Property changes of urinary nanocrystallites and urine of uric acid stone formers after taking potassium citrate.

The property changes of urinary nanocrystallites in 20 cases of uric acid (UA) stone formers after 1 week of potassium citrate (K3cit) intake were comparatively studied by X-ray diffraction analysis, Fourier transform infrared spectroscopy, nanoparticle size analysis, and transmission electron microscopy. Before K3cit intake, the urinary crystallites mainly contained UA and calcium oxalate. After K3cit intake, the components changed to urate and UA; the qualities, species, and amounts of aggregated crystallites decreased; urine pH, citrate, and glycosaminoglycan excretions increased; and UA excretion, Zeta potential, and crystallite size decreased. The stability of crystallites followed the order: controls>patients after taking K3cit>patients before taking K3cit. Therefore, the components of urinary stones were closely related to the components of urinary crystallites.