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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2022.853735</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Optimized UV-Spectrophotometric Assay to Screen Bacterial Uricase Activity Using Whole Cell Suspension</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pugin</surname>
<given-names>Benoit</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/344161/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pl&#x00FC;ss</surname>
<given-names>Serafina</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1699376/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mujezinovic</surname>
<given-names>Denisa</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1266489/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nielsen</surname>
<given-names>Rikke C.</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1725918/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lacroix</surname>
<given-names>Christophe</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/61700/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory of Food Biotechnology, Department of Health Sciences and Technology, ETH Z&#x00FC;rich</institution>, <addr-line>Z&#x00FC;rich</addr-line>, <country>Switzerland</country></aff>
<aff id="aff2"><sup>2</sup><institution>Beo Therapeutics AG</institution>, <addr-line>Z&#x00FC;rich</addr-line>, <country>Switzerland</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by"><p>Edited by: Dayanand C. Kalyani, Royal Institute of Technology, Sweden</p></fn>
<fn id="fn0002" fn-type="edited-by"><p>Reviewed by: Samane Rahmdel, Universit&#x00E4;t T&#x00FC;bingen, Germany; Arunachalam Muthaiyan, University of New Mexico Gallup, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Christophe Lacroix, <email>christophe.lacroix@hest.ethz.ch</email></corresp>
<fn id="fn0003" fn-type="other"><p>This article was submitted to Microbiotechnology, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>853735</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>01</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2022 Pugin, Pl&#x00FC;ss, Mujezinovic, Nielsen and Lacroix.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Pugin, Pl&#x00FC;ss, Mujezinovic, Nielsen and Lacroix</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Uricase catalyzes the conversion of uric acid into allantoin with concomitant reduction of molecular oxygen to hydrogen peroxide. In humans, uricase is not functional, thereby predisposing individuals to hyperuricemia, a metabolic disturbance associated with gout, chronic kidney disorders, and cardiovascular diseases. The efficacy of current therapies to treat hyperuricemia is limited, and novel approaches are therefore desired, for instance using uricase-expressing probiotic strains. Here, we evaluated UV-spectrophotometric and H<sub>2</sub>O<sub>2</sub>-based fluorescent assays to enable the rapid identification of uricase activity in a broad panel of lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> species. We highlighted abiotic (medium composition and mode of sterilization) and biotic (H<sub>2</sub>O<sub>2</sub>-producing strains) factors impacting the measurements&#x2019; accuracy, and reported on the stepwise optimization of a simple, fast, and robust high-throughput UV-spectrophotometric method to screen uricase activity using whole bacterial suspension, thereby assessing both cell-associated and extracellular activity. The validity of the optimized assay, based on the monitoring of uric acid degradation at 300&#x2009;nm, was confirmed <italic>via</italic> liquid chromatography. Finally, a panel of 319 Qualified Presumption of Safety (QPS) strains of lactobacilli (18 species covering nine genera), <italic>Bacillus</italic> (three species), and <italic>Bifidobacterium</italic> (four species) were screened for uricase activity using the optimized method. All 319 strains, but the positive control <italic>Bacillus</italic> sp. DSM 1306, were uricase-negative, indicating that this activity is rare among these genera, especially in isolates from food or feces. Altogether, the UV-spectrophotometric high-throughput assay based on whole bacterial suspension reported here can be used to rapidly screen large microbial collections, by simultaneously detecting cell-associated and extracellular uricase activity, thereby accelerating the identification of uricolytic strains with therapeutic potential to treat hyperuricemia.</p>
</abstract>
<kwd-group>
<kwd>uricase</kwd>
<kwd>spectrophotometry</kwd>
<kwd>fluorescence</kwd>
<kwd>high-throughput screening</kwd>
<kwd>lactobacilli</kwd>
<kwd><italic>Bacillus</italic></kwd>
<kwd><italic>Bifidobacterium</italic></kwd>
</kwd-group>
<contract-num rid="cn1">40722.1 IP-LS</contract-num>
<contract-sponsor id="cn1">Swiss Innovation Agency</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="54"/>
<page-count count="10"/>
<word-count count="6080"/>
</counts>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<title>Introduction</title>
<p>Uricase (urate oxidase; EC 1.7.3.3) is an enzyme involved in purine metabolism, which catalyzes the conversion of uric acid (UA) into allantoin with concomitant reduction of molecular oxygen to hydrogen peroxide (<xref ref-type="bibr" rid="ref17">Kahn and Tipton, 1998</xref>). It is expressed in a wide range of organisms, including bacteria, fungi, plants, and animals (<xref ref-type="bibr" rid="ref17">Kahn and Tipton, 1998</xref>). In humans, uricase is not functional due to multiple evolutionary events, resulting in 3- to 10-fold higher serum UA levels compared to other mammals (<xref ref-type="bibr" rid="ref22">Kratzer et al., 2014</xref>) and predisposing humans to hyperuricemia. Hyperuricemia is a metabolic disturbance affecting ~20% of the United States population (<xref ref-type="bibr" rid="ref54">Zhu et al., 2011</xref>) and causes gout, chronic kidney disorders, and cardiovascular diseases (<xref ref-type="bibr" rid="ref49">Wu et al., 1994</xref>; <xref ref-type="bibr" rid="ref7">Culleton et al., 1999</xref>). Hyperuricemia is exacerbated by western diet (<xref ref-type="bibr" rid="ref42">Siener and Hesse, 2003</xref>) or other diets rich in purines (<xref ref-type="bibr" rid="ref4">Brul&#x00E9; et al., 1992</xref>), thus therapeutic strategies often include nutritional and lifestyle interventions though evidence for their efficacy is scarce (<xref ref-type="bibr" rid="ref31">Moi et al., 2013</xref>). On the other hand, UA-lowering drugs (e.g., xanthine oxidase inhibitors such as allopurinol and febuxostat) are restricted to patients with severe or recurrent gout (<xref ref-type="bibr" rid="ref8">Engel et al., 2017</xref>), as they exhibit potential adverse effects (<xref ref-type="bibr" rid="ref34">Pacher et al., 2006</xref>) and limited long-term efficacy (<xref ref-type="bibr" rid="ref36">P&#x00E9;rez-Ruiz et al., 2019</xref>). Therefore, novel approaches are desired.</p>
<p>The gastrointestinal tract plays an important role in UA metabolism and excretion (<xref ref-type="bibr" rid="ref30">M&#x00E9;ndez-Salazar and Mart&#x00ED;nez-Nava, 2021</xref>). In healthy people, UA is primarily cleared <italic>via</italic> the kidneys, though ~30% is excreted <italic>via</italic> the intestine (<xref ref-type="bibr" rid="ref43">Sorensen and Levinson, 1975</xref>) where it can be further degraded by the gut microbiota (<xref ref-type="bibr" rid="ref6">Chu et al., 2021</xref>). In line, recent studies have shown that the gut microbial community composition is significantly altered in rat models of hyperuricemia (<xref ref-type="bibr" rid="ref26">Liu et al., 2020</xref>; <xref ref-type="bibr" rid="ref35">Pan et al., 2020</xref>) or in patients with gout (<xref ref-type="bibr" rid="ref6">Chu et al., 2021</xref>; <xref ref-type="bibr" rid="ref24">Lin et al., 2021</xref>). The gastrointestinal tract may therefore constitute a promising therapeutic target for hyperuricemia, for instance using oral probiotic strains, a concept supported by recent <italic>in vivo</italic> studies with microbial uricase (<xref ref-type="bibr" rid="ref45">Szczurek et al., 2017</xref>) or uricolytic bacterial strains (<xref ref-type="bibr" rid="ref11">Garc&#x00ED;a-Arroyo et al., 2018</xref>; <xref ref-type="bibr" rid="ref50">Wu et al., 2021</xref>) that showed reduced serum UA levels in hyperuricemic rodent models.</p>
<p>To date, uricase activity was biochemically confirmed in various bacterial taxa, either extracellularly in <italic>Pseudomonas</italic> strains (<xref ref-type="bibr" rid="ref1">Abdel-Fattah et al., 2005</xref>; <xref ref-type="bibr" rid="ref16">Jagadeesan et al., 2019</xref>), or intracellularly in <italic>Arthrobacter</italic> (<xref ref-type="bibr" rid="ref44">Suzuki et al., 2004</xref>), <italic>Microbacterium</italic> (<xref ref-type="bibr" rid="ref53">Zhou et al., 2005</xref>; <xref ref-type="bibr" rid="ref18">Kai et al., 2008</xref>), <italic>Streptomyces</italic> (<xref ref-type="bibr" rid="ref48">Watanabe et al., 1969</xref>), <italic>Saccharopolyspora</italic> (<xref ref-type="bibr" rid="ref20">Khucharoenphaisan and Sinma, 2011</xref>), <italic>Micrococcus</italic> (<xref ref-type="bibr" rid="ref33">Olivieri et al., 1983</xref>), <italic>Metabacillus</italic> (<xref ref-type="bibr" rid="ref51">Zhang et al., 2010</xref>), and <italic>Bacillus</italic> (<xref ref-type="bibr" rid="ref28">Mahler, 1970</xref>; <xref ref-type="bibr" rid="ref3">Bongaerts and Vogels, 1976</xref>; <xref ref-type="bibr" rid="ref2">Bongaerts et al., 1978</xref>; <xref ref-type="bibr" rid="ref15">Huang and Wu, 2004</xref>; <xref ref-type="bibr" rid="ref23">Lee et al., 2005</xref>; <xref ref-type="bibr" rid="ref27">Lotfy, 2008</xref>) strains. In few lactobacilli strains, uricase activity was suggested to be present both intracellularly and extracellularly (<xref ref-type="bibr" rid="ref12">Handayani et al., 2018</xref>), thus prompting further investigation of uricase in taxa associated with probiotic strains. The determination of bacterial uricase activity can be assessed either qualitatively, <italic>via</italic> the observation of UA consumption on UA-containing solid media (<xref ref-type="bibr" rid="ref41">Shaaban et al., 2015</xref>; <xref ref-type="bibr" rid="ref38">Pustake et al., 2019</xref>), or quantitatively, <italic>via</italic> the measurement of H<sub>2</sub>O<sub>2</sub> formation using fluorescent dyes (<xref ref-type="bibr" rid="ref10">Fraisse et al., 2002</xref>) or the determination of UA degradation using spectrophotometry (<xref ref-type="bibr" rid="ref21">Koyama et al., 1996</xref>; <xref ref-type="bibr" rid="ref10">Fraisse et al., 2002</xref>; <xref ref-type="bibr" rid="ref15">Huang and Wu, 2004</xref>) or liquid chromatography (<xref ref-type="bibr" rid="ref39">Safranow et al., 2000</xref>). Because of their simplicity and compatibility with microplate systems allowing parallel analysis of multiple samples, spectrophotometric and fluorescent techniques appear promising to develop a high-throughput screening assay for bacterial uricase activity. However, their non-specific nature may be source of analytical artefacts, especially in presence of bacterial cells or complex media such as those used for the growth of probiotic strains.</p>
<p>Here, we evaluated both spectrophotometric and fluorescent uricase activity assays and highlighted abiotic and biotic factors potentially impacting the measurements&#x2019; accuracy and bias. We reported on the stepwise optimization of a simple, fast, and robust high-throughput UV-spectrophotometric method to screen bacterial uricase activity using whole bacterial suspension, thereby assessing both cell-associated and extracellular uricase. Finally, a panel of 319 QPS (Qualified Presumption of Safety) strains of lactobacilli (nine genera), <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic>, respectively representing 18, 3, and 4 species, were screened for uricase activity using the optimized UV-spectrophotometric method.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="sec3">
<title>Culture Media, Bacterial Strains, and Growth Conditions</title>
<p>The influence of eight different media on uricase activity measurement was evaluated, including: LactoBacillus Selection (LBS) and two different de Man, Rogosa, and Sharpe (MRS#1; NutriSelect&#x2122;, Merck, Darmstadt, Germany. MRS#2; Biolife Italiana Srl, Milan, Italy) media for lactobacilli; Luria&#x2013;Bertani (LB; Sigma-Aldrich, St. Louis, United States) and Allantoin Mineral (AM) media for <italic>Bacillus</italic> species; and Bifidus Selective Medium (BSM; NutriSelect&#x2122;, Merck), Reinforced Clostridial Medium (RCM), and Wilkins-Chalgren (WC; Oxoid&#x2122;, Thermo Scientific, Waltham, United States) media for <italic>Bifidobacterium</italic> species. Additionally, 2-fold diluted (&#x00BD;) MRS#1, MRS#2 and WC were evaluated. The detailed composition of all media is presented in <xref ref-type="supplementary-material" rid="SM1">Supplementary File 1</xref>. Media were either autoclaved (-Aut; 120&#x00B0;C, 20&#x2009;min) or sterile filtered (-SF; Nalgene&#x2122; filter unit, 0.2&#x2009;&#x03BC;m polyethersulfone membrane; Thermo Scientific). All media were freshly prepared the day before spectrophotometric and fluorescent measurements and stored at 4&#x00B0;C until analysis.</p>
<p>The 319 QPS strains used in this study (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>) were obtained from our own collection, and consisted of 166 lactobacilli strains [18 species from nine genera; all formerly <italic>Lactobacillus</italic> (<xref ref-type="bibr" rid="ref52">Zheng et al., 2020</xref>)], 110 <italic>Bacillus</italic> strains (three species), and 43 <italic>Bifidobacterium</italic> strains (four species) previously isolated from feces (human, mouse, and chicken) or fermented food products. <italic>Bacillus</italic> sp. DSM 1306 was acquired from the German Collection of Microorganisms and Cell Culture GmbH (DSMZ, Braunschweig, Germany). All strains were stored at &#x2212;80&#x00B0;C in 25% (v/v) glycerol stocks and routinely grown at 37&#x00B0;C in 96-deep-well plates (Nolato Treff AG, Degersheim, Switzerland). <italic>Bacillus</italic> strains were grown aerobically in AM-Aut. Lactobacilli and <italic>Bifidobacterium</italic> strains were grown anaerobically using Oxoid&#x2122; AnaeroGen&#x2122; pouches (Thermo Scientific) in &#x00BD;MRS#1-SF and &#x00BD;WC-SF media, respectively. Prior to spectrophotometric and fluorescent analyses, the strains were reactivated in the corresponding media for 24&#x2009;h, and pre-cultures were then transferred (1%, v/v) in fresh media and grown for 24&#x2009;h before harvesting. When required, the medium was supplemented with 0.5&#x2009;mM (fully soluble) or 30&#x2009;mM (insoluble) uric acid.</p>
</sec>
<sec id="sec4">
<title>UV-Spectrophotometric Determination of Uricase Activity</title>
<p>Absorbance spectra of the tested growth media, measured in absorbance units (AU), were determined between 250 and 350&#x2009;nm in UV-transparent (acrylic; Corning Inc., New York, United States) or standard (polystyrene; SPL Life Sciences Co. Ltd., Gyeonggi-do, South Korea) 96-well plates by mixing 40&#x2009;&#x03BC;l medium with 160&#x2009;&#x03BC;l borate buffer (5&#x2009;mM H<sub>3</sub>BO<sub>3</sub>, pH 8.5).</p>
<p>Spectrophotometric uricase activity was determined by monitoring the reduction of uric acid at 300&#x2009;nm (AU<sub>300</sub>), 37&#x00B0;C, aerobically, for 60&#x2009;min in standard 96-well plate. The assay was initiated by mixing 40&#x2009;&#x03BC;l sample or uricase (70&#x2009;mU/ml final concentration; product No. U0880, Sigma-Aldrich) with 160&#x2009;&#x03BC;l UA (0.5&#x2009;mM final) in borate buffer. The samples tested included fresh medium, whole culture samples (cells and supernatant), supernatants (5,500&#x2009;&#x00D7;&#x2009;<italic>g</italic>, 10&#x2009;min, 4&#x00B0;C), or the cell pellet washed once and resuspended in PBS (pH 7.4). Uricase activity was calculated using the linear region of the spectrophotometric kinetic curve corresponding to the maximum reaction rate. Uric acid concentration was determined from absorbance readings using UA standard curves generated in the 0.1&#x2013;0.5&#x2009;mM range. One unit of uricase is defined as the amount of sample that consumes 1.0&#x2009;&#x03BC;mol of UA per minute under the standard assay conditions.</p>
<p>All spectrophotometric analyses were performed with a preheated microplate spectrophotometer PowerWave&#x2122; XS (BioTek instruments, Winooski, United States).</p>
</sec>
<sec id="sec5">
<title>Fluorescent Determination of Uricase Activity</title>
<p>Uricase activity was determined using the fluorescent Amplex&#x2122; Red Uric Acid/Uricase Assay Kit (Thermo Scientific) to quantify H<sub>2</sub>O<sub>2</sub> production and was expressed as relative fluorescence units (RFU). Kinetics were performed at 37&#x00B0;C, aerobically, for 60&#x2009;min in black 96-well plate with transparent bottom (polystyrene; Greiner Bio-One GmbH, Frickenhausen, Germany) in a preheated microplate fluorescent reader FL600 (BioTek instruments) with excitation and emission bandpass filters of 485/20 and 635/20&#x2009;nm, respectively. All solutions were provided in the kit. Briefly, 20&#x2009;&#x03BC;l sample (medium or bacterial suspension) or uricase (5&#x2009;mU/ml final) was mixed with 69.3&#x2009;&#x03BC;l reaction buffer, 10&#x2009;&#x03BC;l UA (0.5&#x2009;mM final), 0.2&#x2009;&#x03BC;l horseradish peroxidase (0.2&#x2009;U/ml final), and 0.5&#x2009;&#x03BC;l Amplex Red (50&#x2009;&#x03BC;M final). Uricase activity was calculated using the linear region of the fluorescent kinetic curve corresponding to the maximum reaction rate. Hydrogen peroxide concentration was determined from fluorescent readings using H<sub>2</sub>O<sub>2</sub> standard curves generated in the 0&#x2013;0.01&#x2009;mM range. One unit of uricase is defined as the amount of sample that produces 1.0&#x2009;&#x03BC;mol of H<sub>2</sub>O<sub>2</sub> per minute under the standard assay conditions.</p>
</sec>
<sec id="sec6">
<title>Quantification of Uric Acid by Liquid Chromatography</title>
<p>Uric acid was quantified by Ultra High Performance Liquid Chromatography equipped with a Diode Array Detector (UHPLC-DAD), modified from <xref ref-type="bibr" rid="ref39">Safranow et al. (2000)</xref>. Uric acid 10&#x2009;mM standard stock solution (analytical grade; Sigma-Aldrich) was prepared in 25&#x2009;mM NaOH and was further diluted with MilliQ water to generate a standard curve. Bacterial suspensions were centrifuged (14,000&#x2009;&#x00D7;&#x2009;<italic>g</italic>, 10&#x2009;min, 4&#x00B0;C), and supernatants were filtered (0.45&#x2009;&#x03BC;m nylon membrane filter) prior to UHPLC-DAD analysis. The separation was carried out with a Vanquish&#x2122; Flex UHPLC System (Thermo Scientific), coupled to an ACQUITY BEH C18 column (1.7&#x2009;&#x03BC;m particle size, 2.1&#x2009;&#x00D7;&#x2009;100&#x2009;mm; Waters Corp., Milford, United States). Samples (1&#x2009;&#x03BC;l injection) were eluted at 24&#x00B0;C with a 0.2&#x2009;ml/min flow rate under isocratic conditions using 50&#x2009;mM phosphate buffer pH 5.5 / methanol (97/3, <italic>v/v</italic>) as mobile phase. UA was quantified using a Vanquish&#x2122; diode array detector at 300&#x2009;nm. Data were processed using Chromeleon 7 software (Thermo Scientific).</p>
</sec>
</sec>
<sec id="sec7" sec-type="results">
<title>Results</title>
<sec id="sec8">
<title>Influence of Media Composition and Sterilization on Basal UV-Spectrophotometric Absorbance</title>
<p>We first evaluated whether the spectrophotometric quantification of UA could be impaired by major UV-absorbing compounds present in common growth media or generated during sterilization, i.e., autoclaved (Aut) vs. sterile filtered (SF). Absorbance spectra in a UV-transparent 96-well plate showed maximal absorbance of UA in the 280&#x2013;300&#x2009;nm range (&#x003E;3.00&#x2009;AU), where all media also displayed basal levels of absorbance, which decreased as wavelengths increased (<xref rid="fig1" ref-type="fig">Figure 1</xref>). In the maximal absorbance range of UA, the autoclaved medium MRS#2-Aut absorbed most, at level similar or higher than pure UA (&#x2265;3.00&#x2009;AU), whereas &#x00BD;WC, AM (Aut and SF) and sterile filtered &#x00BD;MRS#1-SF absorbed least (&#x003C;1.00&#x2009;AU; <xref rid="fig1" ref-type="fig">Figure 1</xref>). The mode of sterilization had an important impact on the absorbance of most media, including RCM, BSM, LBS, MRS#1, &#x00BD;MRS#1, MRS#2, and &#x00BD;MRS#2, but not WC, &#x00BD;WC, AM, and LB. Overall, autoclaved media displayed higher absorbance levels than sterile filtered media, which was particularly evident for LBS-Aut, MRS#1-Aut, and MRS#2-Aut with an AU increase of up to 1.51 (292&#x2013;293&#x2009;nm), 1.40 (290&#x2013;296&#x2009;nm), and 2.50 (296&#x2013;297&#x2009;nm) compared to their SF counterpart (<xref rid="fig1" ref-type="fig">Figure 1</xref>). Using a standard polystyrene 96-well plate, similar absorbance patterns were observed across the tested conditions, except for the strong plate absorbance measured at low wavelengths (&#x003E; 3.00&#x2009;AU at &#x2264;280&#x2009;nm; <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>) compared to UV-transparent 96-well plate. At 300&#x2009;nm, the polystyrene plate background absorbance was moderate (0.40&#x2009;AU), and this wavelength was thus selected for subsequent UV-spectrophotometric assessment of bacterial uricase activity with standard 96-well plate. It is worth noting that the UA precursor xanthine and the UA degradation product allantoin did not absorb at 300&#x2009;nm (data not shown).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption><p>Absorbance spectra (250&#x2013;350&#x2009;nm; UV-transparent 96-well plate) of uric acid (0.5&#x2009;mM in borate buffer) compared to autoclaved (-Aut) or sterile filtered (-SF) media commonly used for the growth of lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> species. AU, absorbance units. Data represent the mean and SD from two independent replicates.</p></caption>
<graphic xlink:href="fmicb-13-853735-g001.tif"/>
</fig>
</sec>
<sec id="sec9">
<title>Influence of Media Composition and Sterilization on Fluorescent Measurements</title>
<p>We next evaluated whether growth media and their sterilization could also interfere with fluorescent assays based on the quantification of H<sub>2</sub>O<sub>2</sub> as a marker byproduct of the uricase activity. All media displayed basal levels of fluorescence and surprisingly these intensities appeared to increase over time (<xref rid="fig2" ref-type="fig">Figure 2</xref>). The highest rates (&#x0394;RFU/&#x0394;time) were observed for MRS#2-Aut and RCM-SF, which would correspond to a uricase activity of 7.26&#x2009;&#x00B1;&#x2009;0.18 and 7.41&#x2009;&#x00B1;&#x2009;0.01&#x2009;mU/ml, respectively (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S2</xref>). The mode of sterilization impacted the fluorescence measurements, with distinct intensities observed between Aut and SF conditions in RCM, BSM, LBS, MRS#1, &#x00BD;MRS#1, MRS#2, &#x00BD;MRS#2, and to a lesser extend in WC, &#x00BD;WC, AM, and LB (<xref rid="fig2" ref-type="fig">Figure 2</xref>). However, autoclaved media did not always yield stronger fluorescence rates: LBS-Aut, MRS#1-Aut, &#x00BD;MRS#1-Aut, MRS#2-Aut, and &#x00BD;MRS#2-Aut showed higher fluorescence rates compared to their SF counterpart, whereas BSM-SF and RCM-SF showed higher fluorescence rates compared to their Aut counterpart (<xref rid="fig2" ref-type="fig">Figure 2</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption><p>Fluorescence kinetics of uricase (5&#x2009;mU/ml) compared to autoclaved (-Aut) or sterile filtered (-SF) complex media commonly used for the growth of lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> species. RFU, relative fluorescence units. Data represent the mean and SD from two independent replicates.</p></caption>
<graphic xlink:href="fmicb-13-853735-g002.tif"/>
</fig>
</sec>
<sec id="sec10">
<title>Evaluation of Uricase Activity Using Whole Bacterial Suspension</title>
<p>To minimize the impact of the nutritional medium on UV-spectrophotometric and fluorescent analyses, &#x00BD;MRS#1-SF, AM-Aut, and &#x00BD;WC-SF were selected for the growth and screening of lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> species, respectively. UV-spectrophotometric and fluorescent methods were then evaluated in presence of whole bacterial culture samples to measure simultaneously both extracellular and cell-associated uricase activity, and identify potential cofounding factors. Five strains were tested including <italic>Bacillus</italic> sp. DSM 1306 as uricase activity positive control, and randomly selected strains, <italic>Levilactobacillus brevis</italic> BT-4087, <italic>Lacticaseibacillus rhamnosus</italic> BT-1025, <italic>Bifidobacterium</italic> sp. BT-4055X, and <italic>Bifidobacterium bifidum</italic> BT-4055Y.</p>
<p>When comparing both methods, the positive control <italic>Bacillus</italic> sp. DSM 1306 showed similar uricase activity <italic>via</italic> spectrophotometry (37.33&#x2009;&#x00B1;&#x2009;2.17&#x2009;mU/ml) and fluorescence (38.27&#x2009;&#x00B1;&#x2009;1.79&#x2009;mU/ml; <xref rid="fig3" ref-type="fig">Figure 3</xref>), and the activity appeared to be cell-associated and absent from the supernatant (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S2</xref>). In contrast, lactobacilli and <italic>Bifidobacterium</italic> strains showed no reduction of UA at 300&#x2009;nm, but both <italic>Bifidobacterium</italic> strains BT-4055X and BT-4055Y showed increased fluorescence intensity corresponding to 4.19&#x2009;&#x00B1;&#x2009;0.03 and 3.25&#x2009;&#x00B1;&#x2009;0.05&#x2009;mU/ml uricase activity equivalences, respectively (<xref rid="fig3" ref-type="fig">Figure 3</xref>). To clarify the observed discrepancy between both assays and confirm the presence/absence of uricolytic activity in the tested strains, all five strains were grown in presence of 0.5&#x2009;mM UA for 2 or 24&#x2009;h prior to harvesting, and the remaining UA was quantified <italic>via</italic> UHPLC-DAD analysis. We confirmed that <italic>Bacillus</italic> sp. DSM 1306 could degrade most UA present in the medium (&#x2212;0.44&#x2009;&#x00B1;&#x2009;0.01 and &#x2212;0.45&#x2009;&#x00B1;&#x2009;0.00&#x2009;mM after 2 and 24&#x2009;h incubation, respectively), but no reduction of UA was observed with any lactobacilli or <italic>Bifidobacterium</italic> strains at both incubation times (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S3</xref>). This data suggests that the increased fluorescence observed with <italic>Bifidobacterium</italic> BT-4055X and BT-4055Y was unrelated to uricase activity. Finally, it is worth noting that the supplementation of 30&#x2009;mM UA in the media during growth did not stimulate uricase activity in <italic>Bacillus</italic> DSM 1306 compared with the UA-free growth conditions, nor induce uricase activity in the tested lactobacilli and <italic>Bifidobacterium</italic> strains (<xref rid="fig3" ref-type="fig">Figure 3</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption><p>Evaluation of uricase activity using <italic>Bacillus</italic> (DSM 1306), lactobacilli (BT-4087 and BT-1025), and <italic>Bifidobacterium</italic> (BT-4055X and BT-4055Y) suspension (cells and supernatants) as determined by UV-spectrophotometric (absorbance at 300&#x2009;nm) and fluorescence assays. Strains were grown in the corresponding medium for 24&#x2009;h in presence or absence of 30&#x2009;mM uric acid (UA). Data represent the mean and SD from two biological replicates.</p></caption>
<graphic xlink:href="fmicb-13-853735-g003.tif"/>
</fig>
</sec>
<sec id="sec11">
<title>Screening of Uricase Activity in Lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> Species</title>
<p>Altogether, the UV-spectrophotometric assay emerged as the most simple, effective, and robust method for high-throughput screening of bacterial uricase activity, and was therefore used to screen a large panel of 319 QPS strains of lactobacilli (<italic>n</italic>&#x2009;=&#x2009;166), <italic>Bacillus</italic> (<italic>n</italic>&#x2009;=&#x2009;110), and <italic>Bifidobacterium</italic> (<italic>n</italic>&#x2009;=&#x2009;43; <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>). Beside the positive control <italic>Bacillus</italic> sp. DSM 1306, none of the strains from these genera showed reduction of absorbance at 300&#x2009;nm over 60&#x2009;min, indicating the absence of uricase activity under the tested conditions (<xref rid="fig4" ref-type="fig">Figure 4</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption><p>Uricase activity in a panel of 319 QPS strains of <italic>Bacillus</italic> (<italic>n</italic>&#x2009;=&#x2009;110; three species), lactobacilli (<italic>n</italic>&#x2009;=&#x2009;166; 18 species from nine genera), and <italic>Bifidobacterium</italic> (<italic>n</italic>&#x2009;=&#x2009;43; four species) as determined by UV-spectrophotometry at 300&#x2009;nm in standard 96-well plate. Each dot corresponds to the difference of absorbance (&#x0394;AU<sub>300</sub>) over 60&#x2009;min generated by the bacterial suspension of a specific strain (one biological replicate; all strains tested are listed in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>). <italic>Bacillus</italic> sp. DSM 1306 was used as positive control.</p></caption>
<graphic xlink:href="fmicb-13-853735-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="sec12" sec-type="discussions">
<title>Discussion</title>
<p>In this work, we evaluated two quantitative methods to develop a high-throughput screening approach of bacterial uricase activity in microtiter plates, with particular focus on conditions relevant to lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> strains. Using a stepwise approach, we aimed at developing a sensitive, yet robust method using whole bacterial suspensions to enable the simultaneous detection of both extracellular and cell-associated uricase activities, thereby accelerating the screening of large microbial collections and the identification of uricolytic strains independently from the enzyme&#x2019;s partition (<xref ref-type="bibr" rid="ref48">Watanabe et al., 1969</xref>; <xref ref-type="bibr" rid="ref33">Olivieri et al., 1983</xref>; <xref ref-type="bibr" rid="ref44">Suzuki et al., 2004</xref>; <xref ref-type="bibr" rid="ref18">Kai et al., 2008</xref>; <xref ref-type="bibr" rid="ref27">Lotfy, 2008</xref>; <xref ref-type="bibr" rid="ref51">Zhang et al., 2010</xref>; <xref ref-type="bibr" rid="ref20">Khucharoenphaisan and Sinma, 2011</xref>; <xref ref-type="bibr" rid="ref12">Handayani et al., 2018</xref>; <xref ref-type="bibr" rid="ref16">Jagadeesan et al., 2019</xref>).</p>
<p>Our data revealed that the fluorescent assay, based on the quantification of H<sub>2</sub>O<sub>2</sub> released during UA degradation, was the least suitable method because of its susceptibility to biases derived from both abiotic and biotic factors. In absence of bacteria, many media exhibited strong background fluorescence intensities (=false positive), as exemplified by the fluorescence rates of MRS#2-Aut and RCM-SF which corresponded to ~20% of the fluorescence rate of the uricase positive control <italic>Bacillus</italic> sp. DSM 1306 (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S2</xref>, <xref rid="fig3" ref-type="fig">Figure 3</xref>). This abiotically-generated fluorescence might have arisen from the spontaneous generation of H<sub>2</sub>O<sub>2</sub> as byproduct from the reactions between sugars, phosphate salts and proteinaceous components (e.g., tryptone, peptone, and yeast extract), especially during heat treatment (<xref ref-type="bibr" rid="ref9">Finkelstein and Lankford, 1957</xref>; <xref ref-type="bibr" rid="ref5">Carlsson et al., 1978</xref>; <xref ref-type="bibr" rid="ref32">Nakashima et al., 2010</xref>). More importantly, the fluorescent assay was prone to false positive signals in presence of bacterial cells (<xref rid="fig3" ref-type="fig">Figure 3</xref>). As previous studies showed that H<sub>2</sub>O<sub>2</sub> can be produced by various <italic>Bifidobacterium</italic> (<xref ref-type="bibr" rid="ref19">Kawasaki et al., 2009</xref>) and lactobacilli (<xref ref-type="bibr" rid="ref37">Pridmore et al., 2008</xref>; <xref ref-type="bibr" rid="ref29">Mart&#x00ED;n and Su&#x00E1;rez, 2010</xref>; <xref ref-type="bibr" rid="ref14">Hertzberger et al., 2014</xref>) strains, the H<sub>2</sub>O<sub>2</sub>-based fluorescent assay appears unsuitable to screen uricase activity using whole bacterial suspensions.</p>
<p>In contrast, the UV-spectrophotometric method evaluated and optimized here can be used for the high-throughput screening of bacterial uricase activity. By monitoring UA degradation at 300&#x2009;nm, we maximized the absorbance of UA and minimized the background absorbance of most tested complex media (<xref rid="fig1" ref-type="fig">Figure 1</xref>), while enabling the use of standard polystyrene 96-well plates (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>, <xref rid="fig4" ref-type="fig">Figure 4</xref>). To ensure the sensitivity of the spectrophotometric measurements, medium selection and preparation should be carefully considered though. Thermal sterilization by autoclaving consistently increased the background absorbance of most media (<xref rid="fig1" ref-type="fig">Figure 1</xref>), probably due to the reaction between reducing sugars (e.g., glucose) and proteinaceous components resulting in Maillard reaction products (<xref ref-type="bibr" rid="ref13">Hemmler et al., 2017</xref>) that absorbed in the UV&#x2013;Vis wavelengths range (<xref ref-type="bibr" rid="ref46">Wang et al., 2016</xref>; <xref ref-type="bibr" rid="ref25">Liu et al., 2018</xref>). The absence or low concentration of glucose in WC, &#x00BD;WC, AM, and LB (<xref ref-type="supplementary-material" rid="SM1">Supplementary File 1</xref>) could explain the minor variations of absorbance observed between these media when autoclaved or filter sterilized (<xref rid="fig1" ref-type="fig">Figure 1</xref>). It is worth noting that autoclaved MRS, a media heavily used in laboratories to grow lactobacilli strains, were highly absorbing at UV wavelengths, thus hindering its compatibility with UV-spectrophotometric assays in general (<xref rid="fig1" ref-type="fig">Figure 1</xref>); nonetheless, those effects can be attenuated by using a diluted and sterile filtered version of this medium (<xref ref-type="supplementary-material" rid="SM1">Supplementary File 1</xref>).</p>
<p>The screening of 319 QPS strains of lactobacilli (nine genera), <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> using the optimized UV-spectrophotometric assay did not result in the identification of uricase positive strains, except for the positive control <italic>Bacillus</italic> sp. DSM 1306. Although we cannot fully discard the possibility of few false negative results from the high-throughput screening, previous reports on the regulation of bacterial uricase activity support the conditions tested here. Nitrogen- or carbon-limitation was shown to stimulate uricase activity in resting cells of <italic>Streptomyces</italic> spp. (<xref ref-type="bibr" rid="ref47">Watanabe et al., 1976</xref>), thereby validating the use of protein-depleted media to grow and assess bacterial uricase activity (i.e., &#x00BD;MRS#1-SF, AM-Aut, and &#x00BD;WC-SF; <xref ref-type="supplementary-material" rid="SM1">Supplementary File 1</xref>). In various <italic>Bacillus</italic> species, UA was shown to serve as a nitrogen source (<xref ref-type="bibr" rid="ref3">Bongaerts and Vogels, 1976</xref>), and while no UA was supplemented in the culture media of the 319 tested strains, cells were grown in protein-depleted media, harvested in the stationary growth phase, and ultimately exposed to 0.5&#x2009;mM UA for 60&#x2009;min during uricase activity measurement (<xref rid="fig4" ref-type="fig">Figure 4</xref>). Besides, uricase activity was not promoted by the direct supplementation of UA in the growth media of four randomly tested strains, and the positive control <italic>Bacillus</italic> sp. DSM 1306 (<xref rid="fig3" ref-type="fig">Figure 3</xref>).</p>
<p>The data obtained from the 319 screened strains, representing a total of 11 genera and 25 species with several strains of the same species (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>), strongly suggest that uricase activity is a rare feature in lactobacilli, <italic>Bacillus</italic>, and <italic>Bifidobacterium</italic> species, especially in strains isolated from fermented food products or from the gastrointestinal tract. Beside previous reports on uricase-positive <italic>Bacillus</italic> strains from soil samples (<xref ref-type="bibr" rid="ref28">Mahler, 1970</xref>; <xref ref-type="bibr" rid="ref3">Bongaerts and Vogels, 1976</xref>; <xref ref-type="bibr" rid="ref15">Huang and Wu, 2004</xref>; <xref ref-type="bibr" rid="ref27">Lotfy, 2008</xref>), no study have yet reported the presence of uricase in <italic>Bifidobacterium</italic>, and only two studies reported uricase activity in lactobacilli food isolates, i.e., <italic>Limosilactobacillus fermentum</italic> (<xref ref-type="bibr" rid="ref50">Wu et al., 2021</xref>) and <italic>Lactiplantibacillus plantarum</italic> (<xref ref-type="bibr" rid="ref12">Handayani et al., 2018</xref>). Considering that 40 <italic>L. fermentum</italic> and 29 <italic>L. plantarum</italic> strains (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>) were tested uricase-negative in our screening, and that no uricase-encoding gene has yet been identified in lactobacilli genomes (in contrast to the uricase-encoding genes in <italic>Bacillus</italic>; <xref ref-type="bibr" rid="ref40">Schultz et al., 2001</xref>), we question whether previous reports on lactobacilli uricase activity (<xref ref-type="bibr" rid="ref12">Handayani et al., 2018</xref>; <xref ref-type="bibr" rid="ref50">Wu et al., 2021</xref>) are the results of potential methodological biases as highlighted here for a broad panel of tested strains from 11 genera, or a less likely highly strain-specific feature.</p>
<p>Altogether, the whole bacterial suspension screening method developed here provides various advantages compared to the qualitative agar plate-based assay, as it is quantitative, specific, and scalable. Our approach can serve as a guide for the assessment of uricase activity in large and taxonomically diverse microbial collection, and therefore potentially supporting the identification of novel uricolytic strains with therapeutic potential for the treatment of hyperuricemia and associated comorbidities.</p>
</sec>
<sec id="sec13" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref rid="sec50" ref-type="sec"><bold>Supplementary Material</bold></xref>; further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="sec14">
<title>Author Contributions</title>
<p>BP, SP, DM, and CL designed the experiments. RN provided critical feedback on the study design. SP and DM performed the experiments. BP, SP, and DM performed data analysis. BP and CL wrote the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec15" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by a grant from the Swiss Innovation Agency (40722.1 IP-LS), in collaboration with Beo Therapeutics AG. The research was conducted in the absence of any commercial relationships that could have influenced or biased the work presented here.</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>RN works for the company Beo Therapeutics AG.</p>
<p>The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec18" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<p>We thank Alfonso Die (ETH Z&#x00FC;rich) for his assistance with UHPLC-DAD analyses. We thank Stefanie Immler (Milian AG) for her outstanding support to obtain the material needed for this project.</p>
</ack>
<sec id="sec50" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2022.853735/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmicb.2022.853735/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.zip" id="SM1" mimetype="application/zip" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdel-Fattah</surname> <given-names>Y. R.</given-names></name> <name><surname>Saeed</surname> <given-names>H. M.</given-names></name> <name><surname>Gohar</surname> <given-names>Y. M.</given-names></name> <name><surname>El-Baz</surname> <given-names>M. A.</given-names></name></person-group> (<year>2005</year>). <article-title>Improved production of <italic>Pseudomonas aeruginosa</italic> uricase by optimization of process parameters through statistical experimental designs</article-title>. <source>Process Biochem.</source> <volume>40</volume>, <fpage>1707</fpage>&#x2013;<lpage>1714</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.procbio.2004.06.048</pub-id></citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bongaerts</surname> <given-names>G. P. A.</given-names></name> <name><surname>Uitzetter</surname> <given-names>J.</given-names></name> <name><surname>Brouns</surname> <given-names>R.</given-names></name> <name><surname>Vogels</surname> <given-names>G. D.</given-names></name></person-group> (<year>1978</year>). <article-title>Uricase of Bacillus fastidiosus properties and regulation of synthesis</article-title>. <source>Biochimica et Biophysica Acta Enzymol.</source> <volume>527</volume>, <fpage>348</fpage>&#x2013;<lpage>358</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0005-2744(78)90349-2</pub-id>, PMID: <pub-id pub-id-type="pmid">728443</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bongaerts</surname> <given-names>G. P.</given-names></name> <name><surname>Vogels</surname> <given-names>G. D.</given-names></name></person-group> (<year>1976</year>). <article-title>Uric acid degradation by Bacillus fastidiosus strains</article-title>. <source>J. Bacteriol.</source> <volume>125</volume>, <fpage>689</fpage>&#x2013;<lpage>697</lpage>. doi: <pub-id pub-id-type="doi">10.1128/jb.125.2.689-697.1976</pub-id>, PMID: <pub-id pub-id-type="pmid">1245468</pub-id></citation></ref>
<ref id="ref4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brul&#x00E9;</surname> <given-names>D.</given-names></name> <name><surname>Sarwar</surname> <given-names>G.</given-names></name> <name><surname>Savoie</surname> <given-names>L.</given-names></name></person-group> (<year>1992</year>). <article-title>Changes in serum and urinary uric acid levels in normal human subjects fed purine-rich foods containing different amounts of adenine and hypoxanthine</article-title>. <source>J. Am. Coll. Nutr.</source> <volume>11</volume>, <fpage>353</fpage>&#x2013;<lpage>358</lpage>. doi: <pub-id pub-id-type="doi">10.1080/07315724.1992.10718238</pub-id>, PMID: <pub-id pub-id-type="pmid">1619189</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carlsson</surname> <given-names>J.</given-names></name> <name><surname>Nyberg</surname> <given-names>G.</given-names></name> <name><surname>Wreth&#x00E9;n</surname> <given-names>J.</given-names></name></person-group> (<year>1978</year>). <article-title>Hydrogen peroxide and superoxide radical formation in anaerobic broth media exposed to atmospheric oxygen</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>36</volume>, <fpage>223</fpage>&#x2013;<lpage>229</lpage>. doi: <pub-id pub-id-type="doi">10.1128/aem.36.2.223-229.1978</pub-id>, PMID: <pub-id pub-id-type="pmid">29560</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chu</surname> <given-names>Y.</given-names></name> <name><surname>Sun</surname> <given-names>S.</given-names></name> <name><surname>Huang</surname> <given-names>Y.</given-names></name> <name><surname>Gao</surname> <given-names>Q.</given-names></name> <name><surname>Xie</surname> <given-names>X.</given-names></name> <name><surname>Wang</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Metagenomic analysis revealed the potential role of gut microbiome in gout</article-title>. <source>Npj Biofilm. Microbiom.</source> <volume>7</volume>, <fpage>13</fpage>&#x2013;<lpage>66</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41522-021-00235-2</pub-id>, PMID: <pub-id pub-id-type="pmid">34373464</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Culleton</surname> <given-names>B. F.</given-names></name> <name><surname>Larson</surname> <given-names>M. G.</given-names></name> <name><surname>Kannel</surname> <given-names>W. B.</given-names></name> <name><surname>Levy</surname> <given-names>D.</given-names></name></person-group> (<year>1999</year>). <article-title>Serum uric acid and risk for cardiovascular disease and death: The Framingham heart study</article-title>. <source>Ann. Intern. Med.</source> <volume>131</volume>, <fpage>7</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.7326/0003-4819-131-1-199907060-00003</pub-id>, PMID: <pub-id pub-id-type="pmid">10391820</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Engel</surname> <given-names>B.</given-names></name> <name><surname>Just</surname> <given-names>J.</given-names></name> <name><surname>Bleckwenn</surname> <given-names>M.</given-names></name> <name><surname>Weckbecker</surname> <given-names>K.</given-names></name></person-group> (<year>2017</year>). <article-title>Treatment options for gout</article-title>. <source>Dtsch. Arztebl. Int.</source> <volume>114</volume>, <fpage>215</fpage>&#x2013;<lpage>222</lpage>. doi: <pub-id pub-id-type="doi">10.3238/arztebl.2017.0215</pub-id>, PMID: <pub-id pub-id-type="pmid">28434436</pub-id></citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Finkelstein</surname> <given-names>R. A.</given-names></name> <name><surname>Lankford</surname> <given-names>C. E.</given-names></name></person-group> (<year>1957</year>). <article-title>A Bacteriotoxic substance in autoclaved culture media containing glucose and phosphate</article-title>. <source>Appl. Microbiol.</source> <volume>5</volume>, <fpage>74</fpage>&#x2013;<lpage>79</lpage>. doi: <pub-id pub-id-type="doi">10.1128/am.5.2.74-79.1957</pub-id>, PMID: <pub-id pub-id-type="pmid">13425521</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fraisse</surname> <given-names>L.</given-names></name> <name><surname>Claude Bonnet</surname> <given-names>M.</given-names></name> <name><surname>Philippe de Farcy</surname> <given-names>J.</given-names></name> <name><surname>Agut</surname> <given-names>C.</given-names></name> <name><surname>Dersigny</surname> <given-names>D.</given-names></name> <name><surname>Bayol</surname> <given-names>A.</given-names></name></person-group> (<year>2002</year>). <article-title>A colorimetric 96-well microtiter plate assay for the determination of urate oxidase activity and its kinetic parameters</article-title>. <source>Anal. Biochem.</source> <volume>309</volume>, <fpage>173</fpage>&#x2013;<lpage>179</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0003-2697(02)00293-2</pub-id>, PMID: <pub-id pub-id-type="pmid">12413448</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garc&#x00ED;a-Arroyo</surname> <given-names>F. E.</given-names></name> <name><surname>Gonzaga</surname> <given-names>G.</given-names></name> <name><surname>Mu&#x00F1;oz-Jim&#x00E9;nez</surname> <given-names>I.</given-names></name> <name><surname>Blas-Marron</surname> <given-names>M. G.</given-names></name> <name><surname>Silverio</surname> <given-names>O.</given-names></name> <name><surname>Tapia</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Probiotic supplements prevented oxonic acid-induced hyperuricemia and renal damage</article-title>. <source>PLoS One</source> <volume>13</volume>:<fpage>e0202901</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0202901</pub-id>, PMID: <pub-id pub-id-type="pmid">30142173</pub-id></citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Handayani</surname> <given-names>I.</given-names></name> <name><surname>Utami</surname> <given-names>T.</given-names></name> <name><surname>Hidayat</surname> <given-names>C.</given-names></name> <name><surname>Rahayu</surname> <given-names>E. S.</given-names></name></person-group> (<year>2018</year>). <article-title>Screening of lactic acid bacteria producing uricase and stability assessment in simulated gastrointestinal conditions</article-title>. <source>Int. Food Res. J.</source> <volume>25</volume>, <fpage>1661</fpage>&#x2013;<lpage>1667</lpage>.</citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hemmler</surname> <given-names>D.</given-names></name> <name><surname>Roullier-Gall</surname> <given-names>C.</given-names></name> <name><surname>Marshall</surname> <given-names>J. W.</given-names></name> <name><surname>Rychlik</surname> <given-names>M.</given-names></name> <name><surname>Taylor</surname> <given-names>A. J.</given-names></name> <name><surname>Schmitt-Kopplin</surname> <given-names>P.</given-names></name></person-group> (<year>2017</year>). <article-title>Evolution of complex Maillard chemical reactions</article-title>. <source>Sci. Rep.</source> <volume>7</volume>:<fpage>3227</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-017-03691-z</pub-id>, PMID: <pub-id pub-id-type="pmid">28607428</pub-id></citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hertzberger</surname> <given-names>R.</given-names></name> <name><surname>Arents</surname> <given-names>J.</given-names></name> <name><surname>Dekker</surname> <given-names>H. L.</given-names></name> <name><surname>Pridmore</surname> <given-names>R. D.</given-names></name> <name><surname>Gysler</surname> <given-names>C.</given-names></name> <name><surname>Kleerebezem</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>H2O2 production in species of the Lactobacillus acidophilus group: A central role for a novel NADH-dependent Flavin Reductase</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>80</volume>, <fpage>2229</fpage>&#x2013;<lpage>2239</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.04272-13</pub-id>, PMID: <pub-id pub-id-type="pmid">24487531</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname> <given-names>S.-H.</given-names></name> <name><surname>Wu</surname> <given-names>T.-K.</given-names></name></person-group> (<year>2004</year>). <article-title>Modified colorimetric assay for uricase activity and a screen for mutant <italic>Bacillus subtilis</italic> uricase genes following StEP mutagenesis</article-title>. <source>Eur. J. Biochem.</source> <volume>271</volume>, <fpage>517</fpage>&#x2013;<lpage>523</lpage>. doi: <pub-id pub-id-type="doi">10.1046/j.1432-1033.2003.03951.x</pub-id>, PMID: <pub-id pub-id-type="pmid">14728678</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jagadeesan</surname> <given-names>Y.</given-names></name> <name><surname>Meenakshisundaram</surname> <given-names>S.</given-names></name> <name><surname>Boopathy</surname> <given-names>L. R. A.</given-names></name> <name><surname>Mookandi</surname> <given-names>V. P. S.</given-names></name> <name><surname>Balaiah</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>Combinatorial approach for screening and assessment of multiple therapeutic enzymes from marine isolate <italic>Pseudomonas aeruginosa</italic> AR01</article-title>. <source>RSC Adv.</source> <volume>9</volume>, <fpage>16989</fpage>&#x2013;<lpage>17001</lpage>. doi: <pub-id pub-id-type="doi">10.1039/C9RA02555C</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kahn</surname> <given-names>K.</given-names></name> <name><surname>Tipton</surname> <given-names>P. A.</given-names></name></person-group> (<year>1998</year>). <article-title>Spectroscopic characterization of intermediates in the Urate oxidase reaction</article-title>. <source>Biochemistry</source> <volume>37</volume>, <fpage>11651</fpage>&#x2013;<lpage>11659</lpage>. doi: <pub-id pub-id-type="doi">10.1021/bi980446g</pub-id>, PMID: <pub-id pub-id-type="pmid">9709003</pub-id></citation></ref>
<ref id="ref18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kai</surname> <given-names>L.</given-names></name> <name><surname>Ma</surname> <given-names>X.-H.</given-names></name> <name><surname>Zhou</surname> <given-names>X.-L.</given-names></name> <name><surname>Jia</surname> <given-names>X.-M.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Guo</surname> <given-names>K.-P.</given-names></name></person-group> (<year>2008</year>). <article-title>Purification and characterization of a thermostable uricase from microbacterium sp. strain ZZJ4-1</article-title>. <source>World J. Microbiol. Biotechnol.</source> <volume>24</volume>, <fpage>401</fpage>&#x2013;<lpage>406</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11274-007-9489-1</pub-id></citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kawasaki</surname> <given-names>S.</given-names></name> <name><surname>Satoh</surname> <given-names>T.</given-names></name> <name><surname>Todoroki</surname> <given-names>M.</given-names></name> <name><surname>Niimura</surname> <given-names>Y.</given-names></name></person-group> (<year>2009</year>). <article-title>B-type Dihydroorotate dehydrogenase is purified as a H2O2-forming NADH oxidase from Bifidobacterium bifidum</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>75</volume>, <fpage>629</fpage>&#x2013;<lpage>636</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.02111-08</pub-id>, PMID: <pub-id pub-id-type="pmid">19060157</pub-id></citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khucharoenphaisan</surname> <given-names>K.</given-names></name> <name><surname>Sinma</surname> <given-names>K.</given-names></name></person-group> (<year>2011</year>). <article-title>Production and partial characterization of uric acid degrading enzyme from new source Saccharopolyspora sp. PNR11</article-title>. <source>Pak. J. Biol. Sci.</source> <volume>14</volume>, <fpage>226</fpage>&#x2013;<lpage>231</lpage>. doi: <pub-id pub-id-type="doi">10.3923/pjbs.2011.226.231</pub-id>, PMID: <pub-id pub-id-type="pmid">21870646</pub-id></citation></ref>
<ref id="ref21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koyama</surname> <given-names>Y.</given-names></name> <name><surname>Ichikawa</surname> <given-names>T.</given-names></name> <name><surname>Nakano</surname> <given-names>E.</given-names></name></person-group> (<year>1996</year>). <article-title>Cloning, sequence analysis, and expression in Escherichia coli of the gene encoding the Candida utilis urate oxidase (uricase)</article-title>. <source>J. Biochem.</source> <volume>120</volume>, <fpage>969</fpage>&#x2013;<lpage>973</lpage>. doi: <pub-id pub-id-type="doi">10.1093/oxfordjournals.jbchem.a021514</pub-id>, PMID: <pub-id pub-id-type="pmid">8982864</pub-id></citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kratzer</surname> <given-names>J. T.</given-names></name> <name><surname>Lanaspa</surname> <given-names>M. A.</given-names></name> <name><surname>Murphy</surname> <given-names>M. N.</given-names></name> <name><surname>Cicerchi</surname> <given-names>C.</given-names></name> <name><surname>Graves</surname> <given-names>C. L.</given-names></name> <name><surname>Tipton</surname> <given-names>P. A.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Evolutionary history and metabolic insights of ancient mammalian uricases</article-title>. <source>Proc. Natl. Acad. Sci. U.S.A</source> <volume>111</volume>, <fpage>3763</fpage>&#x2013;<lpage>3768</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.1320393111</pub-id>, PMID: <pub-id pub-id-type="pmid">24550457</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>Y.</given-names></name> <name><surname>Lee</surname> <given-names>D. H.</given-names></name> <name><surname>Kho</surname> <given-names>C. W.</given-names></name> <name><surname>Lee</surname> <given-names>A. Y.</given-names></name> <name><surname>Jang</surname> <given-names>M.</given-names></name> <name><surname>Cho</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2005</year>). <article-title>Transthyretin-related proteins function to facilitate the hydrolysis of 5-hydroxyisourate, the end product of the uricase reaction</article-title>. <source>FEBS Lett.</source> <volume>579</volume>, <fpage>4769</fpage>&#x2013;<lpage>4774</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.febslet.2005.07.056</pub-id>, PMID: <pub-id pub-id-type="pmid">16098976</pub-id></citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>S.</given-names></name> <name><surname>Zhang</surname> <given-names>T.</given-names></name> <name><surname>Zhu</surname> <given-names>L.</given-names></name> <name><surname>Pang</surname> <given-names>K.</given-names></name> <name><surname>Lu</surname> <given-names>S.</given-names></name> <name><surname>Liao</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Characteristic dysbiosis in gout and the impact of a uric acid-lowering treatment, febuxostat on the gut microbiota</article-title>. <source>J. Genet. Genomics</source> <volume>48</volume>, <fpage>781</fpage>&#x2013;<lpage>791</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jgg.2021.06.009</pub-id>, PMID: <pub-id pub-id-type="pmid">34509383</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>P.</given-names></name> <name><surname>Lu</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>N.</given-names></name> <name><surname>Zheng</surname> <given-names>Z.</given-names></name> <name><surname>Qiao</surname> <given-names>X.</given-names></name></person-group> (<year>2018</year>). <article-title>Characterization, Variables, and Antioxidant Activity of the Maillard Reaction in a Fructose&#x2013;Histidine Model System</article-title>. <source>Molecules</source> <volume>24</volume>:<fpage>56</fpage>. doi: <pub-id pub-id-type="doi">10.3390/molecules24010056</pub-id>, PMID: <pub-id pub-id-type="pmid">30586899</pub-id></citation></ref>
<ref id="ref26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Lv</surname> <given-names>Q.</given-names></name> <name><surname>Ren</surname> <given-names>H.</given-names></name> <name><surname>Gao</surname> <given-names>L.</given-names></name> <name><surname>Zhao</surname> <given-names>P.</given-names></name> <name><surname>Yang</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>The altered gut microbiota of high-purine-induced hyperuricemia rats and its correlation with hyperuricemia</article-title>. <source>PeerJ</source> <volume>8</volume>:<fpage>e8664</fpage>. doi: <pub-id pub-id-type="doi">10.7717/peerj.8664</pub-id>, PMID: <pub-id pub-id-type="pmid">32185104</pub-id></citation></ref>
<ref id="ref27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lotfy</surname> <given-names>W. A.</given-names></name></person-group> (<year>2008</year>). <article-title>Production of a thermostable uricase by a novel bacillus thermocatenulatus strain</article-title>. <source>Bioresour. Technol.</source> <volume>99</volume>, <fpage>699</fpage>&#x2013;<lpage>702</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.biortech.2007.01.048</pub-id>, PMID: <pub-id pub-id-type="pmid">17395458</pub-id></citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mahler</surname> <given-names>J. L.</given-names></name></person-group> (<year>1970</year>). <article-title>A new bacterial uricase for uric acid determination</article-title>. <source>Anal. Biochem.</source> <volume>38</volume>, <fpage>65</fpage>&#x2013;<lpage>84</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0003-2697(70)90156-9</pub-id>, PMID: <pub-id pub-id-type="pmid">5529462</pub-id></citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;n</surname> <given-names>R.</given-names></name> <name><surname>Su&#x00E1;rez</surname> <given-names>J. E.</given-names></name></person-group> (<year>2010</year>). <article-title>Biosynthesis and degradation of H<sub>2</sub>O<sub>2</sub> by vaginal lactobacilli</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>76</volume>, <fpage>400</fpage>&#x2013;<lpage>405</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.01631-09</pub-id>, PMID: <pub-id pub-id-type="pmid">19948869</pub-id></citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>M&#x00E9;ndez-Salazar</surname> <given-names>E. O.</given-names></name> <name><surname>Mart&#x00ED;nez-Nava</surname> <given-names>G. A.</given-names></name></person-group> (<year>2021</year>). <article-title>Uric acid extrarenal excretion: The gut microbiome as an evident yet understated factor in gout development</article-title>. <source>Rheumatol. Int.</source> <volume>42</volume>, <fpage>403</fpage>&#x2013;<lpage>412</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00296-021-05007-x</pub-id>, PMID: <pub-id pub-id-type="pmid">34586473</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moi</surname> <given-names>J. H.</given-names></name> <name><surname>Sriranganathan</surname> <given-names>M. K.</given-names></name> <name><surname>Edwards</surname> <given-names>C. J.</given-names></name> <name><surname>Buchbinder</surname> <given-names>R.</given-names></name></person-group> (<year>2013</year>). <article-title>Lifestyle interventions for chronic gout</article-title>. <source>Cochrane Database Syst. Rev.</source> <volume>5</volume>:<fpage>CD010039</fpage>. doi: <pub-id pub-id-type="doi">10.1002/14651858.CD010039.pub2</pub-id>, PMID: <pub-id pub-id-type="pmid">23728699</pub-id></citation></ref>
<ref id="ref32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nakashima</surname> <given-names>T.</given-names></name> <name><surname>Seki</surname> <given-names>T.</given-names></name> <name><surname>Matsumoto</surname> <given-names>A.</given-names></name> <name><surname>Miura</surname> <given-names>H.</given-names></name> <name><surname>Sato</surname> <given-names>E.</given-names></name> <name><surname>Niwano</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Generation of reactive oxygen species from conventional laboratory media</article-title>. <source>J. Biosci. Bioeng.</source> <volume>110</volume>, <fpage>304</fpage>&#x2013;<lpage>307</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jbiosc.2010.03.003</pub-id>, PMID: <pub-id pub-id-type="pmid">20547350</pub-id></citation></ref>
<ref id="ref33"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Olivieri</surname> <given-names>R.</given-names></name> <name><surname>Fascetti</surname> <given-names>E.</given-names></name> <name><surname>Ciuffolotti</surname> <given-names>P.</given-names></name> <name><surname>Degen</surname> <given-names>L.</given-names></name></person-group> (<year>1983</year>). Uricase production method (United States patent NA US4389485A). Available at: <ext-link xlink:href="https://patents.google.com/patent/US4389485A/en" ext-link-type="uri">https://patents.google.com/patent/US4389485A/en</ext-link> (Accessed January 11, 2022).</citation></ref>
<ref id="ref34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pacher</surname> <given-names>P.</given-names></name> <name><surname>Nivorozhkin</surname> <given-names>A.</given-names></name> <name><surname>Szab&#x00F3;</surname> <given-names>C.</given-names></name></person-group> (<year>2006</year>). <article-title>Therapeutic effects of xanthine oxidase inhibitors: renaissance half a century after the discovery of allopurinol</article-title>. <source>Pharmacol. Rev.</source> <volume>58</volume>, <fpage>87</fpage>&#x2013;<lpage>114</lpage>. doi: <pub-id pub-id-type="doi">10.1124/pr.58.1.6</pub-id>, PMID: <pub-id pub-id-type="pmid">16507884</pub-id></citation></ref>
<ref id="ref35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname> <given-names>L.</given-names></name> <name><surname>Han</surname> <given-names>P.</given-names></name> <name><surname>Ma</surname> <given-names>S.</given-names></name> <name><surname>Peng</surname> <given-names>R.</given-names></name> <name><surname>Wang</surname> <given-names>C.</given-names></name> <name><surname>Kong</surname> <given-names>W.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Abnormal metabolism of gut microbiota reveals the possible molecular mechanism of nephropathy induced by hyperuricemia</article-title>. <source>Acta Pharm. Sin. B</source> <volume>10</volume>, <fpage>249</fpage>&#x2013;<lpage>261</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.apsb.2019.10.007</pub-id>, PMID: <pub-id pub-id-type="pmid">32082971</pub-id></citation></ref>
<ref id="ref36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>P&#x00E9;rez-Ruiz</surname> <given-names>F.</given-names></name> <name><surname>Jansen</surname> <given-names>T.</given-names></name> <name><surname>Tausche</surname> <given-names>A.-K.</given-names></name> <name><surname>Ju&#x00E1;rez-Campo</surname> <given-names>M.</given-names></name> <name><surname>Gurunath</surname> <given-names>R. K.</given-names></name> <name><surname>Richette</surname> <given-names>P.</given-names></name></person-group> (<year>2019</year>). <article-title>Efficacy and safety of lesinurad for the treatment of hyperuricemia in gout</article-title>. <source>Drugs Context</source> <volume>8</volume>:<fpage>212581</fpage>. doi: <pub-id pub-id-type="doi">10.7573/dic.212581</pub-id>, PMID: <pub-id pub-id-type="pmid">31191704</pub-id></citation></ref>
<ref id="ref37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pridmore</surname> <given-names>R. D.</given-names></name> <name><surname>Pittet</surname> <given-names>A.-C.</given-names></name> <name><surname>Praplan</surname> <given-names>F.</given-names></name> <name><surname>Cavadini</surname> <given-names>C.</given-names></name></person-group> (<year>2008</year>). <article-title>Hydrogen peroxide production by Lactobacillus johnsonii NCC 533 and its role in anti-salmonella activity</article-title>. <source>FEMS Microbiol. Lett.</source> <volume>283</volume>, <fpage>210</fpage>&#x2013;<lpage>215</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1574-6968.2008.01176.x</pub-id>, PMID: <pub-id pub-id-type="pmid">18435747</pub-id></citation></ref>
<ref id="ref38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pustake</surname> <given-names>S. O.</given-names></name> <name><surname>Bhagwat</surname> <given-names>P. K.</given-names></name> <name><surname>Dandge</surname> <given-names>P. B.</given-names></name></person-group> (<year>2019</year>). <article-title>Statistical media optimization for the production of clinical uricase from <italic>Bacillus subtilis</italic> strain SP6</article-title>. <source>Heliyon</source> <volume>5</volume>:<fpage>e01756</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.heliyon.2019.e01756</pub-id>, PMID: <pub-id pub-id-type="pmid">31193400</pub-id></citation></ref>
<ref id="ref39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Safranow</surname> <given-names>K.</given-names></name> <name><surname>Machoy</surname> <given-names>Z.</given-names></name> <name><surname>Ciechanowski</surname> <given-names>K.</given-names></name></person-group> (<year>2000</year>). <article-title>Analysis of purines in urinary calculi by high-performance liquid chromatography</article-title>. <source>Anal. Biochem.</source> <volume>286</volume>, <fpage>224</fpage>&#x2013;<lpage>230</lpage>. doi: <pub-id pub-id-type="doi">10.1006/abio.2000.4790</pub-id>, PMID: <pub-id pub-id-type="pmid">11067744</pub-id></citation></ref>
<ref id="ref40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schultz</surname> <given-names>A. C.</given-names></name> <name><surname>Nygaard</surname> <given-names>P.</given-names></name> <name><surname>Saxild</surname> <given-names>H. H.</given-names></name></person-group> (<year>2001</year>). <article-title>Functional analysis of 14 genes That constitute the purine catabolic pathway in <italic>Bacillus subtilis</italic> and evidence for a novel Regulon controlled by the PucR transcription activator</article-title>. <source>J. Bacteriol.</source> <volume>183</volume>, <fpage>3293</fpage>&#x2013;<lpage>3302</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JB.183.11.3293-3302.2001</pub-id>, PMID: <pub-id pub-id-type="pmid">11344136</pub-id></citation></ref>
<ref id="ref41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shaaban</surname> <given-names>M. I.</given-names></name> <name><surname>Abdelmegeed</surname> <given-names>E.</given-names></name> <name><surname>Ali</surname> <given-names>Y. M.</given-names></name></person-group> (<year>2015</year>). <article-title>Cloning, expression, and purification of recombinant Uricase enzyme from <italic>Pseudomonas aeruginosa</italic> Ps43 using <italic>Escherichia coli</italic></article-title>. <source>J. Microbiol. Biotechnol.</source> <volume>25</volume>, <fpage>887</fpage>&#x2013;<lpage>892</lpage>. doi: <pub-id pub-id-type="doi">10.4014/jmb.1410.10041</pub-id>, PMID: <pub-id pub-id-type="pmid">25588559</pub-id></citation></ref>
<ref id="ref42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siener</surname> <given-names>R.</given-names></name> <name><surname>Hesse</surname> <given-names>A.</given-names></name></person-group> (<year>2003</year>). <article-title>The effect of a vegetarian and different omnivorous diets on urinary risk factors for uric acid stone formation</article-title>. <source>Eur. J. Nutr.</source> <volume>42</volume>, <fpage>332</fpage>&#x2013;<lpage>337</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00394-003-0428-0</pub-id>, PMID: <pub-id pub-id-type="pmid">14673606</pub-id></citation></ref>
<ref id="ref43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sorensen</surname> <given-names>L. B.</given-names></name> <name><surname>Levinson</surname> <given-names>D. J.</given-names></name></person-group> (<year>1975</year>). <article-title>Origin and Extrarenal elimination of uric acid in man</article-title>. <source>Nephron</source> <volume>14</volume>, <fpage>7</fpage>&#x2013;<lpage>20</lpage>. doi: <pub-id pub-id-type="doi">10.1159/000180432</pub-id>, PMID: <pub-id pub-id-type="pmid">1124137</pub-id></citation></ref>
<ref id="ref44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname> <given-names>K.</given-names></name> <name><surname>Sakasegawa</surname> <given-names>S.-I.</given-names></name> <name><surname>Misaki</surname> <given-names>H.</given-names></name> <name><surname>Sugiyama</surname> <given-names>M.</given-names></name></person-group> (<year>2004</year>). <article-title>Molecular cloning and expression of uricase gene from Arthrobacter globiformis in Escherichia coli and characterization of the gene product</article-title>. <source>J. Biosci. Bioeng.</source> <volume>98</volume>, <fpage>153</fpage>&#x2013;<lpage>158</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1389-1723(04)00259-2</pub-id>, PMID: <pub-id pub-id-type="pmid">16233683</pub-id></citation></ref>
<ref id="ref45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Szczurek</surname> <given-names>P.</given-names></name> <name><surname>Mosiichuk</surname> <given-names>N.</given-names></name> <name><surname>Woli&#x0144;ski</surname> <given-names>J.</given-names></name> <name><surname>Yatsenko</surname> <given-names>T.</given-names></name> <name><surname>Grujic</surname> <given-names>D.</given-names></name> <name><surname>Lozinska</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Oral uricase eliminates blood uric acid in the hyperuricemic pig model</article-title>. <source>PLoS One</source> <volume>12</volume>:<fpage>e0179195</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0179195</pub-id>, PMID: <pub-id pub-id-type="pmid">28594873</pub-id></citation></ref>
<ref id="ref46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>L.</given-names></name> <name><surname>Jiang</surname> <given-names>Z.</given-names></name> <name><surname>Tian</surname> <given-names>B.</given-names></name> <name><surname>Bai</surname> <given-names>L.</given-names></name> <name><surname>Shi</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name></person-group> (<year>2016</year>). <article-title>Effects of Galactose concentration on characteristics of angiotensin-I-converting enzyme inhibitory peptides derived from bovine casein in Maillard reaction</article-title>. <source>Int. J. Food Prop.</source> <volume>19</volume>, <fpage>2238</fpage>&#x2013;<lpage>2250</lpage>. doi: <pub-id pub-id-type="doi">10.1080/10942912.2015.1121397</pub-id></citation></ref>
<ref id="ref47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname> <given-names>Y.</given-names></name> <name><surname>Ohe</surname> <given-names>T.</given-names></name> <name><surname>Morita</surname> <given-names>M.</given-names></name></person-group> (<year>1976</year>). <article-title>Control of the formation of Uricase in Streptomyces sp. By nitrogen and carbon sources</article-title>. <source>Agric. Biol. Chem.</source> <volume>40</volume>, <fpage>131</fpage>&#x2013;<lpage>139</lpage>. doi: <pub-id pub-id-type="doi">10.1080/00021369.1976.10862014</pub-id></citation></ref>
<ref id="ref48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname> <given-names>Y.</given-names></name> <name><surname>Yano</surname> <given-names>M.</given-names></name> <name><surname>Fukumoto</surname> <given-names>J.</given-names></name></person-group> (<year>1969</year>). <article-title>Studies on the formation of Uricase by Streptomyces</article-title>. <source>Agric. Biol. Chem.</source> <volume>33</volume>, <fpage>1282</fpage>&#x2013;<lpage>1290</lpage>. doi: <pub-id pub-id-type="doi">10.1080/00021369.1969.10859469</pub-id></citation></ref>
<ref id="ref49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>X.</given-names></name> <name><surname>Wakamiya</surname> <given-names>M.</given-names></name> <name><surname>Vaishnav</surname> <given-names>S.</given-names></name> <name><surname>Geske</surname> <given-names>R.</given-names></name> <name><surname>Montgomery</surname> <given-names>C.</given-names></name> <name><surname>Jones</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>1994</year>). <article-title>Hyperuricemia and urate nephropathy in urate oxidase-deficient mice</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>91</volume>, <fpage>742</fpage>&#x2013;<lpage>746</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.91.2.742</pub-id>, PMID: <pub-id pub-id-type="pmid">8290593</pub-id></citation></ref>
<ref id="ref50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>Y.</given-names></name> <name><surname>Ye</surname> <given-names>Z.</given-names></name> <name><surname>Feng</surname> <given-names>P.</given-names></name> <name><surname>Li</surname> <given-names>R.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Tian</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Limosilactobacillus fermentum JL-3 isolated from &#x201C;Jiangshui&#x201D; ameliorates hyperuricemia by degrading uric acid</article-title>. <source>Gut Microbes</source> <volume>13</volume>, <fpage>1</fpage>&#x2013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2021.1897211</pub-id>, PMID: <pub-id pub-id-type="pmid">33764849</pub-id></citation></ref>
<ref id="ref51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>C.</given-names></name> <name><surname>Yang</surname> <given-names>X.</given-names></name> <name><surname>Feng</surname> <given-names>J.</given-names></name> <name><surname>Yuan</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Bu</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Effects of modification of amino groups with poly(ethylene glycol) on a recombinant Uricase from Bacillus fastidiosus</article-title>. <source>Biosci. Biotechnol. Biochem.</source> <volume>74</volume>, <fpage>1298</fpage>&#x2013;<lpage>1301</lpage>. doi: <pub-id pub-id-type="doi">10.1271/bbb.100080</pub-id>, PMID: <pub-id pub-id-type="pmid">20530883</pub-id></citation></ref>
<ref id="ref52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname> <given-names>J.</given-names></name> <name><surname>Wittouck</surname> <given-names>S.</given-names></name> <name><surname>Salvetti</surname> <given-names>E.</given-names></name> <name><surname>Franz</surname> <given-names>C. M. A. P.</given-names></name> <name><surname>Harris</surname> <given-names>H. M. B.</given-names></name> <name><surname>Mattarelli</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>A taxonomic note on the genus Lactobacillus: description of 23 novel genera, emended description of the genus Lactobacillus Beijerinck 1901, and union of Lactobacillaceae and Leuconostocaceae</article-title>. <source>Int. J. Syst. Evol. Microbiol.</source> <volume>70</volume>, <fpage>2782</fpage>&#x2013;<lpage>2858</lpage>. doi: <pub-id pub-id-type="doi">10.1099/ijsem.0.004107</pub-id>, PMID: <pub-id pub-id-type="pmid">32293557</pub-id></citation></ref>
<ref id="ref53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>X.</given-names></name> <name><surname>Ma</surname> <given-names>X.</given-names></name> <name><surname>Sun</surname> <given-names>G.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Guo</surname> <given-names>K.</given-names></name></person-group> (<year>2005</year>). <article-title>Isolation of a thermostable uricase-producing bacterium and study on its enzyme production conditions</article-title>. <source>Process Biochem.</source> <volume>40</volume>, <fpage>3749</fpage>&#x2013;<lpage>3753</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.procbio.2005.05.002</pub-id></citation></ref>
<ref id="ref54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhu</surname> <given-names>Y.</given-names></name> <name><surname>Pandya</surname> <given-names>B. J.</given-names></name> <name><surname>Choi</surname> <given-names>H. K.</given-names></name></person-group> (<year>2011</year>). <article-title>Prevalence of gout and hyperuricemia in the US general population: the National Health and nutrition examination survey 2007&#x2013;2008</article-title>. <source>Arthritis Rheum.</source> <volume>63</volume>, <fpage>3136</fpage>&#x2013;<lpage>3141</lpage>. doi: <pub-id pub-id-type="doi">10.1002/art.30520</pub-id>, PMID: <pub-id pub-id-type="pmid">21800283</pub-id></citation></ref>
</ref-list>
</back>
</article>