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Gout and hyperuricaemia - and anti-cancer drugs

 

Objectives

At the end of the session you should be able to:

Describe the synthesis and catabolism of purines

Describe in outline the renal handling of uric acid

Explain why inhibition of xanthine oxidase is effective for the treatment of gout

Explain how folic acid antimetabolites, glutamine analogues and mercaptopurine act to inhibit purine synthesis and are effective anti-cancer agents

Describe the regulation of purine synthesis and the importance of PRPP amidotransferase and the availability of phosphoribosyl pyrophosphate

Describe the process of purine salvage and explain the consequences of partial or more or less complete lack of hypoxanthine-guanine phosphoribosyltransferase

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