Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1983 Jul 2;287(6384):7–9. doi: 10.1136/bmj.287.6384.7

Raised serum urate concentration as risk factor for premature mortality in middle aged men: relation to death from cancer.

B Petersson, E Trell
PMCID: PMC1548148  PMID: 6407695

Abstract

Low serum cholesterol concentrations are associated with deaths from cancer. This association was found in a prospective study of middle aged men in Malmö and consideration of possible explanations for the lowering of serum cholesterol prompted an analysis of serum urate in relation to deaths from cancer. A total of 127 of the 7725 participants in the Malmö study had died since screening. A weakly positive but significant correlation between raised serum urate concentration and total mortality was found. This correlation was wholly explained by neoplastic deaths (p less than 0.01), while there were no associations with alcohol related deaths or with deaths from coronary heart disease. When the deaths from cancer were classified as "early" or "late"--that is, occurring less than or more than 2.5 years after the screening--the correlation between raised urate concentrations and cancer mortality was confined to the "early" deaths (p less than 0.001). Further studies are needed to substantiate the relation between raised serum urate concentrations and fatal neoplasia. Nevertheless, these findings weigh against recent suggestions that uric acid has an antioxidant protective effect against cancer.

Full text

PDF
7

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ames B. N., Cathcart R., Schwiers E., Hochstein P. Uric acid provides an antioxidant defense in humans against oxidant- and radical-caused aging and cancer: a hypothesis. Proc Natl Acad Sci U S A. 1981 Nov;78(11):6858–6862. doi: 10.1073/pnas.78.11.6858. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bengtsson C., Tibblin E. Serum uric acid levels in women. An epidemiological survey with special reference to women with high serum uric acid values. Acta Med Scand. 1974 Jul-Aug;196(1-2):93–102. [PubMed] [Google Scholar]
  3. Drum D. E., Goldman P. A., Jankowski C. B. Elevation of serum uric acid as a clue to alcohol abuse. Arch Intern Med. 1981 Mar;141(4):477–479. [PubMed] [Google Scholar]
  4. Fessel W. J., Siegelaub A. B., Johnson E. S. Correlates and consequences of asymptomatic hyperuricemia. Arch Intern Med. 1973 Jul;132(1):44–54. [PubMed] [Google Scholar]
  5. Higuchi T., Nakamura T., Uchino H. Enhanced renal clearance of uric acid in hepatic cirrhosis. Isr J Med Sci. 1981 Nov;17(11):1015–1018. [PubMed] [Google Scholar]
  6. Kark J. D., Smith A. H., Hames C. G. The relationship of serum cholesterol to the incidence of cancer in Evans County, Georgia. J Chronic Dis. 1980;33(5):311–332. doi: 10.1016/0021-9681(80)90026-0. [DOI] [PubMed] [Google Scholar]
  7. LIEBER C. S., JONES D. P., LOSOWSKY M. S., DAVIDSON C. S. Interrelation of uric acid and ethanol metabolism in man. J Clin Invest. 1962 Oct;41:1863–1870. doi: 10.1172/JCI104643. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Munan L., Kelly A., Petitclerc C. Population serum urate levels and their correlates. The Sherbrooke regional study. Am J Epidemiol. 1976 Apr;103(4):369–382. doi: 10.1093/oxfordjournals.aje.a112236. [DOI] [PubMed] [Google Scholar]
  9. Olin J. S., Devenyi P., Weldon K. L. Uric acid in alcoholics. Q J Stud Alcohol. 1973 Dec;34(4):1202–1207. [PubMed] [Google Scholar]
  10. Persky V. W., Dyer A. R., Idris-Soven E., Stamler J., Shekelle R. B., Schoenberger J. A., Berkson D. M., Lindberg H. A. Uric acid: a risk factor for coronary heart disease? Circulation. 1979 May;59(5):969–977. doi: 10.1161/01.cir.59.5.969. [DOI] [PubMed] [Google Scholar]
  11. Peterson B., Trell E., Sternby N. H. Low cholesterol level as risk factor for noncoronary death in middle-aged men. JAMA. 1981 May 22;245(20):2056–2057. [PubMed] [Google Scholar]
  12. Petersson B., Krantz P., Kristensson H., Trell E., Sternby N. H. Alcohol-related death: a major contributor to mortality in urban middle-aged men. Lancet. 1982 Nov 13;2(8307):1088–1090. doi: 10.1016/s0140-6736(82)90015-0. [DOI] [PubMed] [Google Scholar]
  13. Rose G., Shipley M. J. Plasma lipids and mortality: a source of error. Lancet. 1980 Mar 8;1(8167):523–526. doi: 10.1016/s0140-6736(80)92775-0. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES