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F. Roch-Ramel is Professor and B. Guisan is a specialized technician from the Institut de Pharmacologie et Toxicologie, Bugnon 27, CH1005 Lausanne, Switzerland.
The theory of the "four-component model" of urate excretion in humans is reevaluated, considering that a decrease in urate excretion induced by drugs like pyrazinamide or by endogenous compounds like lactate and ketone bodies might be a result of stimulation of urate reabsorption and not, as previously considered, of inhibition of urate secretion.
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