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Men with high levels of the antioxidant urate in their blood
seem to develop the symptoms of Parkinson’s disease at a slower rate than those
with lower levels of urate.
Urate, the salt form of uric acid, is a prominent component
of blood, urine and spinal fluid. Urate is a powerful antioxidant that may
protect cells from damage and its antioxidant potency rivals that of vitamin C.
High levels of urate have been found in the past to lead to kidney stones and
gout.
Researchers from the MassGeneral Institute for
Neurodegenerative Disease and Harvard School of Public Health conducted a
two-year study including 800 men who were recently diagnosed with Parkinson’s.
The researchers discovered that men with the highest urate
levels at the study’s start had almost half the risk of needing to start
Parkinson’s treatment drugs, as did those with the lowest levels. Moreover,
brain scans showed evidence that those with higher urate levels also lost the
fewest dopamine-producing neurons, the type of brain cells affected by Parkinson’s.
It is known that Parkinson’s occurs when brain cells that produce dopamine are
slowly destroyed.
"We found that higher level of urate among people with early
Parkinson's disease is associated with a slower rate of Parkinson's
progression. These findings, combined with prior knowledge of urate's protective
properties in laboratory studies, raise the possibility that urate-elevating
strategies could be used to slow the neurodegeneration of Parkinson's disease,”
Dr. Michael Schwarzschild of Massachusetts General Hospital, who helped lead
the study, said in a telephone interview with Reuters.
Following the levels of urate could be a way to therapeutically modify the
course of the disease, although urate itself may not inform treatment decision or
risk prediction.
“Measurement of urate on its own in patients with newly diagnosed
Parkinson's disease as an indicator of an individual patient's future rate of
progression is likely to be of modest clinical utility,” the researchers wrote.
The findings of the study appeared in the April 14 online edition
of the Archives of Neurology.
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