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synthetic steroid that antagonizes aldosterone at intracellular cytoplasmic receptor sites. The spironolactone-receptor complex is inactive prevents translocation of the receptor complex into the nucleus of the target cellcannot bind to DNA failure to produce proteins that are normally synthesized in response to aldosterone. normally stimulate the Na+/K+-exchange sites of the collecting tubule. A lack of mediator proteins prevents Na+ reabsorption and, therefore, K+ and H+ secretion.Contoh: spironolactone & eplerenone
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