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Hyperuricemia and cardiovascular risk: gut microbiota as a key link in pathogenesis and a new target for therapy

https://doi.org/10.20514/2226-6704-2026-16-2-104-112

EDN: LXOECG

Abstract

Hyperuricemia is a significant and independent risk factor for cardiovascular diseases. In recent years, scientists have been paying attention to the gut microbiota and its impact on various processes in the human body. Currently, there is evidence of the important role of the microbiota in the pathogenesis of hyperuricemia. An increase in the number of pathogenic microflora contributes to chronic inflammation and an increase in uric acid levels through the mechanisms of purine metabolism. The purpose of this review is to analyze and systematize current data on the impact of the intestinal microbiota on the pathogenesis of hyperuricemia and cardiovascular risk. The article discusses promising methods for correcting hyperuricemia, such as lifestyle modification, fecal microbiota transplantation, probiotics, and postbiotics. The review highlights the need for further research on the microbiota as a key factor in the pathogenesis of hyperuricemia and the development of new and innovative therapeutic strategies.

About the Authors

E. V. Reznik
Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» Ministry of Health of the Russian Federation ; G.M. Savelieva City Clinical Hospital No. 31
Russian Federation

Elena V. Reznik — MD, assistant professor, Head of the Department of Propedeutics of Internal Diseases of the medical faculty; Cardiologist

Moscow 


Competing Interests:

The authors declare no conflict of interests 



L. H. Alieva
Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» Ministry of Health of the Russian Federation ; L.A. Vorokhobov City Clinical Hospital No. 67
Russian Federation

Luiza H. Alieva — assistant of the Department of Propedeutics of Internal Diseases of the medical faculty; Cardiologist

Moscow 


Competing Interests:

The authors declare no conflict of interests 



V. A. Fefelova
Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» Ministry of Health of the Russian Federation
Russian Federation

Valeria A. Fefelova — is a resident physician and internist at the Department of Propaedeutics of Internal Diseases of the medical faculty

Moscow 


Competing Interests:

The authors declare no conflict of interests 



L. I. Kafarskaya
Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» Ministry of Health of the Russian Federation
Russian Federation

Lyudmila I. Kafarskaya — Doctor of Medical Sciences, Professor, Head of the Department of Microbiology and Virology at the Institute of Microbiology, Leading Researcher at the Research Laboratory of Microbiology and Biological Safety at the Institute of Microbiology

Moscow 


Competing Interests:

The authors declare no conflict of interests 



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Review

For citations:


Reznik E.V., Alieva L.H., Fefelova V.A., Kafarskaya L.I. Hyperuricemia and cardiovascular risk: gut microbiota as a key link in pathogenesis and a new target for therapy. The Russian Archives of Internal Medicine. 2026;16(2):104-112. https://doi.org/10.20514/2226-6704-2026-16-2-104-112. EDN: LXOECG

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ISSN 2226-6704 (Print)
ISSN 2411-6564 (Online)