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BioMed Research International
Volume 2013 (2013), Article ID 374950, 7 pages
http://dx.doi.org/10.1155/2013/374950
Research Article

Hippuric Acid as a Significant Regulator of Supersaturation in Calcium Oxalate Lithiasis: The Physiological Evidence

1Department of Clinical Laboratory and Clinical Immunology, Medical University, “G. Sofiisky” Boulevard 1, 1431 Sofia, Bulgaria
2Institute of Physical Chemistry, Bulgarian Academy of Sciences, 1113 Sofia, Bulgaria

Received 2 April 2013; Revised 7 September 2013; Accepted 8 September 2013

Academic Editor: Seiichi Saito

Copyright © 2013 Stoyanka S. Atanassova and Ivan S. Gutzow. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

At present, the clinical significance of existing physicochemical and biological evidence and especially the results we have obtained from our previous in vitro experiments have been analyzed, and we have come to the conclusion that hippuric acid (C6H5CONHCH2COOH) is a very active solvent of Calcium Oxalate (CaOX) in physiological solutions. Two types of experiments have been discussed: clinical laboratory analysis on the urine excretion of hippuric acid (HA) in patients with CaOX lithiasis and detailed measurements of the kinetics of the dissolution of CaOX calculi in artificial urine, containing various concentrations of HA. It turns out that the most probable value of the HA concentration in the control group is approximately ten times higher than the corresponding value in the group of the stone-formers. Our in vitro analytical measurements demonstrate even a possibility to dissolve CaOX stones in human urine, in which increased concentration of HA have been established. A conclusion can be that drowning out HA is a significant regulator of CaOX supersaturation and thus a regulation of CaOX stone formation in human urine. Discussions have arisen to use increased concentration of HA in urine both as a solubilizator of CaOX stones in the urinary tract and on the purpose of a prolonged metaphylactic treatment.