2003
DOI: 10.1002/art.11058
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Phosphoribosylpyrophosphate synthetase overactivity as a cause of uric acid overproduction in a young woman

Abstract: Overactivity of phosphoribosylpyrophosphate synthetase (PRS) is an X chromosome-linked disorder of purine metabolism that is characterized by gout with uric acid overproduction and, in some families, neurodevelopmental impairment. We present the case of a 24-year-old Spanish woman with renal colic and hyperuricemia, which first manifested at age 11 years. Results of enzymatic and genetic studies supported the view that accelerated purine nucleotide and uric acid production in this woman resulted from defective… Show more

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Cited by 30 publications
(17 citation statements)
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“…These variant forms of PRPP synthase have increased activity primarily because of their reciprocal effects on allosteric regulation by ADP and P i , namely, reduced inhibition by the former and increased stimulation by the latter (72,123). Studies of these PRPP synthase mutant variants have proven valuable in the elucidation of the allosteric regulation of the enzyme, and we shall return to a further description of them in the section "Regulation of PRPP Synthase Activity.…”
Section: Class I Prpp Synthasesmentioning
confidence: 99%
“…These variant forms of PRPP synthase have increased activity primarily because of their reciprocal effects on allosteric regulation by ADP and P i , namely, reduced inhibition by the former and increased stimulation by the latter (72,123). Studies of these PRPP synthase mutant variants have proven valuable in the elucidation of the allosteric regulation of the enzyme, and we shall return to a further description of them in the section "Regulation of PRPP Synthase Activity.…”
Section: Class I Prpp Synthasesmentioning
confidence: 99%
“…Mutations in PRPS1 cause a wide variety of disorders that include: (i) PRS-I superactivity (MIM 300661), which results in purine overproduction causing hyperuricemia and hyperuricosuria with infantile or early childhood onset of gout, and with neurodevelopmental abnormalities, which may include intellectual disability, ataxia, hypotonia, delayed motor development, arreflexia, and/or sensorineural deafness (4)(5)(6)(7)(8); (ii) Nonsyndromic sensorineural hearing impairment (DFNX1, formerly DFN2, MIM 304500) of prelingual or postlingual onset (9-13); (iii) Charcot-Marie-Tooth disease-5 (CMTX5, also known as Rosenberg-Chutorian syndrome, MIM311070), which may include ataxia, hypotonia, loss of deep tendon reflexes, early-onset hearing impairment, and optic neuropathy (13-15); (iv) Arts syndrome (MIM 301835), which comprises the clinical signs of CMTX5 plus intellectual disability, delayed motor development, and increased susceptibility to infections of the upper respiratory tract, which can lead to an early death (16); and (v) A recently described very severe condition that associates prenatal growth restriction, dysmorphic facial features, short stature, intellectual disability, spastic…”
mentioning
confidence: 99%
“…29) Overactivity of PRPS leads to generating a great of PRPP and subsequently excessive producing uric acid, in association with hyperuricemia and gout. 30) PRPPAT is the rate-limiting enzyme in the biosynthesis of uric acid. The elevated activity and/or concentration of PRPPAT and the increase in the affinity of PRPPAT binding to PRPP reduce the sensitive of feedback inhibition on purine nucleoside, resulting in overproduction of uric acid.…”
Section: Discussionmentioning
confidence: 99%