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The Key Role of Uric Acid in Oxidative Stress, Inflammation, Fibrosis, Apoptosis, and Immunity in the Pathogenesis of Atrial Fibrillation

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Date 2021 Mar 15
PMID 33718459
Citations 26
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Abstract

Atrial fibrillation (AF) is a highly prevalent cardiac arrhythmia that leads to numerous adverse outcomes including stroke, heart failure, and death. Hyperuricemia is an important risk factor that contributes to atrium injury and AF, but the underlying molecular mechanism remains to be elucidated. In this review, we discussed the scientific evidence for clarifying the role of hyperuricemia in the pathogenesis of AF. Experimental and Clinical evidence endorse hyperuricemia as an independent risk factor for the incidence of AF. Various and investigations showed that hyperuricemia might play a critical role in the pathogenesis of AF at different UA concentrations through the activation of oxidative stress, inflammation, fibrosis, apoptosis, and immunity.

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References
1.
Kornej J, Borschel C, Benjamin E, Schnabel R . Epidemiology of Atrial Fibrillation in the 21st Century: Novel Methods and New Insights. Circ Res. 2020; 127(1):4-20. PMC: 7577553. DOI: 10.1161/CIRCRESAHA.120.316340. View

2.
Khosla U, Zharikov S, Finch J, Nakagawa T, Roncal C, Mu W . Hyperuricemia induces endothelial dysfunction. Kidney Int. 2005; 67(5):1739-42. DOI: 10.1111/j.1523-1755.2005.00273.x. View

3.
Chugh S, Havmoeller R, Narayanan K, Singh D, Rienstra M, Benjamin E . Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation. 2013; 129(8):837-47. PMC: 4151302. DOI: 10.1161/CIRCULATIONAHA.113.005119. View

4.
Leyva F, Anker S, Swan J, Godsland I, Wingrove C, Chua T . Serum uric acid as an index of impaired oxidative metabolism in chronic heart failure. Eur Heart J. 1997; 18(5):858-65. DOI: 10.1093/oxfordjournals.eurheartj.a015352. View

5.
Mantovani A, Rigolon R, Pichiri I, Pernigo M, Bergamini C, Zoppini G . Hyperuricemia is associated with an increased prevalence of atrial fibrillation in hospitalized patients with type 2 diabetes. J Endocrinol Invest. 2015; 39(2):159-67. DOI: 10.1007/s40618-015-0354-z. View