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Uric Acid

Collier's New Encyclopedia (1921)

a very important excrementitious product, which occurs in small quantities in human urine, to the extent of rather less than 1 per cent. of the solid matter contained in it. It is met with in much greater abundance in the excrement of birds and reptiles, that of the boa consisting almost entirely of urate of ammonia. Guano also contains large quantities of it, and has been most extensively employed as its source in the of almost extinct manufacture now murexide dyes. When excess of uric acid is secreted in the system, it deposits hard crystallizing grains in the bladder, which, if retained, gradually form concretionary calculi, and grow into the disease known as gravel or stones. In gouty patients, uric acid accumulates around the joints, forming white friable concretions, known improperly as chalkstones. Uric acid is generally prepared by dissolving the dried excrement of the boa in water, and converting the urate of ammonia into nitrate of potash by adding excess of potash, and boiling till the whole of the ammonia has been set free. Hydrochloric acid is then added, and the acid separates in minute crystals, which are thoroughly washed and dried. Pure uric acid is a white crystalline powder, requiring 10,000 parts of water for solution, to which it imparts a very feeble acid reaction. It is insoluble in alcohol and ether, but dissolves in concentrated sulphuric acid, which deposits it in a hydrated condition or dilution. The urates of the alkalies are much more soluble than the acid itself. Uric acid is dibasic, giving rise to acid and neutral salts. By By being submitted to heat, uric acid breaks up into a number of compounds, but the remarkable number of definite and crystallizable substances which it gives rise to, when treated with various oxidizing agents, present the highest physiological interest, inasmuch as the great changes which occur in the animal economy under the influence of vitality are always accompanied by oxidation.

What Has Changed in the Last Century

Collier's in 1921 could describe uric acid's chemistry precisely and knew it collected in bladder stones and gouty joints, but had no account of where it comes from or what to do about it "prepared by dissolving the dried excrement of the boa in water" was still a fair laboratory recipe. It is now understood as the end product of purine breakdown, produced by the enzyme xanthine oxidase; humans and other apes carry a broken uricase gene, which is why we accumulate it where most mammals do not. In 1962 McCarty and Hollander showed that it is needle-shaped monosodium urate crystals that trigger the inflammation of a gout attack, and allopurinol, a xanthine oxidase inhibitor introduced in 1966, made the disease routinely controllable; febuxostat and the enzyme drug pegloticase followed after 2008. The murexide dye trade the entry calls "almost extinct" duly died, but serum urate is now one of the commonest blood tests ordered anywhere.

Written for this edition, 2026.