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Xanthine

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

A purine base found in most body tissues and fluids, certain plants, and some urinary calculi.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (854 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A purine base found in most body tissues and fluids, certain plants, and some urinary calculi. It is an intermediate in the degradation of adenosine monophosphate to uric acid, being formed by oxidation of hypoxanthine. The methylated xanthine compounds caffeine, theobromine, and theophylline and their derivatives are used in medicine for their bronchodilator effects. (Dorland, 28th ed)

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Xanthines

Research landscape

PubMed indexes 2,080 records tagged with the MeSH heading “Xanthine” (counts retrieved 2026-10-31). 223 of them (10.7%) were published from 2020 onward, and the busiest period so far is through 1999 with 1,005 records.

Reviews account for 65 records (3.1%) and meta-analyses for 1. Randomized controlled trials number 18 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 1,005 records; 2000-2009: 518 records; 2010-2019: 334 records; 2020 onward: 223 records1,005through 19995182000-20093342010-20192232020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,005
2000-2009518
2010-2019334
2020 onward223
Share of records by publication typeReviews: 3.1 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.9 percentReviews3.1% (65)Meta-analyses0.0% (1)Randomized controlled trials0.9% (18)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,080 PubMed records
TypeRecordsShare
Reviews653.1%
Meta-analyses10.0%
Randomized controlled trials180.9%

Method: PubMed query "Xanthine"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Structure of eukaryotic purine/H(+) symporter UapA suggests a role for homodimerization in transport activity
Alguel Y, Amillis S, Leung J, Lambrinidis G, Capaldi S, Scull NJ, et al.
2016Research article
Design not recorded in structured metadata
109cc by
PMID 27088252 · DOI · PMC4837479
Nucleobase synthesis in interstellar ices
Oba Y, Takano Y, Naraoka H, Watanabe N, Kouchi A
2019Research article
Design not recorded in structured metadata
44cc by
PMID 31562325 · DOI · PMC6764953
Insights into xanthine riboswitch structure and metal ion-mediated ligand recognition
Xu X, Egger M, Chen H, Bartosik K, Micura R, Ren A
2021Research article
Design not recorded in structured metadata
31cc by
PMID 34125892 · DOI · PMC8266621
Purine Metabolism Profiling Reveals Distinct Associations of Uric Acid, Xanthine, and Hypoxanthine with Neurological Severity and Functional Outcome After Acute Ischemic Stroke
Roman-Filip I, Farczadi L, Roman-Filip C, Bajko Z, Moțățăianu A, Maier S, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42883737 · DOI · PMC13665503

Structure of eukaryotic purine/H(+) symporter UapA suggests a role for homodimerization in transport activity [1]

Research article Alguel Y, Amillis S, Leung J, Lambrinidis G, Capaldi S, Scull NJ, et al. · · 2016 · cited 109 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The uric acid/xanthine H(+) symporter, UapA, is a high-affinity purine transporter from the filamentous fungus Aspergillus nidulans.
Closing excerpt
We postulate that UapA uses an elevator transport mechanism likely to be shared with other structurally homologous transporters including anion exchangers and prestin.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (142 words)

The uric acid/xanthine H(+) symporter, UapA, is a high-affinity purine transporter from the filamentous fungus Aspergillus nidulans. Here we present the crystal structure of a genetically stabilized version of UapA (UapA-G411VΔ1-11) in complex with xanthine. UapA is formed from two domains, a core domain and a gate domain, similar to the previously solved uracil transporter UraA, which belongs to the same family. The structure shows UapA in an inward-facing conformation with xanthine bound to residues in the core domain. Unlike UraA, which was observed to be a monomer, UapA forms a dimer in the crystals with dimer interactions formed exclusively through the gate domain. Analysis of dominant negative mutants is consistent with dimerization playing a key role in transport. We postulate that UapA uses an elevator transport mechanism likely to be shared with other structurally homologous transporters including anion exchangers and prestin.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27088252 · DOI · PMC4837479

Nucleobase synthesis in interstellar ices [2]

Research article Oba Y, Takano Y, Naraoka H, Watanabe N, Kouchi A · · 2019 · cited 44 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The synthesis of nucleobases in natural environments, especially in interstellar molecular clouds, is the focus of a long-standing debate regarding prebiotic chemical evolution.
Closing excerpt
The present results strongly suggest that the evolution from molecular clouds to stars and planets provides a suitable environment for nucleobase synthesis in space.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (127 words)

The synthesis of nucleobases in natural environments, especially in interstellar molecular clouds, is the focus of a long-standing debate regarding prebiotic chemical evolution. Here we report the simultaneous detection of all three pyrimidine (cytosine, uracil and thymine) and three purine nucleobases (adenine, xanthine and hypoxanthine) in interstellar ice analogues composed of simple molecules including H2O, CO, NH3 and CH3OH after exposure to ultraviolet photons followed by thermal processes, that is, in conditions that simulate the chemical processes accompanying star formation from molecular clouds. Photolysis of primitive gas molecules at 10 K might be one of the key steps in the production of nucleobases. The present results strongly suggest that the evolution from molecular clouds to stars and planets provides a suitable environment for nucleobase synthesis in space.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 31562325 · DOI · PMC6764953

Insights into xanthine riboswitch structure and metal ion-mediated ligand recognition [3]

Research article Xu X, Egger M, Chen H, Bartosik K, Micura R, Ren A · · 2021 · cited 31 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Riboswitches are conserved functional domains in mRNA that mostly exist in bacteria.
Closing excerpt
Together, our study highlights the principles of metal ion-mediated ligand recognition by the xanthine riboswitch.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (200 words)

Riboswitches are conserved functional domains in mRNA that mostly exist in bacteria. They regulate gene expression in response to varying concentrations of metabolites or metal ions. Recently, the NMT1 RNA motif has been identified to selectively bind xanthine and uric acid, respectively, both are involved in the metabolic pathway of purine degradation. Here, we report a crystal structure of this RNA bound to xanthine. Overall, the riboswitch exhibits a rod-like, continuously stacked fold composed of three stems and two internal junctions. The binding-pocket is determined by the highly conserved junctional sequence J1 between stem P1 and P2a, and engages a long-distance Watson-Crick base pair to junction J2. Xanthine inserts between a G-U pair from the major groove side and is sandwiched between base triples. Strikingly, a Mg2+ ion is inner-sphere coordinated to O6 of xanthine and a non-bridging oxygen of a backbone phosphate. Two further hydrated Mg2+ ions participate in extensive interactions between xanthine and the pocket. Our structure model is verified by ligand binding analysis to selected riboswitch mutants using isothermal titration calorimetry, and by fluorescence spectroscopic analysis of RNA folding using 2-aminopurine-modified variants. Together, our study highlights the principles of metal ion-mediated ligand recognition by the xanthine riboswitch.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34125892 · DOI · PMC8266621

Purine Metabolism Profiling Reveals Distinct Associations of Uric Acid, Xanthine, and Hypoxanthine with Neurological Severity and Functional Outcome After Acute Ischemic Stroke [4]

Research article Roman-Filip I, Farczadi L, Roman-Filip C, Bajko Z, Moțățăianu A, Maier S, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
Purine metabolism and oxidative stress are increasingly recognized as important contributors to ischemic brain injury following acute ischemic stroke (AIS).
Closing excerpt
Simultaneous assessment of uric acid together with xanthine and hypoxanthine may provide additional insight into stroke severity and neurological recovery, supporting the potential role of purine metabolism profiling as a complementary biomarker approach in acute ischemic stroke.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (385 words)

Purine metabolism and oxidative stress are increasingly recognized as important contributors to ischemic brain injury following acute ischemic stroke (AIS). Although uric acid has been extensively investigated because of its dual antioxidant and pro-oxidant properties, comparatively limited data exist regarding the prognostic relevance of upstream purine metabolites such as xanthine and hypoxanthine. The present study aimed to evaluate the association between serum uric acid, xanthine, and hypoxanthine concentrations and neurological severity and functional outcome following AIS. We performed a prospective observational cohort study including 143 consecutive patients admitted with acute ischemic stroke in a tertiary neurological center. Neurological severity was assessed using the National Institutes of Health Stroke Scale (NIHSS), while functional outcome was evaluated using the modified Rankin Scale (mRS) at discharge and at 3-month follow-up. Plasma xanthine and hypoxanthine concentrations were quantified using validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) methodology. Distribution normality was assessed using Shapiro-Wilk and Kolmogorov-Smirnov testing. Comparative analyses were performed using Student's t-test, the Mann-Whitney U test, and the Kruskal-Wallis test, according to the distribution and measurement scale of the variables. Correlations were assessed using Spearman's rank correlation coefficient and visualized using a heatmap. Receiver operating characteristic (ROC) curve analysis and multivariable logistic regression models were additionally performed in order to evaluate the predictive performance of purine metabolism biomarkers for unfavorable functional outcome. Numerically lower serum uric acid concentrations were observed in patients with poorer functional outcomes at discharge and at 3 months, although these differences were not statistically significant. Hypoxanthine concentrations varied significantly according to admission NIHSS severity categories (p = 0.022), with lower values observed among patients presenting severe neurological deficits. Plasma xanthine concentrations demonstrated significant association with unfavorable long-term functional outcome (p = 0.033) and exhibited the highest predictive performance in ROC analysis (AUC = 0.614). In the adjusted multivariable logistic regression model, admission NIHSS remained the main independent predictor of unfavorable 3-month functional outcome, whereas xanthine and the other purine biomarkers did not retain statistically significant independent associations. Purine metabolism biomarkers showed exploratory associations with neurological severity and functional outcome, but the underlying biological mechanisms were not directly assessed. Simultaneous assessment of uric acid together with xanthine and hypoxanthine may provide additional insight into stroke severity and neurological recovery, supporting the potential role of purine metabolism profiling as a complementary biomarker approach in acute ischemic stroke.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42883737 · DOI · PMC13665503

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Caffeine analogs: biomedical impact [5]
    Daly JW · Cell Mol Life Sci · 2007 · cited 154 times (Europe PMC)
  • Research article Effect of ethanol on metabolism of purine bases (hypoxanthine, xanthine, and uric acid) [6]
    Yamamoto T, Moriwaki Y, Takahashi S · Clin Chim Acta · 2005 · cited 109 times (Europe PMC)
  • Research article Controversies surrounding xanthine therapy [7]
    Millar D, Schmidt B · Semin Neonatol · 2004 · cited 54 times (Europe PMC)
  • Research article Xanthine, xanthosine and its nucleotides: solution structures of neutral and ionic forms, and relevance to substrate properties in various enzyme systems and metabolic pathways [8]
    Kulikowska E, Kierdaszuk B, Shugar D · Acta Biochim Pol · 2004 · cited 50 times (Europe PMC)
  • Research article Recent progress in nanomaterial-based electrochemical and optical sensors for hypoxanthine and xanthine. A review [9]
    Dervisevic M, Dervisevic E, Şenel M · Mikrochim Acta · 2019 · cited 33 times (Europe PMC)
  • Research article Biosensing methods for xanthine determination: a review [10]
    Pundir CS, Devi R · Enzyme Microb Technol · 2014 · cited 25 times (Europe PMC)

References

  1. Alguel Y, Amillis S, Leung J, Lambrinidis G, Capaldi S, Scull NJ, et al.. Structure of eukaryotic purine/H(+) symporter UapA suggests a role for homodimerization in transport activity. . 2016. PMID 27088252 · DOI · PMC4837479
  2. Oba Y, Takano Y, Naraoka H, Watanabe N, Kouchi A. Nucleobase synthesis in interstellar ices. . 2019. PMID 31562325 · DOI · PMC6764953
  3. Xu X, Egger M, Chen H, Bartosik K, Micura R, Ren A. Insights into xanthine riboswitch structure and metal ion-mediated ligand recognition. . 2021. PMID 34125892 · DOI · PMC8266621
  4. Roman-Filip I, Farczadi L, Roman-Filip C, Bajko Z, Moțățăianu A, Maier S, et al.. Purine Metabolism Profiling Reveals Distinct Associations of Uric Acid, Xanthine, and Hypoxanthine with Neurological Severity and Functional Outcome After Acute Ischemic Stroke. . 2026. PMID 42883737 · DOI · PMC13665503
  5. Daly JW. Caffeine analogs: biomedical impact. Cell Mol Life Sci. 2007. PMID 17514358 · DOI · PMC11138448
  6. Yamamoto T, Moriwaki Y, Takahashi S. Effect of ethanol on metabolism of purine bases (hypoxanthine, xanthine, and uric acid). Clin Chim Acta. 2005. PMID 15936302 · DOI
  7. Millar D, Schmidt B. Controversies surrounding xanthine therapy. Semin Neonatol. 2004. PMID 15050217 · DOI
  8. Kulikowska E, Kierdaszuk B, Shugar D. Xanthine, xanthosine and its nucleotides: solution structures of neutral and ionic forms, and relevance to substrate properties in various enzyme systems and metabolic pathways. Acta Biochim Pol. 2004. PMID 15218545 · DOI
  9. Dervisevic M, Dervisevic E, Şenel M. Recent progress in nanomaterial-based electrochemical and optical sensors for hypoxanthine and xanthine. A review. Mikrochim Acta. 2019. PMID 31696297 · DOI
  10. Pundir CS, Devi R. Biosensing methods for xanthine determination: a review. Enzyme Microb Technol. 2014. PMID 24629268 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

2,080
PubMed records on this heading
11%
published since 2020
65
review articles
18
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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