AUTHOR=Wang Jin-jin , Yi Jin-ke , Zhou Li-rong , Chen Jun , Zhang Bin-qiang , Huang Hui-min , Wei Ying TITLE=A systematic review of the connection between serum uric acid levels and the risk of cardiovascular disease JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=Volume 12 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2025.1577952 DOI=10.3389/fcvm.2025.1577952 ISSN=2297-055X ABSTRACT=Serum uric acid (SUA) has emerged as a significant biomarker for cardiovascular disease (CVD) risk assessment, garnering increasing attention in recent years. As CVD remains a leading cause of global mortality, identifying effective biomarkers for risk stratification is of paramount importance. Current evidence indicates a strong association between elevated SUA levels and increased CVD risk. However, the precise mechanisms and confounding factors underlying this relationship remain unclear. This review examines the link between SUA and CVD, exploring potential biological pathways—including metabolic syndrome, inflammatory responses, and oxidative stress—that may mediate this association. By synthesizing existing literature, this article aims to provide insights for future research and clinical applications, ultimately enhancing the understanding of SUA's utility in CVD risk evaluation.