the relationship between sUA and periodontitis.
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Affiliation(s)
- Jingjing Bai
- Department of Periodontics, Guiyang Stomatological Hospital, Guiyang, Guizhou, China
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Chenying Zhou
- Department of Periodontics, Guiyang Stomatological Hospital, Guiyang, Guizhou, China
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Ye Liu
- Department of Periodontics, Guiyang Stomatological Hospital, Guiyang, Guizhou, China
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Ming Ding
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Zhonghua Zhang
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Zhu Chen
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
- Department of Endodontics and Dentistry, Guiyang Stomatological Hospital, Guiyang, Guizhou, China
| | - Ping Feng
- Department of Periodontics, Guiyang Stomatological Hospital, Guiyang, Guizhou, China
- School of Stomatology, Zunyi Medical University, Zunyi, Guizhou, China
| | - Jukun Song
- Oral and Maxillofacial Surgery, Stomatological Hospital Affiliated to Guizhou Medical University, Guiyang, Guizhou, China
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Wu Z, Cheng L, Cai S, Su B, Chen Y, Cai C, Guo W, Ma D, Cui X. 4,5-Diamino-2-Thiouracil-Powered Dual-Mode Biosensor for Sensitive, Nonenzymatic Determination of Saliva Uric Acid Levels. Int J Anal Chem 2024; 2024:9944426. [PMID: 39360016 PMCID: PMC11446619 DOI: 10.1155/2024/9944426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Accepted: 08/24/2024] [Indexed: 10/04/2024] Open
Abstract
Nonenzymatic and rapid monitoring of uric acid levels is of great value for early diagnosis, prevention, and management of oxidative stress-associated diseases. However, fast, convenient, and low-cost uric acid detection remains challenging, especially in resource-limited settings. In this study, a novel and rapid biosensing approach was developed for the simultaneous visualization and quantification of uric acid levels by using the unique surface plasmon resonance and photothermal property of 4,5-diamino-2-thiouracil (DT)-capped gold nanoparticles (AuNPs). With the presence of uric acid, DT-capped AuNPs rapidly aggregated, and a visible color/photothermal change was used for uric acid quantification within 15 min. The limit of detection was determined to be 11.3 and 6.6 μM for the dual-mode biosensor, leveraging the unique structure of DT to optimize reaction kinetics. Moreover, the sensor exhibited excellent anti-interference capabilities and demonstrated potential for detecting a wide range of uric acid concentrations in complex samples, thereby reducing the need for extensive sample dilution and complex material synthesis procedures. Furthermore, validation against gold standard testing indicates that this biosensor could serve as a highly sensitive assay for quantifying uric acid levels in point-of-care applications, particularly in resource-limited settings.
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Affiliation(s)
- Zipeng Wu
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Lingyan Cheng
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Shuhua Cai
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Baochang Su
- Transfusion Department The First Affiliated Hospital of Jinan University, Guangzhou 510632, China
| | - Yaowei Chen
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Chunzong Cai
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Weijin Guo
- Department of Biomedical Engineering Shantou University, Shantou 515063, China
| | - Dong Ma
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
| | - Xin Cui
- Key Laboratory of Biomaterials of Guangdong Higher Education Institutes Department of Biomedical Engineering Jinan University, Guangzhou 510632, China
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Sharma A, Faber H, AlGhamdi WS, Naphade D, Lin Y, Heeney M, Anthopoulos TD. Label-Free Metal-Oxide Transistor Biosensors for Metabolite Detection in Human Saliva. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2306038. [PMID: 38381100 PMCID: PMC11251559 DOI: 10.1002/advs.202306038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 01/14/2024] [Indexed: 02/22/2024]
Abstract
Metabolites are essential molecules involved in various metabolic processes, and their deficiencies and excessive concentrations can trigger significant physiological consequences. The detection of multiple metabolites within a non-invasively collected biofluid could facilitate early prognosis and diagnosis of severe diseases. Here, a metal oxide heterojunction transistor (HJ-TFT) sensor is developed for the label-free, rapid detection of uric acid (UA) and 25(OH)Vitamin-D3 (Vit-D3) in human saliva. The HJ-TFTs utilize a solution-processed In2O3/ZnO channel functionalized with uricase enzyme and Vit-D3 antibody for the selective detection of UA and Vit-D3, respectively. The ultra-thin tri-channel architecture facilitates strong coupling between the electrons transported along the buried In2O3/ZnO heterointerface and the electrostatic perturbations caused by the interactions between the surface-immobilized bioreceptors and target analytes. The biosensors can detect a wide range of concentrations of UA (from 500 nm to 1000 µM) and Vit-D3 (from 100 pM to 120 nm) in human saliva within 60 s. Moreover, the biosensors exhibit good linearity with the physiological concentration of metabolites and limit of detections of ≈152 nm for UA and ≈7 pM for Vit-D3 in real saliva. The specificity is demonstrated against various interfering species, including other metabolites and proteins found in saliva, further showcasing its capabilities.
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Affiliation(s)
- Abhinav Sharma
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
| | - Hendrik Faber
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
| | - Wejdan S. AlGhamdi
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
| | - Dipti Naphade
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
| | - Yen‐Hung Lin
- Department of Electronic and Computer EngineeringThe Hong Kong University of Science and TechnologyClear Water BayKowloonHong Kong
| | - Martin Heeney
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
| | - Thomas D. Anthopoulos
- King Abdullah University of Science and Technology (KAUST)KAUST Solar Center (KSC)Thuwal23955–6900Saudi Arabia
- Photon Science Institute, Henry Royce InstituteDepartment of Electrical and Electronic Engineering, The University of ManchesterManchesterM13 9PLUnited Kingdom
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Yuan X, Ouaskioud O, Yin X, Li C, Ma P, Yang Y, Yang PF, Xie L, Ren L. Epidermal Wearable Biosensors for the Continuous Monitoring of Biomarkers of Chronic Disease in Interstitial Fluid. MICROMACHINES 2023; 14:1452. [PMID: 37512763 PMCID: PMC10385734 DOI: 10.3390/mi14071452] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 07/15/2023] [Accepted: 07/18/2023] [Indexed: 07/30/2023]
Abstract
Healthcare technology has allowed individuals to monitor and track various physiological and biological parameters. With the growing trend of the use of the internet of things and big data, wearable biosensors have shown great potential in gaining access to the human body, and providing additional functionality to analyze physiological and biochemical information, which has led to a better personalized and more efficient healthcare. In this review, we summarize the biomarkers in interstitial fluid, introduce and explain the extraction methods for interstitial fluid, and discuss the application of epidermal wearable biosensors for the continuous monitoring of markers in clinical biology. In addition, the current needs, development prospects and challenges are briefly discussed.
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Affiliation(s)
- Xichen Yuan
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- MOE Key Laboratory of Micro and Nano Systems for Aerospace, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Oumaima Ouaskioud
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Xu Yin
- MOE Key Laboratory of Micro and Nano Systems for Aerospace, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
| | - Chen Li
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Pengyi Ma
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Yang Yang
- Ministry of Education Key Laboratory of Low-Grade Energy Utilization Technologies and Systems, Chongqing University, Chongqing 400030, China
| | - Peng-Fei Yang
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Li Xie
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
| | - Li Ren
- Key Laboratory of Flexible Electronics of Zhejiang Province, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi'an 710072, China
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Wang K, Li G, Wang D, Lin L. Non-invasive quantitative analysis of human blood components in renal three items using spectral compensation method based on spectral data and component content correlation. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 227:107210. [PMID: 36347065 DOI: 10.1016/j.cmpb.2022.107210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 10/12/2022] [Accepted: 10/28/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND AND OBJECTIVE The non-invasive measurement of the blood component contents in humans using spectroscopic methods has important clinical application value. In the absorption spectrum of human blood, for a target component with a small content, the absorption spectrum line is low, the absorption spectrum line of the target component changes weakly at different wavelengths, and the absorption spectrum lines of the target and non-target components overlap. The above reasons cause the spectral line difference between the target and non-target components to be small. However, non-target components also have physical properties such as scattering, which will reduce the contribution of the target component in the absorption spectrum of blood, that is, the spectral line difference between the target and non-target components becomes smaller, thus making the accuracy of the target component model lower. METHODS To increase the accuracy of modeling analysis, according to the correlation between spectral data and the content of the target component, this paper proposes a spectral compensation method. The method compensates for the influence caused by the non-target components on the target components through the mathematical relations between the data of the spectrum and the contents of the target components. Thus, a high-precision, non-invasive quantitative analysis system of human blood components is obtained. Taking the analysis of the three components of urea nitrogen, creatinine, and uric acid as examples, the experiment used spectral data before and after spectral compensation and partial least squares (PLS) methods to build two models and used them to predict the content of the target component. RESULTS When the models of different components established by the spectral compensation method respectively predict the all samples' contents of urea, creatinine, and uric acid, the three correlation coefficients can reach more than 0.9700. CONCLUSION It can be obtained from the experimental results that the spectral compensation method can greatly increase the performance of each component model. Spectral compensation is a new and comprehensive method for improving the quality of spectral data. Therefore, this paper obtains a non-invasive quantitative analysis system of human blood components with higher precision, and can quantitatively analyze blood urea nitrogen, creatinine, and uric acid in human blood with high precision, which has great practical application value in clinical practice.
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Affiliation(s)
- Kang Wang
- State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Nankai District, Weijin Road, No. 92, Tianjin 300072, China
| | - Gang Li
- State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Nankai District, Weijin Road, No. 92, Tianjin 300072, China
| | - Dan Wang
- State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Nankai District, Weijin Road, No. 92, Tianjin 300072, China
| | - Ling Lin
- State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Nankai District, Weijin Road, No. 92, Tianjin 300072, China.
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Hou W, Xia X, Li Y, Lv H, Liu J, Li X. Recent progress and perspectives on the relationship between hyperuricemia and periodontitis. Front Immunol 2022; 13:995582. [PMID: 36466813 PMCID: PMC9708725 DOI: 10.3389/fimmu.2022.995582] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Accepted: 11/01/2022] [Indexed: 08/31/2023] Open
Abstract
Periodontitis is one of the most prevalent diseases in oral cavity, which could not merely lead to the destruction of supporting or surrounding tooth structures but also affect the whole-body health such as the digestive and nervous systems. Epidemiological investigations suggested that in some developed countries, more than 45% or even 50% population were suffering from periodontitis. However, the prevalence increases with age remarkably and it is investigated that a high prevalence (>50%) is affecting the elderly who is over 65 years old. There is an increasing interest in the direct and indirect relationships between periodontitis and hyperuricemia. Currently, hyperuricemia has become the second major metabolic disease in modern society and the prevalence of hyperuricemia among adult males and females was 21.7% and 14.4% respectively. As an inflammatory disease associated with various systemic diseases, periodontitis may have certain connections with hyperuricemia. Partial existing research announced that hyperuricemia could act as an inhibitory factor for periodontitis, while other scholars presented that a high uric acid (UA) level was more likely to aggravate inflammatory immune response and lead to more serious tissue destruction. This article provides a detailed and comprehensive overview of the relationship underlying hyperuricemia and periodontitis in the molecular mechanisms. Given the impact of hyperuricemia, this review could provide insight into its comorbidities.
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Affiliation(s)
- Wenxue Hou
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
| | - Xiaomin Xia
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
| | - Ying Li
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
| | - Hanlin Lv
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
| | - Jie Liu
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
| | - Xue Li
- Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China
- School of Stomatology, Qingdao University, Qingdao, China
- Dental Digital Medicine & 3D Printing Engineering Laboratory of Qingdao, Qingdao, China
- Dental Biomaterials Technology Innovation Center of Qingdao, Qingdao, China
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Kukkar D, Zhang D, Jeon B, Kim KH. Recent advances in wearable biosensors for non-invasive monitoring of specific metabolites and electrolytes associated with chronic kidney disease: Performance evaluation and future challenges. Trends Analyt Chem 2022. [DOI: 10.1016/j.trac.2022.116570] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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10
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Waldman HS, Bryant AR, Shepherd BD, Egan B, McAllister MJ. No Effect of a Ketone Monoester on Markers of Stress and Performance in a Live-Burn Search and Rescue in Firefighters. J Strength Cond Res 2022; 36:763-771. [DOI: 10.1519/jsc.0000000000004194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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11
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Zhao LL, Ma Q, Xu CY, Zheng G, Han Y, Qian Q, Jin W, Min JZ. Development and validation of a simple and noninvasive method for salivary uric acid: potential applications for monitoring the salivary uric acid level in healthy volunteers and gout patients. BRAZ J PHARM SCI 2022. [DOI: 10.1590/s2175-97902022e201026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Affiliation(s)
- Li-Li Zhao
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Qingkun Ma
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Chun-Yan Xu
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Guanghao Zheng
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Yu Han
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Qing Qian
- College of Pharmacy Yanbian University, People’s Republic of China
| | - Wenlong Jin
- Yanbian University Hospital, People’s Republic of China
| | - Jun Zhe Min
- College of Pharmacy Yanbian University, People’s Republic of China
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12
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Jaiswal A, Madaan S, Acharya N, Kumar S, Talwar D, Dewani D. Salivary Uric Acid: A Noninvasive Wonder for Clinicians? Cureus 2021; 13:e19649. [PMID: 34956769 PMCID: PMC8675576 DOI: 10.7759/cureus.19649] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2021] [Indexed: 12/30/2022] Open
Abstract
This review is a summary of the modern-day approach and recent trend in the determination of uric acid in the saliva of humans and its use in diagnosis by clinicians. Uric acid, which is the end product obtained from the breakdown of purine nucleotides, is an important biomarker associated with various conditions. Uric acid is found in various body fluids, such as serum, plasma, and urine. It can be used as an important tool for various diseases, such as gout and hyperuricemia, or conditions that are associated with increased oxidative stress. Recently, there has been an emergence of studies that have utilized uric acid concentrations measured in the saliva and studied its association with various diseases. Salivary uric acid can prove to be a noninvasive method to provide a diagnosis of serious illness. A raised uric acid level in the saliva can be associated with cancer, human immunodeficiency virus (HIV) infection, gout, and hypertension. A reduced level of salivary uric acid on the other hand can be a marker for Alzheimer's disease, progression of multiple sclerosis, and impairment of cognition. Online search databases, including Google Scholar, Scopus, PubMed, and Web of Science, were searched, and articles that were published before September 2021 based on salivary uric acid analysis were analyzed for this review. Uric acid is an essential biomarker that has antioxidant properties. Assessment of salivary uric acid levels was found to be essential in conditions such as cancer, metabolic syndrome, neurological conditions, psychiatric conditions, human immunodeficiency virus, and gout and in monitoring treatment of hyperuricemia. Although having importance in diagnosis and therapeutic monitoring, salivary uric acid analysis has not gained enough popularity due to limitations such as saliva collection and sample processing issues. With proper education and standardization, salivary uric acid analysis can be used as a cost-effective and noninvasive tool for getting a clue about antioxidant biomarker concentration in saliva and hence various diseases associated with oxidative stress.
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Affiliation(s)
- Arpita Jaiswal
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sparsh Madaan
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Neema Acharya
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sunil Kumar
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Dhruv Talwar
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Deepika Dewani
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
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13
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Vernerová A, Krčmová LK, Heneberk O, Radochová V, Strouhal O, Kašparovský A, Melichar B, Švec F. Chromatographic method for the determination of inflammatory biomarkers and uric acid in human saliva. Talanta 2021; 233:122598. [PMID: 34215086 DOI: 10.1016/j.talanta.2021.122598] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 05/29/2021] [Accepted: 06/05/2021] [Indexed: 10/21/2022]
Abstract
Determination of concentration of biomarkers of the activation of immune system, uric acid, and creatinine in the saliva can be useful tool for the diagnosis and monitoring of early manifestations of diseases such as malignant, inflammatory, and periodontal disorders. We have developed and validated a high-performance liquid chromatographic method coupled with fluorescence and diode array detection for the separation and quantification of neopterin, tryptophan, creatinine, uric acid, and kynurenine in the human saliva. A separation of these analytes was achieved within 9 min by using second-generation monolithic stationary phase and elution with phosphate buffer. The present method involves very simple sample preparation requiring small amount of sample matrix. The internal standard 3-nitro-l-tyrosine was used for a more precise quantification. The sensitivity of the present method was demonstrated with lower limits of quantification of 0.6 × 10-3 μmol/L for neopterin, 0.725 μmol/L for tryptophan, 0.12 μmol/L for creatinine, 0.18 μmol/L for uric acid, and 0.135 μmol/L for kynurenine. The method was validated with 67 real-life saliva samples collected from patients suffering from breast, ovarian, colorectal, and renal cancer, and 19 saliva samples from patients with periodontal diseases and allowed monitoring of inflammatory response.
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Affiliation(s)
- Andrea Vernerová
- Department of Analytical Chemistry, Faculty of Pharmacy in Hradec Králové, Charles University, Akademika Heyrovského 1203/8, 500 05, Hradec Králové, Czech Republic; Department of Clinical Biochemistry and Diagnostics, University Hospital, Sokolská 581, Hradec Králové, 500 05, Czech Republic
| | - Lenka Kujovská Krčmová
- Department of Analytical Chemistry, Faculty of Pharmacy in Hradec Králové, Charles University, Akademika Heyrovského 1203/8, 500 05, Hradec Králové, Czech Republic; Department of Clinical Biochemistry and Diagnostics, University Hospital, Sokolská 581, Hradec Králové, 500 05, Czech Republic.
| | - Ondřej Heneberk
- Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, University Hospital, Sokolská 581, Hradec Králové, 500 05, Czech Republic
| | - Vladimíra Radochová
- Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, University Hospital, Sokolská 581, Hradec Králové, 500 05, Czech Republic
| | - Ondřej Strouhal
- Department of Oncology, Palacký University, Faculty of Medicine and Dentistry, Olomouc, I.P. Pavlova 6, 779 00, Olomouc, Czech Republic
| | - Adam Kašparovský
- Department of Oncology, Palacký University, Faculty of Medicine and Dentistry, Olomouc, I.P. Pavlova 6, 779 00, Olomouc, Czech Republic
| | - Bohuslav Melichar
- Department of Oncology, Palacký University, Faculty of Medicine and Dentistry, Olomouc, I.P. Pavlova 6, 779 00, Olomouc, Czech Republic
| | - František Švec
- Department of Analytical Chemistry, Faculty of Pharmacy in Hradec Králové, Charles University, Akademika Heyrovského 1203/8, 500 05, Hradec Králové, Czech Republic
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14
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Chen Y, Ji P, Ma G, Song Z, Tang BQ, Li T. Simultaneous determination of cellular adenosine nucleotides, malondialdehyde, and uric acid using HPLC. Biomed Chromatogr 2021; 35:e5156. [PMID: 33955024 DOI: 10.1002/bmc.5156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 04/24/2021] [Accepted: 04/30/2021] [Indexed: 11/10/2022]
Abstract
Adenine nucleotides and malondialdehyde (MDA) are key components involved in energy metabolism and reactive oxygen species (ROS) production. Measuring the levels of these components at the same time would be critical in studying mitochondrial functions. We have established a HPLC method to simultaneously measure adenosine triphosphate, adenosine diphosphate, adenosine monophosphate, MDA, and uric acid (UA). The samples were treated with perchloric acid followed by centrifugation. After neutralization, the supernatant was subjected to HPLC determination. HPLC was performed using a C18 chromatographic column, isocratic elusion, and UV detection. The detection and quantification limits for these components were determined with standard solutions. The precision, repeatability, and 24-h stability were evaluated using cellular samples, and their relative standard deviations were all within 2%. The reproducibility and efficiency were confirmed with sample recovery tests and the observed oxidative effects of H2 O2 on Jurkat cells. With this method, we discovered the dependence of energy and oxidative states on the density of Jurkat cells cultured in suspension. We also found a significant correlation between UA in serum and that in saliva. These results indicate that this method has good accuracy and applicability. It can be used in biological, pharmacological, and clinical studies, especially those involving mitochondria, ROS, and purinergic signaling.
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Affiliation(s)
- Yanjie Chen
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
| | - Peng Ji
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
| | - Guangyin Ma
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
| | - Zehua Song
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
| | - Bruce Qing Tang
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
| | - Tongju Li
- Ennova Institute of Life Science and Technology, ENN Group, Langfang, China
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15
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Han Y, Shi Q, Xu CY, Di L, Zhao LL, Jin W, Min JZ. A convenient sampling and noninvasive dried spot method of uric acid in human saliva: Comparison of serum uric acid value and salivary uric acid in healthy volunteers and hyperuricemia patients. J Chromatogr B Analyt Technol Biomed Life Sci 2021; 1164:122528. [PMID: 33454442 DOI: 10.1016/j.jchromb.2021.122528] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 12/25/2020] [Accepted: 01/02/2021] [Indexed: 01/04/2023]
Abstract
Concentration of uric acid (UA) in serum is one of the markers used to diagnose gout and hyperuricemia. However, serum treatment and storage are cumbersome, and wounds are susceptible to infection. Therefore, a new sampling and analysis method using noninvasive biological samples has been developed, called the dried spot method of UA in human saliva (DSM-UHS). Saliva (5 μL) was dropped on filter paper (a spot with a diameter of 5 mm) containing hypoxanthine (IS) (5 μL) and dried at room temperature for 30 min. The filter paper was immersed in 200 μL of lithium carbonate solution and shaken in a block bath shaker for 5 min at 30 °C. Afterward, the extraction was concentrated and reconstituted with 100 μL of lithium carbonate solution analyzed by HPLC-UV. When comparing the concentration of UA in the human saliva of hyperuricemia patients (HPs) and with that of healthy volunteers (HVs), we observed the concentration of UA was higher in the HPs than in the HVs (p < 0.0001). In addition, the results showed a significant linear relationship between the content of UA in saliva and the content of UA in the serum (r = 0.6243). The content of UA in human saliva could indirectly reflect the content of UA in human serum. Then DSM-UHS could be used to determine the content of UA in the saliva of HVs and HPs. This study provides a new research method and strategy for the determination of human UA content and the clinical prewiring of hyperuricemia.
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Affiliation(s)
- Yu Han
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China
| | - Qing Shi
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China
| | - Chun-Yan Xu
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China
| | - Lei Di
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China
| | - Li-Li Zhao
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China
| | - Wenlong Jin
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China.
| | - Jun Zhe Min
- Laboratory of Natural Medicines of the Changbai Mountain, Pharmaceutical Analysis, College of Pharmacy, Yanbian University, and Department of Pharmacy, Department of Endocrinology, Yanbian University Hospital, Yanji 133002, Jilin Province, China.
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16
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Vernerová A, Kujovská Krčmová L, Melichar B, Švec F. Non-invasive determination of uric acid in human saliva in the diagnosis of serious disorders. Clin Chem Lab Med 2020; 59:797-812. [PMID: 33554551 DOI: 10.1515/cclm-2020-1533] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 11/12/2020] [Indexed: 11/15/2022]
Abstract
This review summarizes and critically evaluates the published approaches and recent trends in sample pre-treatment, as well as both separation and non-separation techniques used for the determination of uric acid (UA) in saliva. UA is the final product of purine nucleotide catabolism in humans. UA concentrations in biological fluids such as serum, plasma, and urine represent an important biomarker of diseases including gout, hyperuricemia, or disorders associated with oxidative stress. Previous studies reported correlation between UA concentrations detected in saliva and in the blood. The interest in UA has been increasing during the past 20 years from a single publication in 2000 to 34 papers in 2019 according to MEDLINE search using term "uric acid in saliva". The evaluation of salivary UA levels can contribute to non-invasive diagnosis of many serious diseases. Increased salivary UA concentration is associated with cancer, HIV, gout, and hypertension. In contrast, low UA levels are associated with Alzheimer disease, progression of multiple sclerosis, and mild cognitive impairment.
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Affiliation(s)
- Andrea Vernerová
- The Department of Analytical Chemistry, Faculty of Pharmacy, Charles University, Hradec Králové, Czech Republic.,The Department of Clinical Biochemistry and Diagnostics, University Hospital, Hradec Králové, Czech Republic
| | - Lenka Kujovská Krčmová
- The Department of Analytical Chemistry, Faculty of Pharmacy, Charles University, Hradec Králové, Czech Republic.,The Department of Clinical Biochemistry and Diagnostics, University Hospital, Hradec Králové, Czech Republic
| | - Bohuslav Melichar
- The Department of Oncology, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic
| | - František Švec
- The Department of Analytical Chemistry, Faculty of Pharmacy, Charles University, Hradec Králové, Czech Republic
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17
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Screen-Printed Sensor Based on Potentiometric Transduction for Free Bilirubin Detection as a Biomarker for Hyperbilirubinemia Diagnosis. CHEMOSENSORS 2020. [DOI: 10.3390/chemosensors8030086] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Novel reliable and cost-effective potentiometric screen-printed sensors for free bilirubin (BR) detection were presented. The sensors were fabricated using ordered mesoporous carbon (OMC) as an ion-to-electron transducer. The ion-association complex [Ni(bphen)3]2+[BR]2− was utilized as a sensory recognition material in the plasticized Polyvinyl Chloride (PVC) membrane. The membrane was drop-casted on the OMC layer, which is attached on a carbon conductor (2-mm diameter). In a 50 mM phosphate solution of pH 8.5, the electrodes offered a Nernstian slope of −26.8 ± 1.1 (r2 = 0.9997) mV/decade with a range of linearity 1.0 × 10−6–1 × 10−2 M towards free bilirubin with a detection limit 8.8 × 10−7 M (0.52 µg/mL). The presented sensors offered good features in terms of reliability, ease of design, high potential stability, high specificity and good accuracy and precision. Chronopotentiometric and electrochemical impedance spectrometric measurements were used for short-term potential stability and interfacial capacitance calculations. The sensors were used for the determination of free bilirubin in biological fluids. The data obtained are fairly well consistent with those obtained by the reference spectophotometric method. Based on the interaction of free BR with albumin (1:1), the sensors were also utilized for the assessment of albumin in human serum.
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18
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Chen HH, Ho CW, Hsieh MC, Chen CC, Hsu SP, Lin CL, Kao CH. Gout can increase the risk of periodontal disease in Taiwan. Postgrad Med 2020; 132:521-525. [PMID: 32298158 DOI: 10.1080/00325481.2020.1757267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objectives: To evaluate the risk of periodontal disease (PD) in gout patients. Methods: This retrospective cohort study was conducted using data from the Longitudinal Health Insurance Database 2000. The gout cohort included 31,759 patients newly diagnosed with gout from 2000 to 2012, and the comparison (nongout) cohort included 63,517 patients. Univariate and multivariable adjusted hazard ratios (aHRs), with corresponding 95% confidence intervals (CIs), were estimated using the Cox proportional hazard model for determining the occurrence of PD in both cohorts. We also measured the cumulative incidence of PD in these two cohorts using the Kaplan-Meier method and assessed the curve difference using the log-rank test. Results: The mean follow-up time was more than 6 years for both cohorts. The overall incidence rate of PD was significantly higher in the gout cohort than in the comparison cohort (5.04 vs 4.16 per 10,000 person-years; aHR = 1.13, 95% CI = 1.10-1.16). Only patients using colchicine had a significantly lower risk of PD (aHR = 0.85, 95% CI = 0.79-0.91). Conclusion: In our study, patients with gout showed an increased risk of PD, and treatment with colchicine could decrease the risk. Abbreviations: PD: periodontal disease; LHID: Longitudinal Health Insurance Research Database; NHIRD, National Health Insurance Research Database; ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification; CI: confidence interval; HR: hazard ratio.
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Affiliation(s)
- Hsin-Hung Chen
- Intelligent Diabetes Metabolism and Exercise Center, China Medical University Hospital , Taichung, Taiwan.,School of Medicine, Institute of Medicine and Public Health, Chung Shan Medical University , Taichung, Taiwan
| | - Chun-Wei Ho
- Intelligent Diabetes Metabolism and Exercise Center, China Medical University Hospital , Taichung, Taiwan
| | - Ming-Chia Hsieh
- Intelligent Diabetes Metabolism and Exercise Center, China Medical University Hospital , Taichung, Taiwan.,Graduate Institute of Integrative Medicine, China Medical University , Taichung, Taiwan.,Division of Clinical Nutrition, China Medical University Hospital , Taichung, Taiwan
| | - Ching-Chu Chen
- Division of Endocrinology and Metabolism, Department of Internal Medicine, China Medical University Hospital , Taichung, Taiwan.,School of Chinese Medicine, China Medical University , Taichung, Taiwan
| | - Sheng-Pang Hsu
- Division of Endocrinology and Metabolism, Department of Internal Medicine, China Medical University Hospital , Taichung, Taiwan
| | - Cheng-Li Lin
- Management Office for Health Data, China Medical University Hospital , Taichung, Taiwan.,School of Medicine, College of Medicine, China Medical University , Taichung, Taiwan
| | - Chia-Hung Kao
- Graduate Institute of Biomedical Sciences, College of Medicine, China Medical University , Taichung, Taiwan.,Department of Nuclear Medicine and PET Center, China Medical University Hospital , Taichung, Taiwan.,Department of Bioinformatics and Medical Engineering, Asia University , Taichung, Taiwan.,Center of Augmented Intelligence in Healthcare, China Medical University Hospital , Taichung, Taiwan
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19
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Bilancio G, Cavallo P, Lombardi C, Guarino E, Cozza V, Giordano F, Palladino G, Cirillo M. Saliva for assessing creatinine, uric acid, and potassium in nephropathic patients. BMC Nephrol 2019; 20:242. [PMID: 31272423 PMCID: PMC6609386 DOI: 10.1186/s12882-019-1437-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 06/24/2019] [Indexed: 12/20/2022] Open
Abstract
Background Lab tests on saliva could be useful because of low invasivity. Previous reports indicated that creatinine, uric acid, and potassium are measurable in saliva. For these analytes the study investigated methodology of saliva tests and correlations between plasma and saliva levels. Methods The study enrolled 15 healthy volunteers for methodological analyses and 42 nephropathic patients for plasma-saliva correlations (35 non-dialysis and 7 dialysis). Saliva was collected by synthetic swap right after venipuncture for blood withdrawal. Blood and saliva, unless otherwise indicated, were collected early in the morning after overnight fast and lab tests were performed in fresh samples by automated biochemistry (standard). Methodological analyses included blind duplicates, different collection mouth sites, day-to-day variability, different collection times, and freezing-thawing effects. Analyses on plasma-saliva correlations included post-dialysis changes. Results For saliva lab tests of all analytes, blind duplicates, samples from different mouth sites or of different days were not significantly different but were significantly correlated (differences ≤14.4%; R ≥ 0.620, P ≤ 0.01). For all analytes, mid-morning saliva had lower levels than but correlated with standard saliva (differences ≥15.8%; R ≥ 0.728, P ≤ 0.01). Frozen-thawed saliva had lower levels than fresh saliva for uric acid only (− 17.2%, P < 0.001). Frozen-thawed saliva correlated with fresh saliva for all analytes (R ≥ 0.818, P ≤ 0.001). Saliva and plasma levels differed but correlated with plasma for creatinine (R = 0.874, P < 0.001), uric acid (R = 0.821, P < 0.001) and potassium (R = 0.767, P < 0.001). Post-dialysis changes in saliva paralleled post-dialysis changes in plasma. Conclusion Saliva levels of creatinine, uric acid, and potassium are measurable and correlated with their plasma levels. Early morning fasting fresh saliva samples are advisable because later collection times or freezing lower the saliva levels of these analytes.
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Affiliation(s)
- Giancarlo Bilancio
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, SA, Italy.,Nephrology Clinic, University Hospital, Salerno, SA, Italy
| | | | | | - Ermanno Guarino
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, SA, Italy
| | - Vincenzo Cozza
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, SA, Italy
| | - Francesco Giordano
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, SA, Italy
| | | | - Massimo Cirillo
- Department Public Health, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
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20
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Riis JL, Bryce CI, Matin MJ, Stebbins JL, Kornienko O, van Huisstede L, Granger DA. The validity, stability, and utility of measuring uric acid in saliva. Biomark Med 2018; 12:583-596. [PMID: 29873515 PMCID: PMC6479278 DOI: 10.2217/bmm-2017-0336] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2017] [Accepted: 01/30/2018] [Indexed: 12/11/2022] Open
Abstract
AIM Serum uric acid (UA) is associated with many health conditions, including kidney, cardiovascular, and metabolic disorders. We examined the validity and stability of salivary UA as a noninvasive measure of serum UA. MATERIALS & METHODS Using serum and salivary UA data from healthy adults (n = 99), we examined the UA serum-saliva correlation, and UA associations with adiponectin and C-reactive protein. Using longitudinal data from young adults (n = 182), we examined salivary UA stability. RESULTS We found robust positive serum-saliva correlations for UA. UA and adiponectin were inversely related in serum and saliva. Salivary UA was relatively stable; 62-66% of variance could be attributed to a latent trait-like component. CONCLUSION Salivary UA may be an important biomarker indexing health and disease risk.
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Affiliation(s)
- Jenna L Riis
- Institute for Interdisciplinary Salivary Bioscience Research, University of California at Irvine, Irvine, CA 92697, USA
| | - Crystal I Bryce
- Institute for Interdisciplinary Salivary Bioscience Research, University of California at Irvine, Irvine, CA 92697, USA
- T. Denny Sanford School of Social & Family Dynamics, Arizona State University, Tempe, AZ 85287, USA
| | - Marla J Matin
- Research & Technology Center, Salimetrics, Carlsbad, CA 92008, USA
| | - John L Stebbins
- Research & Technology Center, Salimetrics, Carlsbad, CA 92008, USA
| | - Olga Kornienko
- Institute for Interdisciplinary Salivary Bioscience Research, University of California at Irvine, Irvine, CA 92697, USA
- Department of Psychology, George Mason University, Fairfax, VA 22030, USA
| | - Lauren van Huisstede
- T. Denny Sanford School of Social & Family Dynamics, Arizona State University, Tempe, AZ 85287, USA
| | - Douglas A Granger
- Institute for Interdisciplinary Salivary Bioscience Research, University of California at Irvine, Irvine, CA 92697, USA
- Department of Population, Family, & Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA
- Department of Acute & Chronic Care, Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA
- Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
- Salivary Bioscience Laboratory & Department of Psychology, University of Nebraska, Lincoln, NE 68588, USA
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21
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Bilancio G, Cavallo P, Lombardi C, Guarino E, Cozza V, Giordano F, Palladino G, Cirillo M. Salivary levels of phosphorus and urea as indices of their plasma levels in nephropathic patients. J Clin Lab Anal 2018; 32:e22449. [PMID: 29603373 DOI: 10.1002/jcla.22449] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 03/12/2018] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Phosphorus and urea are measurable in saliva. Measurements of saliva phosphorus (S-Pho) and saliva urea (S-Urea) could be useful because of low invasivity. Data are limited to saliva tests methodology and to correlations between plasma and saliva compositions. S-Pho and S-Urea were investigated focusing on blind duplicates, differences between collection sites, differences between collection times, freezing-thawing effects, and plasma-saliva correlations. METHODS Tests were performed using fresh saliva collected by synthetic swap early morning after overnight fast (standard). Methodology was investigated in fifteen healthy volunteers. Plasma-saliva correlations were investigated in thirty nephropathic outpatients. RESULTS S-Pho and S-Urea in all measurements ranged above detection limits (0.3 mmol/L). In healthy volunteers, S-Pho and S-Urea were similar in duplicates (results for S-Pho and S-Urea: % difference between samples ≤ 4.85%; R between samples ≥ .976, P < .001), in samples from different mouth sites (≤4.24%; R ≥ .887, P < .001), and in samples of different days (≤5.61%; R ≥ .606, P < .01) but, compared to standard, were substantially lower in after-breakfast samples (-28.0% and -21.3%; R ≥ .786, P < .001) and slightly lower in frozen-thawed samples (-12.4% and -5.92%; R ≥ .742, P < .001). In nephropathic patients, S-Pho was higher than but correlated with plasma phosphorus (saliva/plasma ratio 4.80; R = .686, P < .001), whereas S-Urea and plasma urea were similar and correlated with each other (saliva/plasma ratio 0.96; R = .944, P < .001). Post-dialysis changes in S-Pho and S-Urea paralleled post-dialysis changes in plasma phosphorus and urea. CONCLUSION S-Pho and S-Urea reflect plasma phosphorus and plasma urea. Early morning fasting fresh samples are advisable because collection time and freezing-thawing affect saliva tests.
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Affiliation(s)
- Giancarlo Bilancio
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy.,Nephrology Clinic, University Hospital, Salerno, Italy
| | | | | | - Ermanno Guarino
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy
| | - Vincenzo Cozza
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy
| | - Francesco Giordano
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy
| | | | - Massimo Cirillo
- Department "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy.,Nephrology Clinic, University Hospital, Salerno, Italy
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22
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Gawron-Skarbek A, Prymont-Przymińska A, Sobczak A, Guligowska A, Kostka T, Nowak D, Szatko F. A comparison of native and non-urate Total Antioxidant Capacity of fasting plasma and saliva among middle-aged and older subjects. Redox Rep 2017; 23:57-62. [PMID: 29088986 PMCID: PMC6748680 DOI: 10.1080/13510002.2017.1392714] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVES As plasma and salivary total antioxidant capacity (TAC) is mainly contributed by uric acid (UA), the present study measures non-urate TAC (Nu-TAC). The aim of the study was to correlate plasma native TAC, Nu-TAC and UA with their salivary analogues, and compare the UA contribution in both body fluids using two different methods. METHODS The study involved 55 middle-aged and older subjects (66.7 ± 4.5 years). TAC was determined simultaneously with two methods (ferric reducing ability of plasma - FRAP, 2.2-diphenyl-1-picryl-hydrazyl - DPPH and countertypes for saliva - FRAS and DPPHS test), with and without UA (native TAC and Nu-TAC, respectively). Plasma UA and salivary UA (SUA) were assessed. RESULTS Subjects with increased FRAP, DPPH and UA had higher FRAS, DPPHS and SUA, respectively (P < 0.05). Plasma Nu-TAC indices did not correlate with salivary Nu-TAC. The contribution of UA to the plasma and salivary DPPH tests was similar: 75.7 ± 10.3% and 75.2 ± 14.0%, respectively. However, the contribution of UA to FRAS was higher than that for FRAP (71.6 ± 13.9% vs. 64.0 ± 8.1%; P < 0.001). DISCUSSION Our findings suggest that saliva is a good predictor for native plasma TAC but not for Nu-TAC. UA level is comparably dominant in saliva and in plasma according to DPPH, but lower in plasma according to FRAP.
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Affiliation(s)
- Anna Gawron-Skarbek
- a Department of Hygiene and Health Promotion , Medical University of Lodz , Lodz , Poland
| | | | - Agnieszka Sobczak
- c Faculty of Medical Laboratory , Medical University of Lodz , Lodz , Poland
| | | | - Tomasz Kostka
- d Department of Geriatrics , Medical University of Lodz , Lodz , Poland
| | - Dariusz Nowak
- e Department of Clinical Physiology , Medical University of Lodz , Lodz , Poland
| | - Franciszek Szatko
- a Department of Hygiene and Health Promotion , Medical University of Lodz , Lodz , Poland
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23
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Martínez AD, Ruelas L, Granger DA. Household fear of deportation in Mexican-origin families: Relation to body mass index percentiles and salivary uric acid. Am J Hum Biol 2017; 29. [PMID: 28726338 DOI: 10.1002/ajhb.23044] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 05/25/2017] [Accepted: 06/27/2017] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE Fear of deportation (FOD) is a prevalent concern among mixed-status families. Yet, our understanding of how FOD shapes human health and development is in its infancy. To begin to address this knowledge gap, we examined the relationship between household FOD, body mass index (BMI) percentiles and salivary uric acid (sUA), a biomarker related to oxidative stress/hypertension/metabolic syndrome, among 111 individuals living in Mexican-origin families. METHODS Participants were 65 children (2 months-17 years, 49% female) and 46 adults (20-58 years, 71% female) living in 30 Mexican-origin families with at least one immigrant parent in Phoenix, AZ. We recruited families using cluster probability sampling of 30 randomly selected census tracts with a high proportion of Hispanic/Latino immigrants. The head of household completed a survey containing demographic, FOD, and psychosocial measures. All family members provided saliva (later assayed for sUA) and anthropometric measures. Relationships between household FOD, BMI percentile, and sUA levels were estimated using multilevel models. RESULTS Higher levels of household FOD were associated with lower BMI percentiles and lower sUA levels between families, after controlling for social support and socioeconomic proxies. CONCLUSION Key features of the social ecology in which mixed-status families are embedded are associated with individual differences in biological processes linked to increased risk for chronic disease.
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Affiliation(s)
- Airín D Martínez
- School of Transborder Studies, Arizona State University, Tempe, Arizona.,The Ethnicity, Race and Migration Program & American Studies, Yale University, New Haven, Connecticut
| | - Lillian Ruelas
- School of Transborder Studies, Arizona State University, Tempe, Arizona
| | - Douglas A Granger
- Institute for Interdisciplinary Salivary Bioscience Research, University of California, Irvine, Irvine, California.,School of Nursing, School of Medicine, and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.,Saliva Bioscience Laboratory and Department of Psychology, University of Nebraska, Lincoln, Nebraska
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24
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Ruiz-Miyazawa KW, Staurengo-Ferrari L, Mizokami SS, Domiciano TP, Vicentini FTMC, Camilios-Neto D, Pavanelli WR, Pinge-Filho P, Amaral FA, Teixeira MM, Casagrande R, Verri WA. Quercetin inhibits gout arthritis in mice: induction of an opioid-dependent regulation of inflammasome. Inflammopharmacology 2017; 25:10.1007/s10787-017-0356-x. [PMID: 28508104 DOI: 10.1007/s10787-017-0356-x] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 04/26/2017] [Indexed: 02/07/2023]
Abstract
We investigated the anti-inflammatory and analgesic effects of quercetin in monosodium urate crystals (MSU)-induced gout arthritis, and the sensitivity of quercetin effects to naloxone, an opioid receptor antagonist. Mice were treated with quercetin, and mechanical hyperalgesia was assessed at 1-24 h after MSU injection. In vivo, leukocyte recruitment, cytokine levels, oxidative stress, NFκB activation, and gp91phox and inflammasome components (NLRP3, ASC, Pro-caspase-1, and Pro-IL-1β) mRNA expression by qPCR were determined in the knee joints at 24 h after MSU injection. Inflammasome activation was determined, in vitro, in lipopolysaccharide-primed macrophages challenged with MSU. Quercetin inhibited MSU-induced mechanical hyperalgesia, leukocyte recruitment, TNFα and IL-1β production, superoxide anion production, inflammasome activation, decrease of antioxidants levels, NFκB activation, and inflammasome components mRNA expression. Naloxone pre-treatment prevented all the inhibitory effects of quercetin over MSU-induced gout arthritis. These results demonstrate that quercetin exerts analgesic and anti-inflammatory effect in the MSU-induced arthritis in a naloxone-sensitive manner.
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Affiliation(s)
- Kenji W Ruiz-Miyazawa
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Larissa Staurengo-Ferrari
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Sandra S Mizokami
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Talita P Domiciano
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Fabiana T M C Vicentini
- Farmacore Biotecnologia LTDA, Rua Edson Souto, 728, Lagoinha, 14095-250, Ribeirão Preto, São Paulo, Brazil
| | - Doumit Camilios-Neto
- Departamento de Bioquímica e Biotecnologia, Centro de Ciências Exatas, Universidade Estadual de Londrina, Rodovia Celso Garcia Cid, Km 380, PR445, Cx. Postal 10.011, Londrina, Paraná, 86057-970, Brazil
| | - Wander R Pavanelli
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Phileno Pinge-Filho
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil
| | - Flávio A Amaral
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Laboratório de Imunofarmacologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Mauro M Teixeira
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Laboratório de Imunofarmacologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Rubia Casagrande
- Department of Pharmaceutical Sciences, Healthy Sciences Center, Londrina State University, Av. Robert Koch, 60, Londrina, Paraná, CEP 86038-350, Brazil
| | - Waldiceu A Verri
- Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil.
- Departamento de Patologia, Universidade Estadual de Londrina, Rod. Celso Garcia Cid KM480 PR445, Cx Postal 10.011, Londrina, Paraná, CEP 86057-970, Brazil.
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25
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Martínez AD, Ruelas L, Granger DA. Association between body mass index and salivary uric acid among Mexican-origin infants, youth and adults: Gender and developmental differences. Dev Psychobiol 2017; 59:225-234. [PMID: 27888639 PMCID: PMC7195826 DOI: 10.1002/dev.21492] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 11/14/2016] [Indexed: 01/20/2023]
Abstract
Uric acid (UA) is the end product of the metabolic breakdown of purine nucleotides. Recent studies have measured UA in saliva in relation to obesity and chronic disease risk. Given the increasing prevalence of metabolic syndrome among Latino youth, we examined gender and age differences in salivary uric acid (sUA) and weight in a sample of Mexican-origin children (n = 65, 2 months to 18 years, 49% female) and adults (n = 46, 19-58 years, 72% female). We measured weight, height, waist, and hip circumference and collected saliva samples (later assayed for sUA). Structural equation models estimated the relationship between age, developmental stage, and weight outcomes in relation to sUA levels between genders, while controlling for race. Results demonstrate that increased sUA levels were related to higher BMI percentiles in females of all ages (β = 0.43, p < .001). There were significant differences in sUA levels between developmental stages for girls, with female toddlers having the highest sUA levels (β = .28, p = .02). In an interaction between BMI z-score and gender between youth and adults, BMI has a larger effect on increasing sUA levels among younger girls (β = 0.27, p < .03) and adult women (β = 0.33, p = .02). Levels of sUA may be gender-specific in relation to BMI and developmental stage.
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Affiliation(s)
- Airín D. Martínez
- School of Transborder Studies, Arizona State University, Tempe, Arizona
| | - Lillian Ruelas
- School of Transborder Studies, Arizona State University, Tempe, Arizona
| | - Douglas A. Granger
- The Institute for Interdisciplinary Salivary Bioscience Research, University of California, Irvine, California
- Department of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, Maryland
- Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
- Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
- Saliva Bioscience Laboratory and Department of Psychology, University of Nebraska, Lincoln, Nebraska
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