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. 2019 Mar 14;37(8):1574–1586. doi: 10.1097/HJH.0000000000002088

TABLE 5.

Differences in pathways that may mediate vasodilation

Hydrochlorothiazide Chlorthalidone Indapamide
Effect on Kca channels [96,97] + ND
Desensitization to calcium via RhoA and Rho kinase [98] + + ND
Calcium channel antagonism [99] +
Carbonic anhydrase inhibition [100,101,102,103] + +++ ++
Increase in urinary prostaglandins PGE2 and PGF2a [104,105] ND + +
VEGF-C and TGF-β3 transcription decrease [106] ND + ND
Oxidative stress reduction [107,108,109] +
Platelet aggregation reduction [106,110] + +

Kca, potassium-activated calcium; ND, no data; PGE2, prostaglandin E2; PGF2a, prostaglandin F2alpha; TGF, transforming growth factor; VEGF, vascular endothelial growth factor.