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Emerging Targets of Diuretic Therapy
Journal article   Peer reviewed

Emerging Targets of Diuretic Therapy

C‐J Cheng, A R Rodan and C‐L Huang
Clinical pharmacology and therapeutics, Vol.102(3), pp.420-435
09/2017
DOI: 10.1002/cpt.754
PMCID: PMC5546989
PMID: 28560800
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5546989View
Open Access

Abstract

Diuretics are commonly prescribed for treatment in patients with hypertension, edema, or heart failure. Studies on hypertensive and salt‐losing disorders and on urea transporters have contributed to better understanding of mechanisms of renal salt and water reabsorption and their regulation. Proteins involved in the regulatory pathways are emerging targets for diuretic and aquaretic therapy. Integrative high‐throughput screening, protein structure analysis, and chemical modification have identified promising agents for preclinical testing in animals. These include WNK‐SPAK inhibitors, ClC‐K channel antagonists, ROMK channel antagonists, and pendrin and urea transporter inhibitors. We discuss the potential advantages and side effects of these potential diuretics.

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