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Redefining hyperuricemia in chronic kidney disease: a focus on tubulo-glomerular urate handling

Scheme of a proposed classification of hyperuricemia. A proposed scheme of hyperuricemia integrating renal uric acid handling. Renal underexcretion type can occur due to reduced glomerular filtration rate (glomerular under-filtration type) or increased reabsorption of urate in the renal tubules (tubular over-reabsorption type).

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Correspondence to Tomoaki Takata.

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Takata, T., Mae, Y., Hoi, S. et al. Redefining hyperuricemia in chronic kidney disease: a focus on tubulo-glomerular urate handling. Hypertens Res 48, 2766–2767 (2025). https://doi.org/10.1038/s41440-025-02311-y

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