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Loop Diuretics Inhibit Renal Excretion of Trimethylamine N-Oxide.

ABSTRACT: This study demonstrates, for the first time, that renal tubular excretion of trimethylamine N-oxide (TMAO) is inhibited by concomitant loop diuretic administration. The observed marked accumulation in the renal parenchyma, and to lesser extent, plasma, implies differential distributions of TMAO across various tissues and/or systems as a consequence of efflux channel control. A better understanding of TMAO renal clearance and its potential interactions with current and future therapies in patients with heart failure are warranted.

SUBMITTER: Li DY 

PROVIDER: S-EPMC7907536 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Loop Diuretics Inhibit Renal Excretion of Trimethylamine <i>N</i>-Oxide.

Li Daniel Y DY   Wang Zeneng Z   Jia Xun X   Yan Di D   Shih Diana M DM   Hazen Stanley L SL   Lusis Aldons J AJ   Tang W H Wilson WHW  

JACC. Basic to translational science 20210127 2

This study demonstrates, for the first time, that renal tubular excretion of trimethylamine <i>N</i>-oxide (TMAO) is inhibited by concomitant loop diuretic administration. The observed marked accumulation in the renal parenchyma, and to lesser extent, plasma, implies differential distributions of TMAO across various tissues and/or systems as a consequence of efflux channel control. A better understanding of TMAO renal clearance and its potential interactions with current and future therapies in  ...[more]

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