Introduction/Objective. This study aimed to assess the changes of adiponectin
(APN), IL-1?, adiponectin receptor 1 (Adipo R1), and NLRP3 expression of
patients with idiopathic membranous nephropathy (IMN) complicated with
hyperuricemia (HUA) and analyze the relationship between the APN pathway and
the NLRP3 pathway. Methods. Forty-eight patients with IMN+HUA group, 49
patients with IMN group, 30 healthy controls, and 24 samples of healthy
renal tissue were evaluated. APN and IL-1? of each group were detected by
the ELISA method. AdipoR1 and NLRP3 in kidney tissue were detected by
immunohistochemistry. The clinical data of each group were collected, and
the relationship between APN, IL-1?, AdipoR1, NLRP3, and other indexes was
analyzed. Results. (1) The concentration of UA, APN, IL-1?, and NLRP3 in
the IMN+HUA group are significantly higher than those in the IMN group, but
the AdipoR1 was lower. (2) With the severity of CKD stage, APN, IL-1?, and
NLRP3 gradually increased in IMN+HUA group, but AdipoR1 gradually decreased.
However, the above indicators did not change significantly in the IMN
stages. Conclusion. The AdipoR1-AMPK and NLRP3-caspase-1-IL-1? signaling
pathway may play an essential role in IMN+HUA patients. The intervention of
these two pathways may make a great significance to the occurrence and
progression on IMN+HUA patients.