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10.3317/jraas.2003.024

http://scihub22266oqcxt.onion/10.3317/jraas.2003.024
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14608519!ä!14608519

suck abstract from ncbi


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pmid14608519      J+Renin+Angiotensin+Aldosterone+Syst 2003 ; 4 (3): 155-63
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  • Toward a broader understanding of aldosterone in congestive heart failure #MMPMID14608519
  • Weber KT; Sun Y; Wodi LA; Munir A; Jahangir E; Ahokas RA; Gerling IC; Postlethwaite AE; Warrington KJ
  • J Renin Angiotensin Aldosterone Syst 2003[Sep]; 4 (3): 155-63 PMID14608519show ga
  • Discovered some 50 years ago, aldosterone (ALDO) has come to be recognised as a mineralocorticoid hormone with well-known endocrine properties in epithelial cells that contribute to the pathophysiology of congestive heart failure. This includes Na+ resorption at the expense of K+ excretion in classic target tissues: kidneys, colon, sweat and salivary glands. Though less well known, Mg2+ excretion is likewise enhanced by ALDO, while adrenal ALDO secretion is regulated by extracellular Mg2+ ([Mg2+]o). An emerging body of information has and continues to identify other endocrine actions of ALDO receptor-ligand binding. They include: promoting an efflux of cytosolic free Mg2+, or [Mg2+]i, in exchange for Na+ in such non-epithelial cells as peripheral blood mononuclear cells; its influence on endothelial cell function; and its central actions that involve regulation of cerebrospinal fluid composition produced by epithelial cells of the choroid plexus, activity of the hypothalamic paraventricular nucleus involved in Na+ appetite, Na+ and H2O excretion and sympathetic nerve activity, and the regulation of TNF-alpha production from central and/or peripheral sources. Extra-adrenal steroidogenesis and auto/paracrine properties of ALDO generated de novo in the cardiovasculature are now under investigation and preliminary findings suggest they contribute to tissue repair. The past decade has witnessed a revival of interest in this steroid molecule. In years to come, an even broader understanding of ALDOs contribution to the pathophysiology of congestive heart failure will undoubtedly emerge.
  • |Aldosterone/*physiology[MESH]
  • |Animals[MESH]
  • |Heart Failure/*physiopathology[MESH]
  • |Humans[MESH]


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