The enzyme urate oxidase (UO), also known as uricase or factor-independent urate hydroxylase, is found in nearly all species from bacteria to mammals, but is not expressed in humans, great apes, and certain New World monkeys, in which it exists as a pseudogene. It catalyzes the oxidation of uric acid to 5-hydroxyisourate:
- Uric acid + O2 + H2O → 5-hydroxyisourate + H2O2
- 5-hydroxyisourate + H2O → 2-oxo-4-hydroxy-4-carboxy-5-ureidoimidazoline
- 2-oxo-4-hydroxy-4-carboxy-5-ureidoimidazoline → allantoin + CO2