Hippuric Acid as a Modifier of Calcium Oxalate Crystallisation

Hippuric acid (HA) originating from the conjugation of benzoic acid with glycine is a physiological component of human urine. Findings suggest that HA inhibits calcium oxalate (CaOx) growth and considerably enhances the CaOx solubility in artificial urine. Thus, it is assumed that HA is a major modifier of CaOx formation. However, only a slight CaOx growth inhibition of 1-8% was also reported. These values were also derived from artificial urine. The key mechanism, which led HA to be of interest in urolithiasis research is the fact that in presence of Ca2+ ions HA can form a hippurate complex. By forming such a complex, Ca2+ concentration in urine decreases, and as a consequence, CaOx formation is inhibited. This study was performed in order to clarify the role of HA in native and artificial urine. Biochemical analyses to calculate the relative CaOx supersaturations and crystallisation experiments using an in-line laser probe were examined. BONN Risk Indices indicating the risk of CaOx crystallisation were calculated from the results of the crystallisation experiments. The results obtained from artificial as well as from native urines showed that HA has no significant effects on CaOx formation. We suggest that HA plays only a minor role as a crystallisation modifier in human urine.

[Current information on the composition and breed distribution of urinary stones in dogs]

5706 canine urinary stones were analyzed by means of infrared spectroscopy from 1984-1996. The stones were sent in together with epidemiologic data (breed, age, sex, localisation of the stones, type of stone removal, stone frequency etc.) by more than 800 veterinarians from Germany, the Netherlands, Austria, and Switzerland. Irrespective of stone type, urinary stones were observed in almost all breeds, but small breeds like dachshound, poodle, terrier, schnauzer, and pekingese have a higher tendency to form stones. With 59.5% struvite is the most frequent stone type, followed by cystine with 15.5%. Cystine stones are becoming less frequent during the observation time, whereas the share of calcium oxalate (14.2%) and ammonium urate (6.0%) stones remains unchanged. The latter stone types are found predominantly in specific breeds. The stone formation appears predominantly at the age of 7. Male dogs form stones twice as often as female dogs. 98% of the stones were located in the lower urinary tract. About 90% of the urinary stones required surgical treatment.