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In principle, lowering of either cardiac output or peripheral resistance may decrease blood pressure (cf. p. 306, 314, blood pressure determinants). The available drugs influence one or both of these determinants. The therapeutic utility of antihypertensives is determined by their efficacy and tolerability.
Tetrahydrofolic acid (THF) is required for the synthesis of both purine bases and thymidine. Formation of THF from folic acid involves dihydrofolate reductase. The folate analogues aminopterin and methotrexate (amethopterin) inhibit enzyme activity as false substrates. As cellular stores of THF are depleted, synthesis of DNA and RNA building blocks ceases. |
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