{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:37:46Z","timestamp":1787009866183,"version":"build-2736575974"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose of review<\/jats:title>\n                    <jats:p>Gout is a common debilitating form of arthritis and despite our extensive knowledge on the pathogenesis its prevalence is still rising quickly. In the current review, we provide a concise overview of recent discoveries in factors tuning the inflammatory response to soluble uric acid and monosodium urate crystals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recent findings<\/jats:title>\n                    <jats:p>It appears that soluble uric acid has a much larger role to play than just being a risk factor for gout. It may have widespread consequences for systemic inflammation and the development of metabolic syndrome. Additionally, a specific gout-related gut microbiome might not only provide us with a new diagnostic tool, but also highlights possible new therapeutic targets. Furthermore, several recent publications further elucidated the roles of mitochondrial dysfunction, production of reactive oxygen species, autophagy, and AMP-dependent protein kinase in monosodium urate-induced NLRP3 inflammasome activation. Finally, neutrophils have been shown to be involved in both the promotion and resolution of gouty inflammation. A new alpha-1-antitrypsin fusion protein may limit the proinflammatory effects of neutrophil-derived serine proteases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Together, these studies provide us with many new insights in the pathogenesis of gout, important new treatment targets, and a rationale to further study the role of soluble uric acid in inflammatory diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bor.0000000000000366","type":"journal-article","created":{"date-parts":[[2016,12,10]],"date-time":"2016-12-10T05:14:21Z","timestamp":1481346861000},"page":"163-170","source":"Crossref","is-referenced-by-count":54,"title":["Factors modulating the inflammatory response in acute gouty arthritis"],"prefix":"10.1097","volume":"29","author":[{"given":"Maartje C.","family":"Cleophas","sequence":"first","affiliation":[{"name":"Department of Internal Medicine"},{"name":"Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania O.","family":"Cri\u015fan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands"},{"name":"Department of Medical Genetics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo A.B.","family":"Joosten","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands"},{"name":"Department of Medical Genetics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1136\/ard.2007.076232","article-title":"Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000-2005","volume":"67","author":"Annemans","year":"2008","journal-title":"Ann Rheum Dis"},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"3136","DOI":"10.1002\/art.30520","article-title":"Prevalence of gout and hyperuricemia in the US general population: the National Health and Nutrition Examination Survey 2007-2008","volume":"63","author":"Zhu","year":"2011","journal-title":"Arthritis Rheum"},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1038\/nature04516","article-title":"Gout-associated uric acid crystals activate the NALP3 inflammasome","volume":"440","author":"Martinon","year":"2006","journal-title":"Nature"},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"3237","DOI":"10.1002\/art.27667","article-title":"Engagement of fatty acids with Toll-like receptor 2 drives interleukin-1beta production via the ASC\/caspase 1 pathway in monosodium urate monohydrate crystal-induced gouty arthritis","volume":"62","author":"Joosten","year":"2010","journal-title":"Arthritis Rheum"},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"3763","DOI":"10.1073\/pnas.1320393111","article-title":"Evolutionary history and metabolic insights of ancient mammalian uricases","volume":"111","author":"Kratzer","year":"2014","journal-title":"Proc Natl Acad Sci U S A"},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1093\/molbev\/msw116","article-title":"Coevolution of URAT1 and uricase during primate evolution: implications for serum urate homeostasis and gout","volume":"33","author":"Tan","year":"2016","journal-title":"Mol Biol Evol"},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"6858","DOI":"10.1073\/pnas.78.11.6858","article-title":"Uric acid provides an antioxidant defense in humans against oxidant- and radical-caused aging and cancer: a hypothesis","volume":"78","author":"Ames","year":"1981","journal-title":"Proc Natl Acad Sci U S A"},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1038\/175683a0","article-title":"The origin of man","volume":"175","author":"Orowan","year":"1955","journal-title":"Nature"},{"key":"R9-20230828","first-page":"353","article-title":"Diabetes mellitus: a \u2018thrifty\u2019 genotype rendered detrimental by \u2018progress\u2019?","volume":"14","author":"Neel","year":"1962","journal-title":"Am J Hum Genet"},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1038\/scientificamerican1015-64","article-title":"The fat gene: a genetic mutation in prehistoric apes may underlie today's pandemic of obesity and diabetes","volume":"313","author":"Johnson","year":"2015","journal-title":"Scientific Am"},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1038\/ncpneph0019","article-title":"Hypothesis: fructose-induced hyperuricemia as a causal mechanism for the epidemic of the metabolic syndrome","volume":"1","author":"Nakagawa","year":"2005","journal-title":"Nat Clin Pract Nephrol"},{"key":"R12-20230828","doi-asserted-by":"crossref","first-page":"40732","DOI":"10.1074\/jbc.M112.399899","article-title":"Uric acid induces hepatic steatosis by generation of mitochondrial oxidative stress: potential role in fructose-dependent and -independent fatty liver","volume":"287","author":"Lanaspa","year":"2012","journal-title":"J Biol Chem"},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"e48801","DOI":"10.1371\/journal.pone.0048801","article-title":"Counteracting roles of AMP deaminase and AMP kinase in the development of fatty liver","volume":"7","author":"Lanaspa","year":"2012","journal-title":"PLoS ONE"},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"3339","DOI":"10.1096\/fj.13-243634","article-title":"Uric acid-dependent inhibition of AMP kinase induces hepatic glucose production in diabetes and starvation: evolutionary implications of the uricase loss in hominids","volume":"28","author":"Cicerchi","year":"2014","journal-title":"FASEB J"},{"key":"R15-20230828","article-title":"Serum uric acid level as a determinant of the metabolic syndrome: a case control study","author":"Khichar","year":"2016","journal-title":"Diabetes Metab Syndr"},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.metabol.2015.11.003","article-title":"Serum uric acid: a strong and independent predictor of metabolic syndrome after adjusting for body composition","volume":"65","author":"Yu","year":"2016","journal-title":"Metabolism: Clin Exp"},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"4198","DOI":"10.1210\/jc.2015-2527","article-title":"Serum uric acid levels and risk of metabolic syndrome: a dose\u2013response meta-analysis of prospective studies","volume":"100","author":"Yuan","year":"2015","journal-title":"J Clin Endocrinol Metabol"},{"key":"R18-20230828","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/cen.12673","article-title":"Allopurinol treatment improves renal function in patients with type 2 diabetes and asymptomatic hyperuricemia: 3-year randomized parallel-controlled study","volume":"83","author":"Liu","year":"2015","journal-title":"Clin Endocrinol (Oxf)"},{"key":"R19-20230828","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1097\/JIM.0000000000000242","article-title":"Lowering uric acid with allopurinol improves insulin resistance and systemic inflammation in asymptomatic hyperuricemia","volume":"63","author":"Takir","year":"2015","journal-title":"J Investig Med"},{"key":"R20-20230828","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.jash.2015.07.008","article-title":"A pilot study on the impact of a low fructose diet and allopurinol on clinic blood pressure among overweight and prehypertensive subjects: a randomized placebo controlled trial","volume":"9","author":"Madero","year":"2015","journal-title":"J Am Soc Hypertens"},{"key":"R21-20230828","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1136\/annrheumdis-2014-206564","article-title":"Soluble uric acid primes TLR-induced proinflammatory cytokine production by human primary cells via inhibition of IL-1Ra","volume":"75","author":"Crisan","year":"2016","journal-title":"Ann Rheum Dis"},{"key":"R22-20230828","doi-asserted-by":"crossref","first-page":"20602","DOI":"10.1038\/srep20602","article-title":"Intestinal microbiota distinguish gout patients from healthy humans","volume":"6","author":"Guo","year":"2016","journal-title":"Sci Rep"},{"key":"R23-20230828","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1038\/nature12198","article-title":"Gut metagenome in European women with normal, impaired and diabetic glucose control","volume":"498","author":"Karlsson","year":"2013","journal-title":"Nature"},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1038\/nature11450","article-title":"A metagenome-wide association study of gut microbiota in type 2 diabetes","volume":"490","author":"Qin","year":"2012","journal-title":"Nature"},{"key":"R25-20230828","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1136\/annrheumdis-2014-206258","article-title":"Suppression of monosodium urate crystal-induced cytokine production by butyrate is mediated by the inhibition of class I histone deacetylases","volume":"75","author":"Cleophas","year":"2016","journal-title":"Ann Rheum Dis"},{"key":"R26-20230828","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1002\/art.39107","article-title":"A role for gut microbiota and the metabolite-sensing receptor GPR43 in a murine model of gout","volume":"67","author":"Vieira","year":"2015","journal-title":"Arthritis Rheumatol"},{"key":"R27-20230828","article-title":"Dietary fiber and the short-chain fatty acid acetate promote resolution of neutrophilic inflammation in a model of gout in mice","author":"Vieira","year":"2016","journal-title":"J Leukoc Biol"},{"key":"R28-20230828","doi-asserted-by":"crossref","first-page":"5718","DOI":"10.4049\/jimmunol.1402512","article-title":"Intracellular ATP decrease mediates NLRP3 inflammasome activation upon nigericin and crystal stimulation","volume":"195","author":"Nomura","year":"2015","journal-title":"J Immunol"},{"key":"R29-20230828","doi-asserted-by":"crossref","first-page":"6555","DOI":"10.1038\/ncomms7555","article-title":"Xanthine oxidoreductase regulates macrophage IL-1beta secretion upon NLRP3 inflammasome activation","volume":"6","author":"Ives","year":"2015","journal-title":"Nat Commun"},{"key":"R30-20230828","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/j.cell.2015.12.057","article-title":"NF-kappaB restricts inflammasome activation via elimination of damaged mitochondria","volume":"164","author":"Zhong","year":"2016","journal-title":"Cell"},{"key":"R31-20230828","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1038\/cmi.2014.65","article-title":"Monosodium urate crystals trigger Nrf2- and heme oxygenase-1-dependent inflammation in THP-1 cells","volume":"12","author":"Jhang","year":"2015","journal-title":"Cell Mol Immunol"},{"key":"R32-20230828","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1007\/s10753-016-0387-2","article-title":"Enhanced p62 is responsible for mitochondrial pathway-dependent apoptosis and interleukin-1beta production at the early phase by monosodium urate crystals in murine macrophage","volume":"39","author":"Kim","year":"2016","journal-title":"Inflammation"},{"key":"R33-20230828","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1136\/annrheumdis-2014-206074","article-title":"AMP-activated protein kinase suppresses urate crystal-induced inflammation and transduces colchicine effects in macrophages","volume":"75","author":"Wang","year":"2016","journal-title":"Ann Rheum Dis"},{"key":"R34-20230828","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1136\/annrheumdis-2015-207338","article-title":"Neutrophil microvesicles resolve gout by inhibiting C5a-mediated priming of the inflammasome","volume":"75","author":"Cumpelik","year":"2016","journal-title":"Ann Rheum Dis"},{"key":"R35-20230828","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1038\/nm.3547","article-title":"Aggregated neutrophil extracellular traps limit inflammation by degrading cytokines and chemokines","volume":"20","author":"Schauer","year":"2014","journal-title":"Nat Med"},{"key":"R36-20230828","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1002\/eji.201545605","article-title":"PMA and crystal-induced neutrophil extracellular trap formation involves RIPK1-RIPK3-MLKL signaling","volume":"46","author":"Desai","year":"2016","journal-title":"Eur J Immunol"},{"key":"R37-20230828","doi-asserted-by":"crossref","first-page":"3642","DOI":"10.1002\/art.24959","article-title":"Caspase 1-independent activation of interleukin-1beta in neutrophil-predominant inflammation","volume":"60","author":"Guma","year":"2009","journal-title":"Arthritis Rheum"},{"key":"R38-20230828","doi-asserted-by":"crossref","first-page":"3651","DOI":"10.1002\/art.25006","article-title":"Inflammatory arthritis in caspase 1 gene-deficient mice: contribution of proteinase 3 to caspase 1-independent production of bioactive interleukin-1beta","volume":"60","author":"Joosten","year":"2009","journal-title":"Arthritis Rheum"},{"key":"R39-20230828","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1136\/annrheumdis-2014-206966","article-title":"Alpha-1-antitrypsin-Fc fusion protein ameliorates gouty arthritis by reducing release and extracellular processing of IL-1beta and by the induction of endogenous IL-1Ra","volume":"75","author":"Joosten","year":"2016","journal-title":"Ann Rheum Dis"}],"container-title":["Current Opinion in Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00002281-201703000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T01:15:20Z","timestamp":1693185320000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00002281-201703000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/bor.0000000000000366","relation":{},"ISSN":["1040-8711","1531-6963"],"issn-type":[{"value":"1040-8711","type":"print"},{"value":"1531-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}