Uric Acid Dynamics in Young Women

Associations with Radiation Exposure, Blood Groups, and Biochemical Markers

Authors

DOI:

https://doi.org/10.14500/aro.12380

Keywords:

Hyperuricemia, Metabolic syndrome, Metabolism, Purine, Urate

Abstract

A growing body of evidence implicates uric acid to play central roles in various disease complications. However, the delineation between causative and coincidental roles remains poorly elucidated. This study aimed to evaluating uric acid in young women considering variables such as disease types, body mass index, blood groups, radiation exposure, and to assess the relationship between uric acid levels and certain subclinical biomarkers. A cohort of 178 young women, between 18 and 39 years, (comprising 100 cases and 78 healthy controls) was included in this investigation. Diagnosed subjects with common diseases, renal, cardiovascular, blood, joints, diabetes, gastrointestinal diseases, were selected according to stringent criteria. Subjects were categorized based on disease types, blood groups, and exposure history to ionizing radiation including mammography and body or leg X-ray. Serum levels of uric acid and biochemical tests were analyzed by unpaired comparison tests and correlation coefficient tests. Subjects with hematological disorders exhibited lower uric acid concentrations when compared to healthy women. Uric acid concentrations in individuals with repeated exposure to X-ray radiation showed a high significant difference (p<0.01) compared to unexposed individuals. In Spearman correlation analyses, positive correlations (p < 0.001) are identified between uric acid and iron, calcium, prolactin, and body mass index. In healthy young women, uric acid levels fluctuated both within and beyond physiological ranges, independent of disease status, weight indexes, and blood types. Assessment of uric acid in young women, based on a history of radiation exposure, subclinical blood parameters might guide for better medical decision and treatment.

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Author Biography

Ahmed H. Ahmed, Department of Biology, College of Science, Salahaddin University-Erbil, Kurdistan Region – F.R. Iraq

Ahmed H. Ahmed is a Lecturer at the Department of Biology, College of Science, Salahaddin University. He got the B.Sc. degree in Biology, the M.Sc. degree in Physiology and the Ph.D. degree in Cell Physiology. His research interests are in cytotoxicity, cardiovascular pharmacology and metabolic disorders. Dr. Ahmed is a member of Animal and Veterinary Science and Scope Database International Advisory Board.

References

Ashfaq, F., Hayee, S., and Muhammad, S.W., 2023. A study on association of stress related problems with gastrointestinal disorders in University students: Association of stress related problems with GIT disorders. The Journal of Zoology, 4(1), pp.21-26. DOI: https://doi.org/10.54393/mjz.v4i01.66

Beberashvili, I., Sinuani, I., Azar, A., Shapiro, G., Feldman, L., Stav, K., Sandbank, J., and Averbukh, Z., 2015. Serum uric acid as a clinically useful nutritional marker and predictor of outcome in maintenance hemodialysis patients. Nutrition, 31(1), pp.138-147. DOI: https://doi.org/10.1016/j.nut.2014.06.012

Borzoueisileh, S., Shabestani Monfared, A., Ghorbani, H., Mortazavi, S.M.J., Zabihi, E., Pouramir, M., Doustimotlagh, A.H., Shafiee, M., and Niksirat, F., 2020. Assessment of function, histopathological changes, and oxidative stress in liver tissue due to ionizing and non-ionizing radiations. Caspian Journal of Internal Medicine, 11(3), pp.315-323.

Chauhan, V., and Wilkins, R.C., 2019. A comprehensive review of the literature on the biological effects from dental X-ray exposures. International Journal of Radiation Biology, 95(2), pp.107-119. DOI: https://doi.org/10.1080/09553002.2019.1547436

Crawley, W.T., Jungels, C.G., Stenmark, K.R., and Fini, M.A., 2022. U-shaped association of uric acid to overall-cause mortality and its impact on clinical management of hyperuricemia. Redox Biology, 51, p.102271. DOI: https://doi.org/10.1016/j.redox.2022.102271

Du, N., Xu, D., Hou, X., Song, X., Liu, C., Chen, Y., Wang, Y., and Li, X., 2016. Inverse association between serum uric acid levels and Alzheimer’s disease risk. Molecular Neurobiology, 53, pp.2594-2599. DOI: https://doi.org/10.1007/s12035-015-9271-6

El Ridi, R., and Tallima, H., 2017. Physiological functions and pathogenic potential of uric acid: A review. Journal of Advanced Research, 8(5), pp.487-493. DOI: https://doi.org/10.1016/j.jare.2017.03.003

Fina Lubaki, J.P., Omole, O.B., and Francis, J.M., 2022. Glycaemic control among type 2 diabetes patients in sub-Saharan Africa from 2012 to 2022: A systematic review and meta-analysis. Diabetology and Metabolic Syndrome, 14(1), p.134. DOI: https://doi.org/10.1186/s13098-022-00902-0

Fukui, S., Okada, M., Rahman, M., Matsui, H., Shiraishi, A., Nakai, T., Tamaki, H., Kishimoto, M., Hasegawa, H., and Matsuda, T., 2023. Differences in the association between alcoholic beverage type and serum urate levels using standardized ethanol content. JAMA Network Open, 6(3), pp.e233398-e233398. DOI: https://doi.org/10.1001/jamanetworkopen.2023.3398

Goldberg, A., Garcia-Arroyo, F., Sasai, F., Rodriguez-Iturbe, B., SanchezLozada, L.G., Lanaspa, M.A., and Johnson, R.J., 2021. Mini review: Reappraisal of uric acid in chronic kidney disease. American Journal of Nephrology, 52(10-11), pp.837-844. DOI: https://doi.org/10.1159/000519491

Gomes, L.T., Bellei, A.K., Andrade, D.I.D., Gotardo, P.Z., Nery, A.F., and Fontes, C.J.F., 2019. Decreased uric acid levels in the acute phase of Plasmodium vivax malaria. Revista da Sociedade Brasileira de Medicina Tropical, 52, p.e20170412. DOI: https://doi.org/10.1590/0037-8682-0412-2017

Grossman, C., Grossman, E., and Goldbourt, U., 2019. Uric acid variability at midlife as an independent predictor of coronary heart disease and all-cause mortality. PLoS One, 14(8), p.e0220532. DOI: https://doi.org/10.1371/journal.pone.0220532

Hsieh, Y.P., Chang, C.C., Yang, Y., Wen, Y.K., Chiu, P.F., and Lin, C.C., 2017. The role of uric acid in chronic kidney disease patients. Nephrology, 22(6), pp.441-448. DOI: https://doi.org/10.1111/nep.12679

Jones, N.R., McCormack, T., Constanti, M., and McManus, R.J., 2020. Diagnosis and management of hypertension in adults: NICE guideline update 2019. The British Journal of General Practice, 70(691), p.90. DOI: https://doi.org/10.3399/bjgp20X708053

Jung, J.H., Song, G.G., Lee, Y.H., Kim, J.H., Hyun, M.H., and Choi, S.J., 2018. Serum uric acid levels and hormone therapy type: A retrospective cohort study of postmenopausal women. Menopause, 25(1), pp.77-81. DOI: https://doi.org/10.1097/GME.0000000000000953

Khan, A.D.Y., and Pujari, A.D., 2018. A comparative study of the variation in coagulation profile between different blood groups in ischemic heart disease patients and normal subjects. National Journal of Physiology, Pharmacy and Pharmacology, 8(11), pp.1496–1496. DOI: https://doi.org/10.5455/njppp.2018.8.0723730072018

Konta, T., Ichikawa, K., Kawasaki, R., Fujimoto, S., Iseki, K., Moriyama, T., Yamagata, K., Tsuruya, K., Narita, I., and Kondo, M., 2020. Association between serum uric acid levels and mortality: A nationwide community-based cohort study. Scientific Reports, 10(1), p.6066. DOI: https://doi.org/10.1038/s41598-020-63134-0

Kuwabara, M., Ae, R., Kosami, K., Kanbay, M., Andres-Hernando, A., Hisatome, I., and Lanaspa, M.A., 2024. Current updates and future perspectives in uric acid research, 2024. Hypertension Research, 48, pp.867-873. DOI: https://doi.org/10.1038/s41440-024-02031-9

Lehner, K., Santarelli, F., Penning, R., Vasold, R., Engel, E., Maisch, T., Gastl, K., König, B., Landthaler, M., and Bäumler, W., 2011. The decrease of pigment concentration in red tattooed skin years after tattooing. Journal of the European Academy of Dermatology and Venereology, 25(11), pp.1340-1345. DOI: https://doi.org/10.1111/j.1468-3083.2011.03987.x

Liu, Q., Peng, M., Yang, T., and Si, G., 2023. Uric acid levels and risk of cognitive impairment: Dose-response meta-analysis of prospective cohort studies. PLoS One, 18(11), p.e0293832. DOI: https://doi.org/10.1371/journal.pone.0293832

Mei, Y., Dong, B., Geng, Z., and Xu, L., 2022. Excess uric acid induces gouty nephropathy through crystal formation: A review of recent insights. Frontiers in Endocrinology, 13, p.911968. DOI: https://doi.org/10.3389/fendo.2022.911968

Molla, M.D., Bekele, A., Melka, D.S., Teklemariam, M.D., Challa, F., Ayelign, B., Shibabaw, T., Akalu, Y., and Geto, Z., 2021. Hyperuricemia and its associated factors among adult staff members of the Ethiopian public health institute, Ethiopia. International Journal of General Medicine, 14, p.1437-1447. DOI: https://doi.org/10.2147/IJGM.S308158

Okoth, K., Chandan, J.S., Marshall, T., Thangaratinam, S., Thomas, G.N., Nirantharakumar, K., and Adderley, N.J., 2020. Association between the reproductive health of young women and cardiovascular disease in later life: Umbrella review. BMJ, 371, p.m3502. DOI: https://doi.org/10.1136/bmj.m3502

Sah, O.S.P., and Qing, Y.X., 2015. Associations between hyperuricemia and chronic kidney disease: A review. Nephrourology Monthly, 7(3), p.e27233. DOI: https://doi.org/10.5812/numonthly.7(3)2015.27233

Song, Y., Tang, L., Han, J., Gao, Y., Tang, B., Shao, M., Yuan, W., Ge, W., Huang, X., and Yao, T., 2019. Uric acid provides protective role in red blood cells by antioxidant defense: A hypothetical analysis. Oxidative Medicine and Cellular Longevity, 2019(1), p.3435174. DOI: https://doi.org/10.1155/2019/3435174

Tsur, A.M., Akavian, I., Landau, R., Derazne, E., Tzur, D., Vivante, A., Grossman, E., Rotem, RS., Fishman, B., and Pinhas-Hamiel, O., 2024. Adolescent body mass index and early chronic kidney disease in young adulthood. JAMA Pediatrics, 178(2), pp.142-150. DOI: https://doi.org/10.1001/jamapediatrics.2023.5420

Verma, S., Ji, Q., Bhatt, D.L., Mazer, C.D., Al-Omran, M., Inzucchi, S.E., Wanner, C., Ofstad, A.P., Zwiener, I., George, J.T., Zinman, B., and Fitchett, D., 2020. Association between uric acid levels and cardio-renal outcomes and death in patients with type 2 diabetes: A subanalysis of EMPA-REG outcome. Diabetes, Obesity and Metabolism, 22(7), pp.1207-1214. DOI: https://doi.org/10.1111/dom.13991

Wang, Y., Yang, Z., Wu, J., Xie, D., Yang, T., Li, H., and Xiong, Y., 2020. Associations of serum iron and ferritin with hyperuricemia and serum uric acid. Clinical Rheumatology, 39, pp.3777-3785. DOI: https://doi.org/10.1007/s10067-020-05164-7

Wang, Z., Lv, M.Y., and Huang, Y.X., 2020. Effects of low-dose X-ray on cell growth, membrane permeability, DNA damage and gene transfer efficiency. Dose-Response, 18(4), p.1-9. DOI: https://doi.org/10.1177/1559325820962615

Winder, M., Owczarek, A.J., Mossakowska, M., Broczek, K., Grodzicki, T., Wierucki, Ł., and Chudek, J., 2021. Prevalence of hyperuricemia and the use of allopurinol in older poles-results from a population-based PolSenior study. International Journal of Environmental Research and Public Health, 18(2), p.387. DOI: https://doi.org/10.3390/ijerph18020387

Yang, Y., Zhou, W., Wang, Y., and Zhou, R., 2019. Gender-specific association between uric acid level and chronic kidney disease in the elderly health checkup population in China. Renal Failure, 41(1), pp.197-203. DOI: https://doi.org/10.1080/0886022X.2019.1591994

Zhang, J., Sun, N., Zhang, W., Yue, W., Qu, X., Li, Z., and Xu, G., 2025. The impact of uric acid on musculoskeletal diseases: Clinical associations and underlying mechanisms. Frontiers in Endocrinology, 16, p.1515176. DOI: https://doi.org/10.3389/fendo.2025.1515176

Zhang, M., Zhu, X., Wu, J., Huang, Z., Zhao, Z., Zhang, X., Xue, Y., Wan, W., Li, C., and Zhang, W., 2022. Prevalence of hyperuricemia among Chinese adults: Findings from two nationally representative cross-sectional surveys in 2015-16 and 2018-19. Frontiers in Immunology, 12, p.791983. DOI: https://doi.org/10.3389/fimmu.2021.791983

Zheng, Y., Ou, J., Huang, D., Zhou, Z., Dong, X., Chen, J., Liang, D., Liu, J., Liu, Y., and Chen, J., 2022. The U-shaped relationship between serum uric acid and long-term all-cause mortality in coronary artery disease patients: A cohort study of 33,034 patients. Frontiers in Cardiovascular Medicine, 9, p.858889. DOI: https://doi.org/10.3389/fcvm.2022.858889

Published

2025-10-11

How to Cite

Ahmed, A. H. (2025) “Uric Acid Dynamics in Young Women: Associations with Radiation Exposure, Blood Groups, and Biochemical Markers”, ARO-THE SCIENTIFIC JOURNAL OF KOYA UNIVERSITY, 13(2), pp. 226–232. doi: 10.14500/aro.12380.
Received 2025-06-25
Accepted 2025-08-21
Published 2025-10-11