Page last updated: 2024-10-20

uric acid and Acute Lymphoid Leukemia

uric acid has been researched along with Acute Lymphoid Leukemia in 22 studies

Uric Acid: An oxidation product, via XANTHINE OXIDASE, of oxypurines such as XANTHINE and HYPOXANTHINE. It is the final oxidation product of purine catabolism in humans and primates, whereas in most other mammals URATE OXIDASE further oxidizes it to ALLANTOIN.
uric acid : An oxopurine that is the final oxidation product of purine metabolism.
6-hydroxy-1H-purine-2,8(7H,9H)-dione : A tautomer of uric acid having oxo groups at C-2 and C-8 and a hydroxy group at C-6.
7,9-dihydro-1H-purine-2,6,8(3H)-trione : An oxopurine in which the purine ring is substituted by oxo groups at positions 2, 6, and 8.

Research Excerpts

ExcerptRelevanceReference
"Allopurinol and urate oxidase are both effective in preventing or treating hyperuricemia during remission induction therapy for lymphoid malignancies, but to the authors' knowledge, their effects on concomitant anticancer drug therapy have not been compared."3.76Effect of allopurinol versus urate oxidase on methotrexate pharmacokinetics in children with newly diagnosed acute lymphoblastic leukemia. ( Crews, KR; Howard, SC; Jeha, S; Pauley, JL; Pui, CH; Relling, MV; Zhou, Y, 2010)
"Both were subsequently diagnosed to have acute lymphoblastic leukemia, despite normal initial complete blood counts and peripheral smear."2.39Acute renal failure with hyperuricemia as initial presentation of leukemia in children. ( Larsen, G; Loghman-Adham, M, 1996)
"Acute lymphoblastic leukemia (ALL) is the most common childhood neoplasia and may present with arthralgia and arthritis, with the risk of misdiagnosis and diagnostic delay."1.48Characteristics of children with acute lymphoblastic leukemia presenting with arthropathy. ( Brix, N; Hasle, H; Herlin, T; Rosthøj, S, 2018)
"Uric acid (UA) is a strong immunological danger signal."1.46Uric acid as a novel biomarker for bone-marrow function and incipient hematopoietic reconstitution after aplasia in patients with hematologic malignancies. ( Bethge, WA; Eyb, V; Faul, C; Haen, SP; Heni, M; Kanz, L; Löffler, MW; Mirza, N; Naumann, A; Peter, A; Rammensee, HG; Vogel, W, 2017)
"Three children with acute lymphoblastic leukemia presenting with hyperuricemia received rasburicase as a single intravenous dose just prior to the start of chemotherapy."1.32Treatment of impending tumor lysis with single-dose rasburicase. ( Chan, R; Lee, AC; Li, CH; So, KT, 2003)
"1."1.29Metabolism of theophylline by cDNA-expressed human cytochromes P-450. ( Chen, J; Follath, F; Freiburghaus, AU; Ha, HR, 1995)
"The relationship between acute lymphoblastic leukemia (ALL-L3) and stage IV small noncleaved cell lymphoma with bone marrow involvement (SNCL) was analyzed by retrospective study of 45 patients."1.29L3 acute lymphoblastic leukemia. Comparison with small noncleaved cell lymphoma involving the bone marrow. ( Arthur, DC; Brunning, R; Dayton, VD; Gajl-Peczalska, KJ, 1994)
"Tumor lysis syndrome (TLS) and renal failure remain significant causes of morbidity and mortality in children with newly diagnosed Burkitt's lymphoma and high white blood cell count acute lymphocytic leukemia (ALL) despite conventional management with aggressive hydration, alkalinization, allopurinol, and the slow introduction of chemotherapy."1.29Prevention of tumor lysis syndrome using continuous veno-venous hemofiltration. ( Berkow, RL; Kohaut, EC; Saccente, SL, 1995)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19902 (9.09)18.7374
1990's8 (36.36)18.2507
2000's4 (18.18)29.6817
2010's7 (31.82)24.3611
2020's1 (4.55)2.80

Authors

AuthorsStudies
Ariga, Y1
Low, S1
Hoshino, H1
Nakada, T1
Akama, TO1
Muramoto, A1
Fukushima, M1
Yamauchi, T1
Ohshima, Y1
Kobayashi, M1
Heikamp, E1
Dreyer, ZE1
Brix, N1
Hasle, H1
Rosthøj, S1
Herlin, T1
Platteborze, PL1
Wilhelms, KW1
Cheung, YT1
Edelmann, MN1
Mulrooney, DA1
Green, DM1
Chemaitilly, W1
John, N1
Robison, LL1
Hudson, MM1
Krull, KR1
Haen, SP1
Eyb, V1
Mirza, N1
Naumann, A1
Peter, A1
Löffler, MW1
Faul, C1
Vogel, W1
Bethge, WA1
Rammensee, HG1
Kanz, L1
Heni, M1
Hawwa, AF1
Millership, JS1
Collier, PS1
McCarthy, A1
Dempsey, S1
Cairns, C1
McElnay, JC1
Crews, KR1
Zhou, Y1
Pauley, JL1
Howard, SC1
Jeha, S1
Relling, MV3
Pui, CH4
Ichikawa, M1
Kobayashi, R1
Nakajima, M1
Inamoto, J1
Suzuki, D1
Cho, Y1
Kaneda, M1
Yoshida, M1
Ariga, T1
ALPERIN, JB1
LEVIN, WC1
Lee, AC1
Li, CH1
So, KT1
Chan, R1
Hammoudeh, M1
Benítez, H1
Arreguín, L1
Velásquez, L1
Bernaldez, R1
Juan, L1
Farfán, J1
Díaz, S1
Gaona, A1
Martínez, MC1
Ha, HR1
Chen, J1
Freiburghaus, AU1
Follath, F1
Dayton, VD1
Arthur, DC1
Gajl-Peczalska, KJ1
Brunning, R1
Saccente, SL1
Kohaut, EC1
Berkow, RL1
Larsen, G1
Loghman-Adham, M1
Lascombes, F1
Harrison, PL1
Struxiano, A1
Mondesir, JM1
Ribeiro, RC1
Sandlund, JT1
Rivera, GK1
Evans, WE1
Mahmoud, HH2
Wiley, JM1
Woods, GM1
Leverger, G1
Camitta, B1
Hastings, C1
Blaney, SM1
Reaman, GH1
Bunchman, TE1
Gale, GB1
O'Connor, DM1
Salinas-Madrigal, L1
Chu, JY1
Jones, DP1
Stapleton, FB1
Kalwinsky, D1
McKay, CP1
Kellie, SJ1
O'Connor, NT1
Prentice, HG1
Hoffbrand, AV1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia[NCT00137111]Phase 3501 participants (Actual)Interventional2000-07-08Completed
Total Therapy Study XIV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia[NCT00187005]Phase 353 participants (Actual)Interventional1998-07-31Terminated (stopped due to Toxicity)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Circulating Leukemia Cells in Peripheral Blood Change From Prior to the Methotrexate Infusion to Three Days After Between Two Arms (4 Hours vs. 24 Hours)

"White blood cell (leukocytes) counts in peripheral blood by Complete Blood Count~Measurement: Percentage change of leukemia cells from baseline" (NCT00137111)
Timeframe: Immediately before the methotrexate infusion and three days after subsequent infusion

InterventionPercent change (Mean)
4 hr-44
24 hr-50

Continuous Complete Remission Since Week 56 Therapy.

CCR was measured from end of week 56 therapy to the date of first treatment failure of any kind (relapse, death, lineage switch, or second malignancy) or to the last date of follow-up. Measurement was determined by Kaplan-Meyer estimate. (NCT00137111)
Timeframe: Median follow up time (range) 4.5 (1 to 7.8) years

InterventionPercentage of participants (Number)
Patients With High Risk of CNS Relapse92.2

Mean Difference of Active Methotrexate Polyglutamates (MTXPG) in Leukemia Cells Between Two Arms (4 Hours vs. 24 Hours).

Children were randomly assigned to receive initial single-agent treatment with HDMTX (1g/m^2) as either a 24-hour infusion or a 4-hour infusion and the outcome measure was the accumulation of MTXPG in leukemia cells. (NCT00137111)
Timeframe: 42 hours after start of high dose methotrexate infusion (HDMTX)

Interventionpmol/1,000,000,000 cells (Mean)
4 hr1688
24 hr2521

Overall Event-free Survival (EFS)

EFS was measured from the start of on-study to the date of first treatment failure of any kind (relapse, death, lineage switch, or second malignancy) or to the last date of follow-up. Failure to enter remission was considered an event at time zero. Measurement was determined by Kaplan-Meyer estimate. (NCT00137111)
Timeframe: Median follow-up time (range) 5.6 (1.3 to 8.9) years

InterventionPercentage of Participants (Number)
Total Therapy87.3

Median Difference in CASP1 Gene Expression in Primary Leukemia Cells of Patients in Glucocorticoid-resistant Cells vs Glucocorticoid-sensitive Cells

Prednisolone sensitivity was measured in primary leukemia cells from bone marrow collected at diagnosis. Expression of CASP1 was determined by HG-U133A microarray. Values given are gene expression values, and the unit is arbitrary units (AU) defined as scaled fluorescence measured on microarray. (NCT00137111)
Timeframe: Pre-treatment

Interventionarbitrary units (Median)
Prednisolone-sensitive cellsPrednisolone-resistant cells
Total Therapy341.3447.9

Median Difference in NLRP3 Gene Expression in Primary Leukemia Cells of Patients in Glucocorticoid-resistant Cells vs. Glucocorticoid-sensitive Cells

Prednisolone sensitivity was measured in primary leukemia cells from bone marrow collected at diagnosis. Expression of NLRP3 was determined by HG-U133A microarray. Values given are gene expression values, and the unit is arbitrary units (AU) defined as scaled fluorescence measured on microarray. (NCT00137111)
Timeframe: Pre-treatment

Interventionarbitrary units (Median)
Prednisolone-sensitive cellsPrednisolone-resistant cells
Total Therapy41.2110.7

Minimal Residual Disease (MRD)

Detection of MRD at end of induction where positive MRD was defined as one or more leukemic cell per 10,000 mononuclear bone-marrow cells (>=0.01%). (NCT00137111)
Timeframe: End of Induction (Day 46 MRD measurement)

Interventionparticipants (Number)
Negative <0.01%Positive >= 0.01%
Total Therapy390102

Reviews

1 review available for uric acid and Acute Lymphoid Leukemia

ArticleYear
Acute renal failure with hyperuricemia as initial presentation of leukemia in children.
    Journal of pediatric hematology/oncology, 1996, Volume: 18, Issue:2

    Topics: Acute Kidney Injury; Adult; Child; Child, Preschool; Diagnosis, Differential; Female; Humans; Male;

1996

Trials

2 trials available for uric acid and Acute Lymphoid Leukemia

ArticleYear
Urate oxidase in prevention and treatment of hyperuricemia associated with lymphoid malignancies.
    Leukemia, 1997, Volume: 11, Issue:11

    Topics: Allopurinol; Antimetabolites; Antineoplastic Agents; Child; Child, Preschool; Female; Humans; Lympho

1997
Recombinant urate oxidase for the prophylaxis or treatment of hyperuricemia in patients With leukemia or lymphoma.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2001, Feb-01, Volume: 19, Issue:3

    Topics: Adolescent; Burkitt Lymphoma; Child; Child, Preschool; Dose-Response Relationship, Drug; Female; Hum

2001

Other Studies

19 other studies available for uric acid and Acute Lymphoid Leukemia

ArticleYear
Expression and Clinical Significance of Spi-B in B-cell Acute Lymphoblastic Leukemia.
    The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society, 2022, Volume: 70, Issue:10

    Topics: B-Lymphocytes; Burkitt Lymphoma; Humans; Lymphoma, Large B-Cell, Diffuse; Precursor Cell Lymphoblast

2022
50 Years Ago in The Journal of Pediatrics: Prevention and Management of Acute Hyperuricemia in Childhood Leukemia.
    The Journal of pediatrics, 2017, Volume: 191

    Topics: Acute Disease; Allopurinol; Child; DNA, Neoplasm; History, 20th Century; Humans; Hyperuricemia; Merc

2017
Characteristics of children with acute lymphoblastic leukemia presenting with arthropathy.
    Clinical rheumatology, 2018, Volume: 37, Issue:9

    Topics: Adolescent; Arthralgia; Child; Child, Preschool; Delayed Diagnosis; Diagnostic Errors; Humans; Infan

2018
Request for Uric Acid Analysis on an Iced Specimen.
    Clinical chemistry, 2015, Volume: 61, Issue:9

    Topics: Child; Cold Temperature; Female; Gout Suppressants; Humans; Precursor Cell Lymphoblastic Leukemia-Ly

2015
Uric Acid and Neurocognitive Function in Survivors of Childhood Acute Lymphoblastic Leukemia Treated with Chemotherapy Only.
    Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016, Volume: 25, Issue:8

    Topics: Adolescent; Adult; Antineoplastic Agents; Biomarkers; Cancer Survivors; Cardiovascular Diseases; Cog

2016
Uric acid as a novel biomarker for bone-marrow function and incipient hematopoietic reconstitution after aplasia in patients with hematologic malignancies.
    Journal of cancer research and clinical oncology, 2017, Volume: 143, Issue:5

    Topics: Adult; Aged; Anemia; Biomarkers, Tumor; Blood Cell Count; Bone Marrow; Female; Graft Survival; Hemat

2017
The development of an objective methodology to measure medication adherence to oral thiopurines in paediatric patients with acute lymphoblastic leukaemia--an exploratory study.
    European journal of clinical pharmacology, 2009, Volume: 65, Issue:11

    Topics: Adolescent; Antimetabolites, Antineoplastic; Child; Child, Preschool; Female; Humans; Male; Medicati

2009
Effect of allopurinol versus urate oxidase on methotrexate pharmacokinetics in children with newly diagnosed acute lymphoblastic leukemia.
    Cancer, 2010, Jan-01, Volume: 116, Issue:1

    Topics: Allopurinol; Child; Child, Preschool; Female; Humans; Hyperuricemia; Infant; Male; Methotrexate; Pre

2010
Higher urinary excretion of inorganic phosphate during early induction chemotherapy predicts a good prognosis in childhood acute leukemia.
    Journal of pediatric hematology/oncology, 2011, Volume: 33, Issue:4

    Topics: Adolescent; Antineoplastic Combined Chemotherapy Protocols; Biomarkers; Child; Child, Preschool; Fem

2011
EXTREME HYPERURICEMIA ASSOCIATED WITH PREDNISONE THERAPY FOR ACUTE LYMPHOBLASTIC LEUKEMIA.
    Texas state journal of medicine, 1964, Volume: 60

    Topics: Adolescent; Blood; Blood Urea Nitrogen; Humans; Hyperuricemia; Leukemia; Leukemia, Lymphoid; Lymphoc

1964
Treatment of impending tumor lysis with single-dose rasburicase.
    The Annals of pharmacotherapy, 2003, Volume: 37, Issue:11

    Topics: Adolescent; Child; Child, Preschool; Humans; Hyperuricemia; Male; Precursor Cell Lymphoblastic Leuke

2003
Acute lymphocytic leukemia presenting as lupus-like syndrome.
    Rheumatology international, 2006, Volume: 26, Issue:6

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Antinuclear; Biopsy; Bone Marrow Cells;

2006
[Electrolytic changes in children with acute lymphoblastic leukemia during remission induction].
    Sangre, 1995, Volume: 40, Issue:3

    Topics: Adolescent; Allopurinol; Anions; Antineoplastic Combined Chemotherapy Protocols; Bicarbonates; Blood

1995
Metabolism of theophylline by cDNA-expressed human cytochromes P-450.
    British journal of clinical pharmacology, 1995, Volume: 39, Issue:3

    Topics: Alcohol Drinking; Aryl Hydrocarbon Hydroxylases; Cytochrome P-450 CYP1A2; Cytochrome P-450 CYP2A6; C

1995
L3 acute lymphoblastic leukemia. Comparison with small noncleaved cell lymphoma involving the bone marrow.
    American journal of clinical pathology, 1994, Volume: 101, Issue:2

    Topics: Adolescent; Adult; Aged; Bone Marrow; Burkitt Lymphoma; Child; Female; Humans; Immunoglobulin M; Imm

1994
Prevention of tumor lysis syndrome using continuous veno-venous hemofiltration.
    Pediatric nephrology (Berlin, Germany), 1995, Volume: 9, Issue:5

    Topics: Antineoplastic Combined Chemotherapy Protocols; Blood Urea Nitrogen; Burkitt Lymphoma; Child; Child,

1995
Renal biopsy diagnosis of acute lymphocytic leukemia.
    Clinical nephrology, 1992, Volume: 38, Issue:3

    Topics: Acute Kidney Injury; Biopsy; Child; Female; Humans; Kidney; Leukemic Infiltration; Precursor Cell Ly

1992
Renal dysfunction and hyperuricemia at presentation and relapse of acute lymphoblastic leukemia.
    Medical and pediatric oncology, 1990, Volume: 18, Issue:4

    Topics: Acute Kidney Injury; Adolescent; Antigens, Surface; Blood Cell Count; Child; DNA, Neoplasm; Female;

1990
Prevention of urate nephropathy in the tumour lysis syndrome.
    Clinical and laboratory haematology, 1989, Volume: 11, Issue:2

    Topics: Adolescent; Allopurinol; Antineoplastic Combined Chemotherapy Protocols; Daunorubicin; Diuresis; Hum

1989