Why did my grandfather never get gout?

 


My friends, last week I talked about gout, Charles II of England, and bloodletting. Today, I want to talk about gout again, and about a potential way to prevent it.

Gout is a painful condition caused by a build-up of uric acid in the blood. When levels get too high, the uric acid forms sharp, needle-like crystals in the joints. The immune system attacks these crystals, and that causes severe pain and inflammation. It affects millions of people worldwide.

There are treatments, but they don't work for everyone, and some patients develop adverse reactions to synthetic uricase. So we need a better way to prevent the disease.

Now, gout is often blamed on too much alcohol or an unhealthy diet. But think back to my maternal grandfather. He drank a bottle of beer every day and ate plenty of meat, yet he stayed slim until he passed away in 2022. And he never suffered from gout.

Why? New studies suggest that genetics plays a much bigger role than we once thought.

Gout is one of humanity's oldest diseases, yet it's very rare in most other mammals, because they still have a functional uricase gene. Humans and other apes lost theirs millions of years ago.

Some researchers believe this loss may even have helped us at the time: higher uric acid levels can help turn fruit sugar into fat, a survival advantage during food shortages.

So, you guessed it: perhaps my grandfather had a more active version of this gene. Maybe. Who knows?

What we do know is that uricase breaks down uric acid in the blood, preventing crystals from forming in the joints and kidneys. Those crystals cause gout, kidney disease, and other health problems.

And here's the good news. In a study published in Scientific Reports, researchers used gene editing to bring this ancient gene back to life in the lab, and it successfully lowered uric acid levels.

Their findings suggest the approach could work safely in living systems, not just in isolated cells. And by lowering uric acid, multiple diseases might be prevented at once.

Great news, isn't it? I think so. But what's your take, my friends? Please share your thoughts in the comments. Thank you.


Watch the video here:



or watch it on Substack: https://judyfaylondon.substack.com/p/how-reviving-a-20-million-year-old

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