Gout is often seen as a dietary condition, yet emerging research highlights a strong genetic influence—particularly in how the body processes and eliminates uric acid. Understanding these genetic factors allows for a more personalised and effective approach to prevention and management.
• Gout is a metabolic condition linked to elevated uric acid
• Genetics play a significant role in individual susceptibility
• The ABCG2 gene influences urate transport and excretion
• Variations in urate transport can increase gout risk
• Impaired uric acid elimination may contribute to early-onset gout
• Gout often runs in families, increasing individual risk
• Heritability is estimated to be significant (up to ~65%)
• Kidney function is central to uric acid clearance
• Lifestyle factors influence expression, not just cause
• Not everyone with high uric acid develops gout
• DNA testing supports personalised prevention and treatment strategies
Gout is not just a condition of excess — it is a condition of how the body manages it.








