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The chemical urate, which is known to cause gout, appears to slow the
progression of Parkinson's disease, US researchers have concluded.

The team found that a study confirmed their previous suspicions about urate,
which occurs naturally in the blood.

Urate is a potent antioxidant and so counteracts oxygen-related cell damage
thought to contribute to Parkinson's, they report in Archives of Neurology.

Trials are under way to find a safe way to raise urate levels as a therapy.

With support from the Michael J Fox Foundation, the researchers will recruit
90 recently diagnosed Parkinson's patients for treatment with a chemical
which helps to produce urate - called inosine - to see if this can raise
urate levels so as to slow or halt disease progression.

Diets which are rich in foods like liver, seafood and dried beans and peas,
as well as alcohol, can also increase blood urate levels.

But too much urate in the blood can cause gout, a painful joint disease.

Dr Michael Schwarzschild and colleague Dr Alberto Ascherio originally made
the link between urate and Parkinson's when analysing data from a previous
clinical trial.

Their latest work confirms their hunch that urate is protective, they say.

They looked at samples of both blood and cerebrospinal fluid - the fluid
that surrounds the brain and spinal cord - and measured urate levels.

Among the 800 Parkinson's patients in the study there was a clear trend
linking higher urate levels and slower disease progression.

Dr Schwarzschild, associate professor of neurology at Massachusetts General
Hospital in Boston, said: "Urate is a major antioxidant and it can protect
brain cells in the lab, which makes this a compelling possibility; but we
don't yet know if it's urate itself or some urate-determining factor that
helps people with Parkinson's."

He said people should not take the findings to mean they should eat more
urate-rich foods to guard against Parkinson's.

"Because elevated urate levels have known health risks, including gout and
kidney stones, urate elevation should only be attempted in the context of a
closely monitored clinical trial in which potential benefits and risks are
carefully balanced," he said.

Dr Kieran Breen of the Parkinson's Disease Society said more research was
needed.

"This tells us that it is possible to influence the rate of disease
progression. It's a new lead to follow."

He said the findings might help find a therapy and markers to help track the
disease.

He added that people treated for gout should not be concerned that the
treatment would inadvertently increase their risk of Parkinson's.

"There is no evidence to suggest it would," he said.

http://news.bbc.co.uk/2/hi/health/8302068.stm

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