Background:
Gout, an inflammatory arthritis, caused by the deposition of monosodium urate crystals into
affected joints and other tissues has become one of the major health problems of today's world. The main risk factor for
gout is hyperuricemia, which may be caused by excessive or insufficient excretion of uric acid. The incidence is usually in
the age group of 30- 50 years, commonly in males. In developed countries, the incidence of gout ranges from 1 to 4%.
Despite effective treatments, there has been an increase in the number of cases over the past few decades.
Objective:
In recent years, the development of targeted drugs in gout has made significant achievements. The global
impact of gout continues to increase, and as a result, the focus of disease-modifying therapies remains elusive. In addition,
the characterization of available instrumental compounds is urgently needed to explore the use of novel selective and key
protein-ligand interactions for the effective treatment of gout. Xanthine oxidase (XO) is a key target in gout to consider
the use of XO inhibitors in patients with mild to moderate condition, however, the costs are high and no other direct
progress has been made. Despite many XO inhibitors, a selective potent inhibitor for XO is limited. Likewise, in recent
years, attention has been focused on different strategies for the discovery and development of new selectivity ligands
against transforming growth factor beta-activated kinase 1 (TAK1), a potential therapeutic target for gout. Therefore the
insight on human XO structure and TAK1 provides a clue into protein-ligand interactions and provides the basis for
molecular modeling and structure-based drug design.
Conclusion:
In this review, we briefly introduce the clinical characteristics, the development of crystal, inhibitors, and
crystal structure of XO and TAK1 protein.