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Xanthine oxidoreductase (XOR) is a complex molybdoflavoenzyme that plays a central role in purine catabolism, catalyzing the final two steps: the oxidation of hypoxanthine to xanthine and then xanthine to uric acid. XOR exists in two interconvertible forms: xanthine dehydrogenase (XDH), which uses NAD⁺ as an electron acceptor, and xanthine oxidase (XO), which uses molecular oxygen as an electron acceptor, generating reactive oxygen species. Elevated XOR activity is associated with increased ROS production during cellular injury, making it a therapeutic target for conditions like gout and ischemia-reperfusion injury. Pharmacological inhibition of XOR with drugs like allopurinol is a standard therapy for hyperuricemia/gout. The enzyme’s ability to generate both ROS and NO links it closely with inflammation and cardiovascular disease risk.
Xanthine oxidoreductase inhibition
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