Loop Diuretics · Pharmacology

Which statement regarding Furosemide's effect on the macula densa is correct?

  1. It stimulates tubuloglomerular feedback
  2. It blocks macula densa chloride sensing, triggering renin release
  3. It causes the macula densa to vasoconstrict the afferent arteriole
  4. It has no effect on the juxtaglomerular apparatus
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Correct answer: It blocks macula densa chloride sensing, triggering renin release

Loop diuretics inhibit NKCC2 in the macula densa cells. This prevents them from sensing the luminal chloride concentration, which 'tricks' the kidney into thinking blood pressure is low, thereby triggering the release of renin.

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