Question:

A patient with tumor lysis syndrome has elevated uric acid levels and is prescribed Pegloticase. What is the mechanism of action of Pegloticase?

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Pegloticase is recombinant uricase; it oxidizes uric acid to soluble allantoin.
Updated On: May 14, 2026
  • Xanthine oxidase inhibition
  • URAT-1 receptor inhibition
  • Oxidizes uric acid
  • Hydrolysis of uric acid
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The Correct Option is C

Solution and Explanation

Concept: Pegloticase is a recombinant uricase enzyme. It converts uric acid into allantoin, which is more soluble and easily excreted.

Step 1:
Identify the drug type.
Pegloticase is an enzyme preparation with uricase-like activity.

Step 2:
Recall its action.
It catalyzes oxidation of uric acid to: \[ \text{Allantoin} \]

Step 3:
Choose the mechanism.
Since it converts uric acid by oxidation, the correct mechanism is: \[ \text{Oxidizes uric acid} \] Therefore, the correct answer is Oxidizes uric acid.
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