Wang Yin*
Department of Urology, Huazhong University of Science and Technology, Wuhan, China
Received date: January 09, 2023, Manuscript No. IPJCEN-23-16149; Editor assigned date: January 11, 2023, PreQC No. IPJCEN-23-16149 (PQ); Reviewed date: January 23, 2023, QC No. IPJCEN-23-16149; Revised date: February 02, 2023, Manuscript No. IPJCEN-23-16149 (R); Published date: February 09, 2023, DOI: 10.36648/2472-5056.8.1.181
Citation: Yin W (2023) Calcium Oxalate Capacity and the Effects of High Dose Uric Acid on Kidney Stone Disease Caused by Hyperuricosuria. J Clin Exp Nephrol Vol.8 No.1: 181.
Risk factors for kidney stones include obesity, certain foods, certain medications, calcium supplements, hyperparathyroidism, gout, and insufficient fluid intake. When the concentration of minerals in the urine is high, stones form in the kidney. Typically, symptoms, urine testing, and medical imaging are used to make the diagnosis. When a solid piece of material forms in the urinary tract, this condition is referred to as a crystallopathy, also known as kidney stone disease, nephrolithiasis, or urolithiasis. Small kidney stones can pass through the body without causing symptoms and typically form in the kidney. If a person already has stones, the best way to prevent them is to drink enough fluids to make more than two liters of urine per day. If this isn't enough, you can take a thiazide diuretic, citrate, or allopurinol. It is recommended to avoid phosphoric acid containing soft drinks, like colas. When a stone doesn't cause any symptoms, no treatment is needed. As the stone moves from the kidney or proximal ureter to the distal ureter, referred pain signals are transferred from the lower thoracic splanchnic nerves to the lumbar splanchnic nerves. This pain, which is known as renal colic, is frequently referred to as one of the most intense pains ever experienced. Renal colic brought on by kidney stones typically comes with urgency in the urine, restlessness, hematuria, sweating, nausea, and vomiting.
Calcium oxalate, the most prevalent kind of kidney stone in humans, contains calcium as one of its components. According to some studies, taking calcium or vitamin D supplements may increase one's risk of developing kidney stones. Kidney stone disease, particularly uric acid and calcium oxalate types, is associated with hyperuricosuria. However, the precise mechanisms by which hyperuricosuria causes kidney stones to form remained a mystery. After treatment with high dose uric acid, the cellular proteome and function of renal tubular cells. When urine remains consistently saturated with calcium and oxalate, 80% of kidney stones are of the calcium or oxalate type. The body produces some of the oxalate found in the urine. Calcium and oxalate in the diet play a role in the development of calcium oxalate stones, but they are not the only factors. Organic ion dietary oxalate can be found in a wide variety of fruits, vegetables, and nuts. Kidney stone formation may also be influenced by bone calcium. The pathogenic mechanisms of hyperuricosuria induced mixed kidney stone disease may, at least in part, be explained by these findings, which highlighted changes in renal tubular cells in response to high dose UA. Utilizing xanthine oxidase activity, Uric Acid (UA), a byproduct of purine metabolism, is produced in the liver and then distributed throughout the body. In order to regulate cellular homeostasis in a physiologic state, it is essential to maintain a normal serum UA level. The kidney is an essential organ that controls the normal level of UA by eliminating excessive UA through urine. As well as a number of pathological conditions, imbalance and abnormal serum UA levels can be caused by overproduction, inadequate renal handling, and other factors. Hyperuricosuria is well documented to be associated with kidney stone disease in humans, both of the UA and Calcium Oxalate types. One of the most common metabolic abnormalities in kidney stone formers is hyperuricosuria, which is typically defined as an excessive urinary uric acid levels. Surprisingly, the prevalence of kidney stone disease caused by hyperuricosuria has been rising worldwide. However, the changes in renal tubular cells caused by hyperuricosuria and the cascade mechanisms that cause kidney stones to form remain largely unknown.
High dietary intakes of animal protein, sodium, sugars such as honey, refined sugars, fructose and high fructose corn syrup, and excessive consumption of fruit juices may increase the risk of kidney stone formation due to increased uric acid excretion and elevated urinary oxalate levels whereas tea, coffee, wine, and beer may reduce the risk. Kidney stones can result from an underlying metabolic condition, such as distal renal tubular acidosis medullary sponge kidney accounts for 4-20% of kidney stone cases. Crohn's disease is linked to hyperoxaluria and magnesium deficiency, so a person who experiences recurrent kidney stones may need to be evaluated for Crohn's disease. Typically, this is done by collecting urine for 24 hours. The characteristics of the urine that encourage stone formation. Calcium containing stones are moderately radiodense, and they can frequently be identified by a customary radiograph of the mid region that incorporates the kidneys, ureters, and bladder. KUB radiograph, albeit valuable in observing size of stone or section of stone in stone formers, probably won't be helpful in the intense setting because of low sensitivity. Some 65% of all renal stones are radiopaque by and large; calcium phosphate stones have the best thickness, trailed by calcium oxalate and magnesium ammonium phosphate stones. Uric acid stones typically have no radiolucency at all, while cystine calculi are only slightly radiodense two dimensional electrophoresis was used to look at the cellular proteome after high dose UA was given to the cells. The global protein protein interactions network was analyzed after nanoscale liquid chromatography electron transfer dissociation tandem mass spectrometry identified differentially expressed proteins. Following that, a variety of assays were used to conduct functional tests. In most cases, more men than women are affected. The disease's prevalence and incidence continue to rise worldwide, posing challenges for patients, physicians, and healthcare systems alike. A condition known as kidney stone disease is when the kidneys develop a crystal concretion. It is a growing urological health problem that affects about 12% of the world's population. It has been related with an expanded gamble of end stage renal disappointment. The etiology of kidney stone is multifactorial.