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They act on the luminal membrane of the tubule cells. Loop diuretics have the highest efficacy. Thiazides are most frequently used. Their forerunners, the carbonic anhydrase inhibitors, are now restricted to special indications. Carbonic anhydrase (CAH) inhibitors, such as acetazolamide and sulthiame, act predominantly in the proximal tubules.
Glucocorticoids inhibit the expression of genes encoding for proinflammatory proteins (phospholipase-A2, cyclooxygenase 2, IL-2-receptor). The expression of these genes is stimulated by the transcription factor NF?B. Binding to the glucocorticoid receptor complex prevents translocation af NF?B to the nucleus. |
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