Xanthine oxidase (XO)

Synonyms: XO, XOD
edited by
Luca Fischer

Table of Contents

1. Definition

Xanthine oxidase (XO) is a metalloenzyme (a hydroxylase) important in the purine metabolism

2. Structure

The active centre contains two molybdenum atoms and an iron-sulphur cluster. It also contains two FAD molecules. The enzyme occurs as a dimer.

3. Biochemistry

The XO catalyses the oxidation of hypoxanthine and xanthine to uric acid in the kidneys and liver.

  1. Hypoxanthin + O2 → Xanthin + H2O2
  2. Xanthin + O2 + 2 H2O → Harnsäure + 2 H2O2

4. Pathology

Hyperuricemia: Increased uric acid formation can be caused by increased activity of liver xanthine oxidase for unexplained reasons.

Xanthinuria: Insufficient conversion of xanthine to uric acid due to low xanthine oxidase activity. The consequence is that Xanthine is excreted in large quantities in the urine.

5. Pharmacology

Xanthine oxidase inhibitors (e.g. Allopurinol or Febuxostat) are administered to prevent the crystallisation of uric acid.

Allopurinol binds firmly to the reduced form of xanthine oxidase and thus inactivates it. This reduces the production of poorly soluble uric acid and increases the concentration of the more soluble compounds xanthine and hypoxanthine.

6. Diagram

Was this article helpful?

0
0
Specialty
Keywords
Last edit:
2025-01-30 21:50:38
Important Notice

The content provided in DocAtlas is intended solely for educational and informational purposes. It is not a guide for diagnosis, treatment, or medical decision-making. As an open platform, the information in DocAtlas may be subject to inaccuracies, errors, or omissions, and it is important to review and cross-check all content with other reputable sources before making any medical or clinical decisions.

The material in DocAtlas does not replace professional medical advice, diagnosis, or treatment from qualified healthcare providers. Users should consult with their doctor, pharmacist, or other healthcare professionals for specific advice tailored to their individual conditions.

DocAtlas and its authors make no warranties regarding the completeness, accuracy, or reliability of the information contained within and are not liable for any harm, damage, or adverse effects arising from the use or misuse of the content. Users are responsible for ensuring that they verify and critically evaluate all information before applying it in any medical or clinical context.

Login to edit or publish articles

Don’t have an account? Sign up here for free and help improve DocAtlas!