The Results of the URRAH (Uric Acid Right for Heart Health) Project: A Focus on Hyperuricemia in Relation to Cardiovascular and Kidney Disease and its Role in Metabolic Dysregulation.

Cardiovascular diseases Kidney function Metabolic derangement Metabolic syndrome URRAH Uric acid

Journal

High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
ISSN: 1179-1985
Titre abrégé: High Blood Press Cardiovasc Prev
Pays: New Zealand
ID NLM: 9421087

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 21 07 2023
accepted: 20 09 2023
medline: 26 10 2023
pubmed: 4 10 2023
entrez: 4 10 2023
Statut: ppublish

Résumé

The relationship between Serum Uric Acid (UA) and Cardiovascular (CV) diseases has already been extensively evaluated, and it was found to be an independent predictor of all-cause and cardiovascular mortality but also acute coronary syndrome, stroke and heart failure. Similarly, also many papers have been published on the association between UA and kidney function, while less is known on the role of UA in metabolic derangement and, particularly, in metabolic syndrome. Despite the substantial number of publications on the topic, there are still some elements of doubt: (1) the better cut-off to be used to refine CV risk (also called CV cut-off); (2) the needing for a correction of UA values for kidney function; and (3) the better definition of its role in metabolic syndrome: is UA simply a marker, a bystander or a key pathological element of metabolic dysregulation?. The Uric acid Right for heArt Health (URRAH) project was designed by the Working Group on uric acid and CV risk of the Italian Society of Hypertension to answer the first question. After the first papers that individuates specific cut-off for different CV disease, subsequent articles have been published responding to the other relevant questions. This review will summarise most of the results obtained so far from the URRAH research project.

Identifiants

pubmed: 37792253
doi: 10.1007/s40292-023-00602-4
pii: 10.1007/s40292-023-00602-4
pmc: PMC10600296
doi:

Substances chimiques

Uric Acid 268B43MJ25

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

411-425

Informations de copyright

© 2023. The Author(s).

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Auteurs

Alessandro Maloberti (A)

Cardiology IV, "A.De Gasperis" Department, Ospedale Niguarda Ca' Granda, Milan, Italy.
School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.

Alessandro Mengozzi (A)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Department of Cardiology, Center for Translational and Experimental Cardiology (CTEC), University Hospital Zurich, University of Zurich, Schlieren, Switzerland.

Elisa Russo (E)

Department of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico SanMartino, Genoa, Italy.

Arrigo Francesco Giuseppe Cicero (AFG)

Hypertension and Cardiovascular Risk Research Group, Department of Medical and Surgical Science, Alma Mater Studiorum University of Bologna, Bologna, Italy. arrigo.cicero@unibo.it.
Cardiovascular Medicine Unit, IRCCS AOU S. Orsola di Bologna, Pad. 25 - 1st Floor, Via Massarenti, 9, 40138, Bologna, Italy. arrigo.cicero@unibo.it.

Fabio Angeli (F)

Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Department of Medicine and Cardiopulmonary Rehabilitation, Maugeri Care and Research Institutes, IRCCS Tradate, Varese, Italy.

Enrico Agabiti Rosei (E)

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Carlo Maria Barbagallo (CM)

Biomedical Department of Internal Medicine and Specialistics, University of Palermo, Palermo, Italy.

Bruno Bernardino (B)

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Michele Bombelli (M)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Department of Internal Medicine, Pio XI Hospital of Desio, ASST Brianza, Desio, Italy.

Federica Cappelli (F)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Edoardo Casiglia (E)

Department of Medicine, University of Padua, Padua, Italy.

Rosario Cianci (R)

Department of Translational and Precision Medicine, University of Rome La Sapienza, Rome, Italy.

Michele Ciccarelli (M)

Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.

Massimo Cirillo (M)

Department of Public Health, ''Federico II'' University of Naples, Naples, Italy.

Pietro Cirillo (P)

Nephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, ''Aldo Moro'' University of Bari, Bari, Italy.

Giovambattista Desideri (G)

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Lanfranco D'Elia (L)

Department of Clinical Medicine and Surgery, ''Federico II'' University of Naples, Naples, Italy.

Raffaella Dell'Oro (R)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Clinica Medica, San Gerardo Hospital, Monza, Italy.

Rita Facchetti (R)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.

Claudio Ferri (C)

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Ferruccio Galletti (F)

Department of Clinical Medicine and Surgery, ''Federico II'' University of Naples, Naples, Italy.

Cristina Giannattasio (C)

Cardiology IV, "A.De Gasperis" Department, Ospedale Niguarda Ca' Granda, Milan, Italy.
School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.

Loreto Gesualdo (L)

Nephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, ''Aldo Moro'' University of Bari, Bari, Italy.

Guido Iaccarino (G)

Department of Advanced Biomedical Sciences, ''Federico II'' University of Naples, Naples, Italy.

Luciano Lippa (L)

Italian Society of General Medicine (SIMG), Avezzano, L'Aquila, Italy.

Francesca Mallamaci (F)

Reggio Cal Unit, Clinical Epidemiology of Renal Diseases and Hypertension, CNR-IFC, Reggio Calabria, Italy.

Stefano Masi (S)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Maria Masulli (M)

Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.

Alberto Mazza (A)

Department of Internal Medicine, Santa Maria della Misericordia General Hospital, AULSS 5 Polesana, Rovigo, Italy.

Maria Lorenza Muiesan (ML)

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Pietro Nazzaro (P)

Department of Medical Basic Sciences, Neurosciences and Sense Organs, University of Bari Medical School, Bari, Italy.

Gianfranco Parati (G)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, IRCCS, Istituto Auxologico Italiano, Milan, Italy.

Paolo Palatini (P)

Department of Medicine, University of Padua, Padua, Italy.

Paolo Pauletto (P)

Medicina Interna I, Ca' Foncello University Hospital, Treviso, Italy.

Roberto Pontremoli (R)

Department of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico SanMartino, Genoa, Italy.

Nicola Riccardo Pugliese (NR)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Fosca Quarti-Trevano (F)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Clinica Medica, San Gerardo Hospital, Monza, Italy.

Marcello Rattazzi (M)

Department of Medicine, University of Padua, Padua, Italy.

Gianpaolo Reboldi (G)

Department of Medical and Surgical Science, University of Perugia, 06100, Perugia, Italy.

Giulia Rivasi (G)

Department of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence, Italy.

Massimo Salvetti (M)

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Valerie Tikhonoff (V)

Department of Medicine, University of Padua, Padua, Italy.

Giuliano Tocci (G)

Hypertension Unit, Division of Cardiology, Sant'Andrea Hospital, Rome, Italy.
Department of Clinical and Molecular Medicine, University of Rome Sapienza, Rome, Italy.

Andrea Ungar (A)

Department of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence, Italy.

Paolo Verdecchia (P)

Hospital S. Maria della Misericordia, Perugia, Italy.

Francesca Viazzi (F)

Department of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico SanMartino, Genoa, Italy.

Massimo Volpe (M)

Hypertension Unit, Division of Cardiology, Sant'Andrea Hospital, Rome, Italy.
IRCCS San Raffaele, Rome, Italy.

Agostino Virdis (A)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Guido Grassi (G)

School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Clinica Medica, San Gerardo Hospital, Monza, Italy.

Claudio Borghi (C)

Hypertension and Cardiovascular Risk Research Group, Department of Medical and Surgical Science, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Cardiovascular Medicine Unit, IRCCS AOU S. Orsola di Bologna, Pad. 25 - 1st Floor, Via Massarenti, 9, 40138, Bologna, Italy.

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