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Loop diuretic

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Loop diuretics are drugs that are often used for the treatment of hypertension and edema secondary to congestive heart failure, liver cirrhosis, or chronic kidney disease. Their effect, like all diuretics, is to cause the body to excrete more water in the urine. Loop diuretics are more effective than thiazide diuretics in patients with impaired kidney function. They get their name because they affect cells in a structure in the kidney called the loop of Henle.

Heart failureHeart failureFailure of the heart to provide sufficient blood flow throughout the bodyMedical conditionHeart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to fill with and pumpblood. Although symptoms vary based on which side of the heart is affected, HF typically presents with shortness of breath, excessive fatigue, and bilateral leg swelling.ThiazideThiazideThiazides () are a class of diuretics based on the chemical structure of benzothiadiazine. Thiazides are used in the treatment of hypertension. The first approved drug of this class was chlorothiazide in 1958. Thiazide-like diuretics, such as indapamide, are sometimes called thiazides because they act on the same receptor, but do not have the thiazide chemical structure.Chronic kidney diseaseChronic kidney diseaseAbnormal kidney structure or gradual loss of kidney functionMedical conditionChronic kidney disease (CKD) is a type of long-term kidney disease, defined by the sustained presence of abnormal kidney function and/or abnormal kidney structure. To meet the criteria for CKD, the abnormalities must be present for at least three months. Early in the course of CKD, patients are usually asymptomatic, but can be diagnosed via proteinuria.Glomerular filtration rateGlomerular filtration rateRenal functions include maintaining an acid–base balance; regulating fluid balance; regulating sodium, potassium, and other electrolytes; clearingtoxins; absorption of glucose, amino acids, and other small molecules; regulation of blood pressure; production of various hormones, such as erythropoietin; and activation of vitamin D. The kidney has many functions, which a well-functioning kidney realizes by filtering blood in a process known as glomerular filtration.DiureticDiureticA diuretic () is any substance that promotes diuresis, the increased production of urine. This includes forced diuresis. A diuretic tablet is sometimes colloquially called a water tablet. There are several categories of diuretics. All diuretics increase the excretion of water from the body, through the kidneys. There exist several classes of diuretic, and each works in a distinct way.Organic anion transporter 1Organic anion transporter 1The organic anion transporter 1 (OAT1) also known as solute carrier family 22 member 6 (SLC22A6) is a protein that in humans is encoded by the SLC22A6gene. It is a member of the organic anion transporter (OAT) family of proteins. OAT1 is a transmembrane protein that is expressed in the brain, the placenta, the eyes, smooth muscles, and the basolateral membrane of proximal tubular cells of the kidneys. It plays a central role in renalorganic anion transport.HypertensionHypertensionLong-term high blood pressure in the arteriesMedical conditionHypertension, also known as high blood pressure, is a long-termmedical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms itself. It is, however, a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, vision loss, chronic kidney disease, and dementia.EdemaEdemaEdema (American English) or oedema (Commonwealth English), also known as dropsy, hydropsy, fluid retention, or simply swelling, is the buildup of fluid in a bodily tissue. Most commonly, the legs or arms are affected. Besides observable swelling, symptoms may include skin that feels tight, the area feeling heavy, and joint stiffness. Other symptoms depend on the underlying cause.CreatinineCreatinineCreatinine (; from Ancient Greek κρέας (kréas) 'flesh') is a breakdown product of creatine phosphate from muscle and protein metabolism. It is released at a constant rate by the body (depending on muscle mass).Loop of HenleLoop of HenleThe loop of Henle (; also known as Henle's loop, Henle loop, nephron loop) is the portion of a nephron that leads from the proximal convoluted tubule to the distal convoluted tubule. Named after its discoverer, the GermananatomistFriedrich Gustav Jakob Henle, the loop of Henle's main function is to create a concentration gradient in the medulla of the kidney.CirrhosisCirrhosisCirrhosis, also known as liver cirrhosis, hepatic cirrhosis, chronic liver failure, chronic hepatic failure, and end-stage liver disease, is a chronic condition of the liver in which the normal functioning tissue, or parenchyma, is replaced with scar tissue (fibrosis) and regenerative nodules as a result of chronic liver disease. Damage to the liver leads to repair of liver tissue and subsequent formation of scar tissue.ABCC4ABCC4ATP-binding cassette sub-family C member 4 (ABCC4), also known as the multidrug resistance-associated protein 4 (MRP4) or multi-specific organic anion transporter B (MOAT-B), is a protein that in humans is encoded by the ABCC4 gene. ABCC4 acts as a regulator of intracellular cyclic nucleotide levels and as a mediator of cAMP-dependent signal transduction to the nucleus. MRP4/ABCC4 also transports prostaglandins, for example PGE2, out of the cell where they can bind receptors.

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