Enzyme therapeutics have great potential for the treatment of systemic disorders such as urolithiasis and nephrocalcinosis, which are caused by the excessive accumulation of oxalate. However, exogenous enzymes have sh...
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Enzyme therapeutics have great potential for the treatment of systemic disorders such as urolithiasis and nephrocalcinosis, which are caused by the excessive accumulation of oxalate. However, exogenous enzymes have short half-lives in vivo and elicit high immunogenicity, which largely limit the therapeutic outcomes. Herein, we report a delivery strategy whereby therapeutic enzymes are encapsulated within a thin zwitterionic polymer shell to form enzyme nanocapsules. The strategy is exemplified by the encapsulation of oxalate oxidase (OxO) for the treatment of hyperoxaluria, because as-synthesized OxO nanocapsules have a prolonged blood circulation half-life and elicit reduced immunogenicity. Our design of enzyme nanocapsules that enable the systemic delivery of therapeutic enzymes can be extended to various biomedical applications.
Dyslipidemia affects approximately half of all people with gout,and prior Mendelian randomization analysis suggested a causal role for elevated triglycerides in hyperuricemia(HU),but the underlying mechanisms remain *...
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Dyslipidemia affects approximately half of all people with gout,and prior Mendelian randomization analysis suggested a causal role for elevated triglycerides in hyperuricemia(HU),but the underlying mechanisms remain *** hypothesize that dyslipi-demia promotes hepatic urate biosynthesis in HU and gout and fatty acid(FA)oxidation(FAO)drives this *** we devel-oped a targeted metabolomics to quantify major metabolites in purine metabolic pathway in the sera of a human cohort with HU,gout,and normaluricemic *** found that the levels of major purine metabolites and multiple FAs were significantly elevated in HU and gout groups compared to normouricemic controls,whereas hypoxathine showed opposite ***,the levels of multiple serum FAs were positively correlated with urate,xanthine,and inosine but negatively with hypoxanthine,which was also observed in a murine model of high-fat diet-induced *** a stable isotope-labeled metabolic flux assay,we discovered that exogenous hypoxanthine plays a key role in urate ***,FAO-induced hypoxia-inducible factor 1 alpha(HIF-1α)activation upregulated 5ʹ-nucleotidase II(NT5C2)and xanthine dehydrogenase(XDH)levels to facilitate hypox-anthine uptake from the blood to the liver and activation of urate *** findings were further supported by data in human hepatocytes and 50 paired serum and liver tissues from liver transplant ***,this study uncovers a mecha-nism by which FAO promotes hepatic urate synthesis by activating HIF-1α-NT5C2/XDH pathways,directly linking lipid metabo-lism to HU.
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