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Aldosterone

Aldosterone
Aldosterone-2D-skeletal.svg
Names
IUPAC name
11β,21-Dihydroxy-3,20-dioxopregn-4-en-18-al
Identifiers
52-39-1 YesY
3D model (Jmol) Interactive image
ChEBI CHEBI:27584 YesY
ChEMBL ChEMBL273453 YesY
ChemSpider 5633 YesY
DrugBank DB04630 YesY
ECHA InfoCard 100.000.128
2872
KEGG C01780 YesY
MeSH Aldosterone
PubChem 5839
Properties
C21H28O5
Molar mass 360.45 g·mol−1
Pharmacology
H02AA01 (WHO)
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
N  (what is YesYN ?)
Infobox references

Aldosterone, the main mineralocorticoid hormone, is a steroid hormone produced by the zona glomerulosa of the adrenal cortex in the adrenal gland. It is essential for sodium conservation in the kidney, salivary glands, sweat glands and colon. It plays a central role in the regulation of the plasma sodium (Na+), the extracellular potassium (K+) and arterial blood pressure. It does so mainly by acting on the mineralocorticoid receptors in the distal tubules and collecting ducts of the nephron. It influences the reabsorption of sodium and excretion of potassium (from and into the tubular fluids, respectively) of the kidney, thereby indirectly influencing water retention or loss, blood pressure and blood volume. When dysregulated, aldosterone is pathogenic and contributes to the development and progression of cardiovascular and renal disease. Aldosterone has exactly the opposite function of the atrial natriuretic hormone secreted by the heart.

Aldosterone is part of the renin–angiotensin system. It has a plasma half-life of under 20 minutes. Drugs that interfere with the secretion or action of aldosterone are in use as antihypertensives, like lisinopril, which lowers blood pressure by blocking the angiotensin-converting enzyme (ACE), leading to lower aldosterone secretion. The net effect of these drugs is to reduce sodium and water retention but increase retention of potassium. Another example is spironolactone, a potassium-sparing diuretic of the steroidal spirolactone group, which decreases blood pressure by releasing fluid from the body while retaining potassium.


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