In the kidney, thiazide and loop diuretics are secreted from proximal tubule via organic anion transporters and bind to apical sodium transporters, viz. the Na+-Cl– cotransporter in the distal convoluted tubule and the Na+-K+-2Cl– cotransporter in the thick ascending limb, respectively. Studies in animal models suggest that expression of the transporters may be affected by long-term diuretic administration at the target sites of renal tubule as well as at downstream segments. This information will be of help in understanding the adaptive responses to long-term diuretic use.
University of Manchester (2003) J Physiol 552P, SA4
Research Symposium: Diuretics and renal sodium transporters
Gheun-Ho Kim
Department of Internal Medicine, Hallym University Hangang Sacred Heart Hospital, Seoul, South Korea
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Where applicable, experiments conform with Society ethical requirements.