TY - JOUR
T1 - Allopurinol as a kidney-protective, cardioprotective, and antihypertensive agent
T2 - Hype or reality?
AU - Kanbay, Mehmet
AU - Solak, Yalcin
AU - Gaipov, Abduzhappar
AU - Takir, Mumtaz
AU - Weiner, Daniel E.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Numerous experimental and clinical studies suggest that uric acid might have pathobiologic implications in the development and progression of hypertension, kidney disease, and coronary heart disease, among others, resulting in renewed interest in uric acid as a potential pathogenic mediator in these clinical conditions. Despite encouraging animal studies showing beneficial roles of allopurinol, clinical studies and randomized controlled trials remain scarce, and, despite available clinical evidence supporting a therapeutic role for allopurinol, multiple issues remain before routine use of allopurinol can be recommended for use in patients with hyperuricemia and hypertension, kidney disease, or coronary heart disease. These include a need for more robust clinical trial data that evaluate efficacy on hard clinical outcomes, optimal dose, duration of treatment, and the potential for serious allergic reactions. In this article we review the current available evidence describing the effects of allopurinol in hypertension, kidney disease, and coronary heart disease, highlighting unresolved issues surrounding allopurinol use for uric acid lowering in individuals without gout.
AB - Numerous experimental and clinical studies suggest that uric acid might have pathobiologic implications in the development and progression of hypertension, kidney disease, and coronary heart disease, among others, resulting in renewed interest in uric acid as a potential pathogenic mediator in these clinical conditions. Despite encouraging animal studies showing beneficial roles of allopurinol, clinical studies and randomized controlled trials remain scarce, and, despite available clinical evidence supporting a therapeutic role for allopurinol, multiple issues remain before routine use of allopurinol can be recommended for use in patients with hyperuricemia and hypertension, kidney disease, or coronary heart disease. These include a need for more robust clinical trial data that evaluate efficacy on hard clinical outcomes, optimal dose, duration of treatment, and the potential for serious allergic reactions. In this article we review the current available evidence describing the effects of allopurinol in hypertension, kidney disease, and coronary heart disease, highlighting unresolved issues surrounding allopurinol use for uric acid lowering in individuals without gout.
KW - Allopurinol
KW - Cardiovascular disease
KW - Chronic kidney disease
KW - Hypertension
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U2 - 10.1159/000360520
DO - 10.1159/000360520
M3 - Review article
C2 - 24903910
AN - SCOPUS:84901738522
SN - 0253-5068
VL - 37
SP - 172
EP - 178
JO - Blood Purification
JF - Blood Purification
IS - 3
ER -