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10th International Magnesium Symposium Schedule of Events

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INTERNATIONAL SOCIETY FOR THE DEVELOPMENT OF<br />

MAGNESIUM RESEARCH<br />

The <strong>10th</strong> <strong>International</strong> <strong>Magnesium</strong> <strong>Symposium</strong> is one <strong>of</strong> a series <strong>of</strong> <strong>International</strong><br />

<strong>Magnesium</strong> Symposia organised every three years by the <strong>International</strong> Society for<br />

Development <strong>of</strong> <strong>Magnesium</strong> Research (SDRM).<br />

HONORARY PRESIDENT<br />

Jean Durlach (France)<br />

HONORARY SCIENTIFIC COMMITTEE<br />

K.W. Beyenbach (U.S.A.)<br />

H.G. Classen (Germany)<br />

R.J. Elin (U.S.A.)<br />

Y. Itokawa (Japan)<br />

M.S. Seelig (U.S.A.)<br />

Y. Rayssiguier (France)<br />

HONORARY SCIENTIFIC ADVISORY COMMITTEE<br />

L. Alouane (Tunisia) F.J. Alvarez-Leefmans (Mexico)<br />

P. Bac (France) A. Cittadini (Italy)<br />

F. Corica (Italy) I.H. De Leeuw (Belgium)<br />

S. Djurhuus (Denmark) J.F. Escanero (Spain)<br />

P.W. Flatman (U.K) A. Flynn (Ireland)<br />

M.J. Halpern (Portugal) S.A. Kiss (Hungary)<br />

A. Kobayashi (Japan) T. Kozielec (Poland)<br />

B. Lasserre (Switzerland) A. Mazur (France)<br />

R. Mettey (France) R. Mittendorf (U.S.A.)<br />

H. Mori (Japan) P.J Porr (Romania)<br />

G.A. Quamme (Canada) A.J. Reyes (Uruguay)<br />

P.M. Rob (Germany) R.K. Rude (U.S.A.)<br />

R. Rylander (Sweden) N.E. Saris (Finland)<br />

K. Shivakumar (India) R.H. Smetana (Austria)<br />

G. Stendig-Lindberg (Israel) T. Theophanides (Greece)<br />

R. Vink (Australia) W.B. Weglicke (U.S.A.)<br />

C.Y. Yang (Taiwan)


The 10 th <strong>International</strong> <strong>Magnesium</strong> <strong>Symposium</strong> is sponsored by:<br />

Young Investigator Awards:<br />

Blaine Pharmaceuticals:<br />

The <strong>Magnesium</strong> Resource since 1955<br />

http://www.blainepharma.com<br />

Mineral Water:<br />

Magnesia Mineral Water:<br />

The power <strong>of</strong> natural magnesium<br />

http://www.mattoni.com<br />

Financial Management:<br />

The University <strong>of</strong> Adelaide:<br />

Australia's third oldest university<br />

and known internationally for excellence<br />

in research and teaching<br />

http://www.adelaide.edu.au


<strong>Schedule</strong> <strong>of</strong> <strong>Events</strong>


10 th <strong>International</strong> <strong>Magnesium</strong> <strong>Symposium</strong><br />

<strong>Schedule</strong> <strong>of</strong> <strong>Events</strong><br />

SUNDAY, SEPTEMBER 7 TH<br />

14:00 – 18:00 Registration Pre-function Area<br />

18:30 – 20:30 OPENING CEREMONY AND WELCOMING<br />

RECEPTION<br />

MONDAY, SEPTEMBER 8 TH<br />

Session 1 PLENARY LECTURES: The clinical relevance <strong>of</strong><br />

magnesium from gestation to old age<br />

Chair: Dr Robert Vink (Australia)<br />

8:30 New data on the importance <strong>of</strong> gestational Mg deficiency<br />

Dr Jean Durlach (France)<br />

9:00 Mental benefits <strong>of</strong> estrogen replacement therapy (ERT) in<br />

postmenopausal women; risks <strong>of</strong> cognitive loss and<br />

dementia intensified by ignoring importance <strong>of</strong><br />

magnesium<br />

Dr Mildred S. Seelig (USA), Burton M. Altura, Bella T. Altura<br />

9:50-10:20 COFFEE BREAK<br />

Poster set-up (anytime after 9:00)<br />

Poolside Terrace<br />

Plaza Ballroom A<br />

1<br />

2<br />

Pre-function<br />

Session 2 NEUROSCIENCE<br />

Chair: Dr Ibolja Cernak (USA)<br />

Plaza Ballroom A<br />

10:20 The influence <strong>of</strong> some antipsychotic drugs on erythrocyte<br />

and plasmatic magnesium level and <strong>of</strong> other bivalent<br />

cations<br />

Dr Mihair Nechifor (Romania), C.Vaideanu, I.Palamaru,<br />

C.Borza, I.Mindreci<br />

3<br />

10:40 Effects <strong>of</strong> magnesium on blood-brain barrier breakdown<br />

and brain edema In septic rats<br />

Dr Tulin Erdem (Turkey), Damla Aktan, Ayse Erturer,<br />

Mukadder Orhan, Nahit Cakar, Figen Esen<br />

4<br />

11:00 <strong>Magnesium</strong>-Vit B6 intake reduces central nervous<br />

hyperexcitability in children<br />

Dr Marianne Mousain-Bosc (France), Roche M., Rapin J.R.,<br />

Bali J.P.<br />

5<br />

11:20 Effect <strong>of</strong> magnesium on neural activities in rat cortex and<br />

hippocampus in vitro<br />

Dr Keiichi Torimitsu (Japan), Nahoko Kasai, Yasuhiko Jimbo,<br />

Yuriko Furukawa<br />

6<br />

11:40 <strong>Magnesium</strong> gluconate <strong>of</strong>fers no more protection than<br />

magnesium sulphate following diffuse traumatic brain<br />

injury in rats<br />

Dr Robert Vink (Australia), Renee J. Turner, Katherine W.<br />

DaSilva, Christine O’Connor, Corinna van den Heuvel<br />

7<br />

12:00-13:15 BUFFET LUNCH Poolside


Session 3 GENETICS<br />

Chair: Dr Richard Gardner (New Zealand)<br />

Plaza Ballroom A<br />

13:15 <strong>Magnesium</strong> transport genes in yeast and plants<br />

Dr Richard Gardner (New Zealand), Jong-min Lee, Keith<br />

Richards, Salam Salih, Paul Donaldson, Van Kelly, Revel<br />

Drummond, Ana Tutone<br />

8<br />

13:45 Molecular biology <strong>of</strong> magnesium transport proteins<br />

Dr Matin Piskacek (Austria), Jochen Stadler, Martin Kolisek,<br />

Gabor Zsurka, Julian Weghuber, Monika Schweigel, Rudolf J.<br />

Schweyen<br />

9<br />

14:15 Mg2+ transport proteins <strong>of</strong> the yeast plasma membrane<br />

and cytoplasmic homeostasis factors<br />

Jochen Stadler, Anton Graschopf, Stefan Köstler, Dr Rudolf J,<br />

Schweyen (Austria)<br />

10<br />

14:35 The pathogenesis <strong>of</strong> Machado-Josephs Disease; a high<br />

manganese / low magnesium induced CAG expansion<br />

mutation in susceptible genotypes?<br />

Dr Mark Purdey (UK)<br />

11<br />

15:00-15:20 COFFEE BREAK Pre-function<br />

Session 4 TRANSPORT<br />

Chairs: Dr Masato Konishi (Japan); Dr Charles Coudray<br />

(France)<br />

15:20 Interest <strong>of</strong> stable isotopes use in the evaluation <strong>of</strong> Mg<br />

metabolism<br />

Dr Charles Coudray (France), Christine Feillet-Coudray,<br />

André Mazur, Yves Rayssiguier<br />

15:50 Effects <strong>of</strong> intracellular concentrations <strong>of</strong> Na+ and Mg2+ on<br />

Mg2+ transport in rat ventricular myocytes<br />

Dr Masato Konishi (Japan), Michiko Tashiro and Pulat<br />

Tursun<br />

16:10 Depletion <strong>of</strong> intracellular Mg2+ via Na+-independent<br />

passive Mg2+ pathways<br />

Dr Shinsuke Nakayama (Japan), Hideki Nomura, Lorraine M.<br />

Smith, Joseph F. Clark, Tadayuki Uetani, Tatsuaki Matsubara<br />

16:30 Set point shift <strong>of</strong> the intracellular Mg2+ concentration with<br />

amiloride and KB-R7943 in vascular smooth muscle<br />

Mr Tadayuki Uetani (Japan), Hamaguchi Yukihisa,<br />

Tatematsu Yasushi, Nakayama Shinsuke<br />

17:00-18:00 Poster Session A<br />

17:30-19:30<br />

Cocktails<br />

Plaza Ballroom A<br />

12<br />

13<br />

14<br />

15<br />

Pre -function


TUESDAY, SEPTEMBER 9 TH<br />

Session 5 PLENARY LECTURES<br />

Chair: Dr Robert Vink (Australia)<br />

Plaza Ballroom A<br />

8:30 <strong>Magnesium</strong> and the inflammatory response: potential<br />

physiological and clinical implications<br />

Dr Yves Rayssiguier (France), Andrzej Mazur<br />

16<br />

9:15 Irukandji Syndrome – another clinical role for magnesium<br />

sulfate?<br />

Dr Michael Corkeron (Australia)<br />

17<br />

9:45-10:05 COFFEE BREAK Pre-function<br />

Session 6 YOUNG INVESTIGATORS AWARD SYMPOSIUM<br />

(Sponsored by Blaine Pharmaceuticals)<br />

Chair: Dr Robert Vink (Australia)<br />

10:05 The effect <strong>of</strong> magnesium deficiency on primary tumour<br />

growth and the effectiveness <strong>of</strong> antitumour treatment in<br />

transplantable murine cancers<br />

Ms Anna Nasulewicz (Poland), Joanna Wietrzyk, Yves<br />

Rayssiguier, Andrzej Mazur, Adam Opolski<br />

10:30 Investigation <strong>of</strong> intracellular magnesium mobilization<br />

pathways in PC12 cells by simultaneous Mg-Ca<br />

fluorescent imaging<br />

Mr Takeshi Kubota (Japan), Hirokazu Komatsu, Yutaka<br />

Shindo, Kentaro Tokuno, Yoshiichiro Kitamura, Hiroto Ogawa,<br />

Koji Suzuki, Kotaro Oka<br />

10:55 <strong>Magnesium</strong> attenuates post-traumatic depression/anxiety<br />

following diffuse traumatic brain injury in rats<br />

Ms Lisa Fromm (Australia), Deanne L. Heath, Robert Vink,<br />

Alan J. Nimmo<br />

11:20 The CorA-Mrs2 superfamily <strong>of</strong> Mg2+ transport proteins in<br />

bacteria and mitochondria<br />

Ms Elisabeth Froschauer (Austria), Martin Kolisek, Martin<br />

Piskacek, Gabor Zsurka, Julian Weghuber, Monika Schweigel,<br />

Rudolf J. Schweyen<br />

11:55-12:30 STANDING SANDWICH LUNCH<br />

12:30<br />

AFTERNOON EXCURSIONS<br />

Plaza Ballroom A<br />

18<br />

19<br />

20<br />

21<br />

Poolside<br />

Hotel Entrance


WEDNESDAY, SEPTEMBER 10 TH<br />

Session 7 CARDIOVASCULAR I<br />

Chair: Dr Mildred Seelig (USA)<br />

Plaza Ballroom A<br />

8:30 Effects <strong>of</strong> oral magnesium therapy on exercise tolerance,<br />

exercise-induced chest pain, and quality <strong>of</strong> life in patients<br />

with coronary artery disease Dr Michael Shechter (Israel),<br />

C. Noel Bairey Merz, Hermann-Georg Stuehlinger, Joerg<br />

Slany, Otmar Pachinger, Burton Silver and Babeth<br />

Rabinowitz<br />

22<br />

9:00 A prospective non-randomized, open-labeled pilot study<br />

investigating the use <strong>of</strong> magnesium in patients<br />

undergoing non-acute percutaneous coronary intervention<br />

with stent implantation Vladimir Rukshin, Raul Santos, Mitch<br />

Gheorghiu, Prediman K. Shah, Saibal Kar, Sriram<br />

Padmanabhan, Babak Azarbal, Vivian T. Tsang, Raj Makkar,<br />

Bruce Samuels, Norman Lepor, Ivor Geft, Steve Tabak,<br />

Mehran Khorsandhi, Neil Buchbinder, Neil Eigler, Bojan<br />

Cercek, Keta Hodgson, Dr Sanjay Kaul (USA)<br />

23<br />

9:20 Optimal administration dosage <strong>of</strong> magnesium sulfate for<br />

torsades de pointes in children with long QT syndrome<br />

Dr Kenji Hoshino (Japan), Kiyoshi Ogawa, Takashi Hishitani,<br />

Yoshikatsu Etoh<br />

24<br />

9:40 Effects <strong>of</strong> Mg2+ on cardiac excitation-contraction coupling<br />

Dr Anouchka Mihaylova (USA), Belik M.E., McCulloch A.D.<br />

25<br />

10:00-10:15 COFFEE BREAK Pre-function<br />

Session 8 CARDIOVASCULAR II<br />

Chair: Dr Larry Resnick (USA)<br />

Plaza Ballroom A<br />

10:15 Intracellular magnesium assay correlations with: oral &<br />

transdermal absorption, endothelial function, exercise<br />

tolerance, and chronic disease depletion<br />

Dr Burton B. Silver (USA), C. Norman Shealy, M Shechter,<br />

Mark C.P Haigney, Allison J. Stewart, Kim Brower<br />

26<br />

10:45 Intracellular magnesium in furosemide treated patients<br />

with congestive heart failure suffering from diabetes<br />

mellitus and/or renal dysfunction Dr Irena Alon (Israel), D.<br />

Almoznino-Sarafian, S. Berman, O. Gorelik, M. Shteinshnaider,<br />

D.Modai, N.Cohen<br />

27<br />

11:05 Long-term outcome <strong>of</strong> intravenous magnesium therapy in<br />

thrombolysis-ineligible acute mayocardial infarct patients<br />

Dr Michael Shechter (Israel), Hanoch Hod, Babeth<br />

Rabinowitz, Valentina Boyko, Pierre Chouraqui<br />

28<br />

11:25 In vitro application <strong>of</strong> endotoxin to thoracic aortas from<br />

magnesium-deficient rats enhances vascular<br />

hyporeactivity to phenylephrine<br />

Dr Atsushi Miyamoto (Japan), K. Moriki., S. Ishiguro, A.<br />

Nishio<br />

29<br />

11:45 Case for subcutaneous magnesium product for space<br />

missions<br />

Dr William J. Rowe (USA)<br />

30<br />

12:05-13:10 BUFFET LUNCH Poolside


Session 9 CARDIOVASCULAR III<br />

Chair: Dr Irena Alon (Israel)<br />

Plaza Ballroom A<br />

13:10 Relation <strong>of</strong> hypertension and atherosclerosis: 1H- and<br />

31P-NMR spectroscopy <strong>of</strong> free Mg, plasma membrane and<br />

circulating lipids in hypertension<br />

Dr Lawrence M. Resnick (USA), Raj K. Gupta<br />

31<br />

13:45 Functional effects <strong>of</strong> magnesium and statin<br />

pharmaceuticals compared<br />

Dr Andrea Rosan<strong>of</strong>f (USA), Mildred S. Seelig<br />

32<br />

14:05 Role <strong>of</strong> magnesium in pathogenesis <strong>of</strong> essential<br />

hypertension Dr Genel Sur (Romania), Oana Maftei<br />

33<br />

14:25 Cardiovascular and skeletal benefits <strong>of</strong> estrogen<br />

replacement therapy in healthy postmenopausal women;<br />

risks intensified by ignoring importance <strong>of</strong> magnesium<br />

Dr Mildred S. Seelig (USA), Burton M. Altura, Bella T. Altura<br />

34<br />

15:00-15:20 COFFEE BREAK Pre-function<br />

Session 10 SKELETAL<br />

Chair: Dr Juergen Vormann (Germany)<br />

15:20 Osteoblastic cell growth as a function <strong>of</strong> Ca 2+ /Mg 2+ ratio<br />

O. Theodorakopoulou, D. Deligianni, Dr Jane<br />

Anastassopoulou (Greece)<br />

15:50 Bone mineral density, serum albumin and serum<br />

magnesium<br />

Dr Noboru Saito (Japan), Naoto Tabata, Toshiaki Setoguchi,<br />

Saburou Saito, Harumi Sayama, Toshiko Kannagi<br />

16:20 <strong>Magnesium</strong>, magnesium deficiency and interaction with<br />

aminoglycoside and quinolone antibiotics<br />

Dr. Juergen Vormann (Germany)<br />

16:50-18:00 Poster Session B<br />

(All posters to be removed at 18:00)<br />

Plaza Ballroom A<br />

35<br />

36<br />

37<br />

Pre-function<br />

19:30- GALA DINNER Plaza Ballroom


THURSDAY, SEPTEMBER 11 TH<br />

Session 11 SPORT<br />

Chairs: Dr Stefano Iotti (Italy); Dr Frank Mooren (Germany)<br />

Plaza Ballroom A<br />

9:00 <strong>Magnesium</strong> in sports<br />

Dr Frank C. Mooren (Germany)<br />

38<br />

9:30 Cytosolic free [Mg2+] in the human calf muscle in<br />

different metabolic conditions<br />

Dr Stefano Iotti (Italy)<br />

39<br />

10:00-10:20 COFFEE BREAK Pre-function<br />

Session 12 MEASUREMENT IN RELATION TO PUBLIC HEALTH<br />

Chair: Dr Kay Franz (USA)<br />

Plaza Ballroom A<br />

10:20 A functional biological marker is needed for diagnosing<br />

magnesium deficiency<br />

Dr Kay B. Franz (USA)<br />

40<br />

10:50 The relation <strong>of</strong> birth weight to intracellular magnesium <strong>of</strong><br />

cord-blood platelets<br />

Dr Junji Takaya (Japan), Fumiko Kotera and Yohnosuke<br />

Kobayashi<br />

41<br />

11:15 Balance <strong>of</strong> Mg positively correlates with that <strong>of</strong> Ca<br />

Dr Mamoru Nishimuta (Japan), Naoko Kodama, Eiko<br />

Morikunii, Yayoi H. Yoshioka, Hidemaro Takeyama, Hideaki<br />

Yamada, Hideaki Kitajima and Kazumasa Suzuki<br />

42<br />

11:40 Developed determination method <strong>of</strong> ultra-trace elements<br />

and ultra-trace element levels in plasma <strong>of</strong> rat fed low<br />

magnesium diet<br />

Dr Mikeo Kimura (Japan), Kazuto Honda, Atsuko Takeda,<br />

Masayo Imanishi, Takahisa Takeda<br />

43<br />

12:00-13:00 BUFFET LUNCH Poolside<br />

Session 13 OTHER APPLICATIONS TO CLINICAL MEDICINE<br />

Chair: Dr Federica Wolf (Italy)<br />

13:00 <strong>Magnesium</strong> and cancer in clinical practice (update).<br />

Mr Amid Reba (France), François Goldwasser<br />

13:25 Intracellular magnesium is independent from extracellular<br />

availability during proliferation<br />

S. Fasanella, A. Torsello, B. Tedesco, A. Cittadini, Dr<br />

Federica Wolf (Italy)<br />

13:45 <strong>Magnesium</strong>, insulin resistance and body composition in<br />

healthly posmenopausal women<br />

Maria Jose Laires (Portugal), Moreira H, Monteiro CP,<br />

Sardinha L, Veiga L, Gonçalves A, Bicho M<br />

14:05 Clinical efficacy <strong>of</strong> magnesium supplementation in<br />

patients with type 2 diabetes Dr K.Yokota (Japan), M.Kato,<br />

H. Ii, M. Shiraishi, T. Hayakawa, T. Kikuta, F. Lister, H.<br />

Akiyama, S.Kageyama and N.Tajima<br />

14:25 Post-cholecystectomy syndrome and magnesium<br />

deficiency<br />

Dr Paul J. Porr (Romania), J. Szántay, M. Rusu<br />

14:45 CLOSING CEREMONY<br />

YOUNG INVESTIGATOR AWARDS<br />

FAREWELL DRINKS<br />

Plaza Ballroom A<br />

44<br />

45<br />

46<br />

47<br />

48<br />

Plaza Ballroom A


POSTERS Plaza Ballroom<br />

Pre-function area<br />

Effect <strong>of</strong> magnesium diets in ischemic stroke rats<br />

49<br />

Céline Demougeot, Sylvie Bobillier Chaumont, Claude Mossiat, Christine<br />

Marie and Alain Berthelot.<br />

A substance P antagonist increases brain intracellular free<br />

50<br />

magnesium concentration after diffuse traumatic brain injury in rats<br />

Robert Vink, Maria I. Cruz, James J. Donkin, Alan J. Nimmo and Ibolja<br />

Cernak<br />

Amiloride increases neuronal damage after traumatic brain injury in<br />

51<br />

rats<br />

Renee J. Turner, Corinna van den Heuvel and Robert Vink<br />

Prop<strong>of</strong>ol attenuates the neuroprotective effects <strong>of</strong> magnesium in<br />

52<br />

experimental traumatic brain injury<br />

Tulin Erdem, Damla Aktan, Mehmet Kaya, S.Murat Imer, Nahit Cakar, Lutfi<br />

Telci, Figen Esen<br />

Simultaneous monitoring <strong>of</strong> extracellular magnesium and zinc in<br />

53<br />

gerbil cortex during focal cerebral ischemia by microdialysis-graphite<br />

furnace atomic absorption spectroscopy<br />

FU-Chou Cheng<br />

Determination <strong>of</strong> extracellular magnesium in brains <strong>of</strong> gerbils<br />

54<br />

subjected to cerebral ischemia by an on-line microdialysis and<br />

graphite furnace atomic absorption spectrometry<br />

Jen-Bin Lee<br />

Microdialysis coupled with graphite furnace atomic absorption<br />

55<br />

spectrometry in the determination <strong>of</strong> blood magnesium levels in<br />

gerbils subjected to cerebral ischemia/reperfusion<br />

Ming-Cheng Lin<br />

Contribution <strong>of</strong> the Na+-Mg2+ exchanger on insulin-induced<br />

56<br />

modulation <strong>of</strong> the intracellular Mg2+ concentration in rat hearts<br />

Yasushi Tatematsu, Shinsuke Nakayama, Tetsuya Amano, Kenji Imai,<br />

Manabu Kokubo, Tadayuki Uetani, Takaaki Yamada, Yukihisa Hamaguchi,<br />

Toyoaki Murohara, Tatsuaki Matsubara<br />

A study on spontaneously obese rats (Minko rat) with abnormal lipid<br />

57<br />

metabolism -strength and mineral concentrations in bone<br />

Ryuji Takeda, Takashi Nakamura, Masayo Imanishi, Madoka Ishida,<br />

Fumiko Yano, Takahisa Takeda, Mieko Kimura<br />

Modulation <strong>of</strong> tyrosine kinases and phosphatases by Mg2+ ions in<br />

58<br />

human red blood cells<br />

Alexander Barbul, Yehudit Zipser, Nechama S. Kosower, Rafi Korenstein<br />

Is determination <strong>of</strong> Mg pool size useful to assess Mg status<br />

59<br />

C. Feillet-Coudray, C. Coudray, E. Gueux, A. Mazur and Y. Rayssjguier<br />

Effects <strong>of</strong> reduced magnesium availability and mild oxidative stress<br />

60<br />

on aging <strong>of</strong> WI-38 human diploid fibroblasts<br />

B.Tedesco, S. Fasanella, A.Torsello, A.Cittadini and F.I. Wolf.<br />

Food intake and magnesium intake affect true absorption and<br />

61<br />

endogenous fecal excretion <strong>of</strong> magnesium in rats<br />

Hideyuki Ohmori, Tohru Matsui and Hideo Yano<br />

Serum magnesium levels and dependency/disability in hospitalised<br />

62<br />

elderly patients<br />

M Barbagallo, LJ Dominguez, A Ferlisi, A Galioto, A Pineo, C Aglialoro<br />

Absorption and effect <strong>of</strong> the magnesium content <strong>of</strong> a mineral water in 63<br />

the human body<br />

Sándor A. Kiss, Tamás Forster, Ágnes Dongó,<br />

About the misdiagnostics <strong>of</strong> magnesium deficiency<br />

64<br />

Dierck-H.Liebscher, Dierck-E.Liebscher.


<strong>Magnesium</strong> in asthma attack<br />

G. Sur, N. Miu, Lucia Burac, Oana Maftei.<br />

Experimentally induced prolonged magnesium deficiency causes<br />

osteoporosis in the rat<br />

Stendig-Lindberg G, Koeller W, Bauer A, Rob PM<br />

Modifications <strong>of</strong> the plasmatic and salivary magnesium<br />

concentrations and <strong>of</strong> other bivalent cations in patients with<br />

suppurations <strong>of</strong> the oro-maxilar area<br />

Nechifor Mihai, Gradinaru Irina, Mîndreci Ioan, Tatarciuc Monica,<br />

Gogalniceanu Dan<br />

Lyme disease and magnesium deficiency<br />

V. Cristea, M. Crian and V Crian<br />

Effect <strong>of</strong> magnesium on essential oil formation <strong>of</strong> genetically<br />

transformed and non-transformed chamomile cultures<br />

Szokee, É., Máday, E., Kiss, S.A. And Lemberkovics, É.<br />

<strong>Magnesium</strong> in animal nutrition<br />

Katalin Kovacsne Gaal, Orsolya Safar, Laszlo Gulyas, Petronella Stadler<br />

Mg-content <strong>of</strong> Rhizobium nodules in different plants and the<br />

importance <strong>of</strong> Mg in N2-fixation <strong>of</strong> nodules<br />

Kiss S.A., Stefanovits-Bányai É., Takács-Hájos M.<br />

65<br />

66<br />

67<br />

68<br />

69<br />

70<br />

71


1<br />

New data on the importance <strong>of</strong> gestational Mg deficiency<br />

Jean Durlach. Society for the Development <strong>of</strong> <strong>Magnesium</strong> Research, Neuilly-sur-<br />

Seine, France. Jean.Durlach@wanadoo.fr<br />

Chronic primary Mg deficiency is frequent. Around 20% <strong>of</strong> the population consumes<br />

less than two-thirds <strong>of</strong> the RDA for Mg, in both genders and in women in particular.<br />

For example, in France, this applies to 23% <strong>of</strong> women and 18% <strong>of</strong> men. Primary Mg<br />

deficiency may intervene in fertile women. Gestational Mg deficiency may induce<br />

maternal, fetal and pediatric consequences that may last throughout life.<br />

Experimental studies <strong>of</strong> gestational Mg deficiency have shown that Mg deficiency<br />

during pregnancy may have marked effects on the processes <strong>of</strong> parturition and<br />

postuterine involution. It may intervene on fetal growth and development from<br />

teratogenic effects to morbidity, i.e. hematological effects and disturbances in<br />

temperature regulation. Clinical studies on the consequences <strong>of</strong> maternal primary<br />

Mg deficiency in women have been insufficiently investigated. To check the validity<br />

<strong>of</strong> the role <strong>of</strong> this frequent gestational Mg deficiency, the protocol <strong>of</strong> a long-term,<br />

multi-center, placebo controlled, prospective study on the effects <strong>of</strong> maternal<br />

nutritional Mg supplementation on lethality and morbidity in the fetus, neonates,<br />

infants, children and adults should be carried out not only during pregnancy and the<br />

first year <strong>of</strong> life, but throughout life.<br />

Two forms <strong>of</strong> chronic gestational Mg deficiency have been stressed: (i) premature<br />

labor when chronic maternal Mg deficiency is involved in uterine hyperexcitability,<br />

and (ii) Sudden Infant Death Syndrome (SIDS) when it is caused by either simple Mg<br />

deficiency or various forms <strong>of</strong> Mg depletion.<br />

(i) Nutrional Mg treatment <strong>of</strong> premature labor. If gestational Mg deficiency is the<br />

only cause for uterine overactivity, nutritional Mg supplementation constitutes the<br />

etiopathogenic atoxic tocolytic treatment. But though it is an adjuvant factor in<br />

premature labor, it is only a useful accessory treatment, devoid <strong>of</strong> toxicity but which<br />

increases effectiveness and safety <strong>of</strong> the associated tocolytic drugs such as beta-2<br />

mimetics.<br />

(ii) SIDS due to gestational Mg deficit: Mg deficiency or various forms <strong>of</strong> Mg<br />

depletion? SIDS may be caused by the fetal consequences <strong>of</strong> the maternal Mg<br />

deficiency through an impaired control <strong>of</strong> brown adipose tissue (BAT)<br />

thermoregulation, mechanisms leading to a modified temperature set point. SIDS<br />

may result from dysthermias: hypo- or hyperthermic forms. A possible prevention<br />

could rely on simple nutritional Mg supplementation. Various stresses in pregnant<br />

women or in the infant may transform a simple Mg deficiency into Mg depletion:<br />

stress in baby care such as bedding in the prone position and environmental factors<br />

such as parental smoking. But the role <strong>of</strong> chronopathological stress in particular<br />

appears to be too <strong>of</strong>ten neglected as it constitutes a clinical form <strong>of</strong> primary<br />

hyp<strong>of</strong>unction <strong>of</strong> the biological clock (with its anatomical and clinical stigma such as<br />

reduced production <strong>of</strong> melatonin (MT) and <strong>of</strong> its urinary metabolite, 6 sulfatoxylmelatonin<br />

(6-MT). SIDS might be linked to an impaired maturation <strong>of</strong> both the<br />

photoendocrine system and BAT. The preventative treatment <strong>of</strong> this form <strong>of</strong> SIDS<br />

should associate atoxic nutritional Mg therapy for pregnant women with total light<br />

deprivation at night for the infant. The place <strong>of</strong> Mg therapy for the infant and <strong>of</strong> MT,<br />

L-tryptophan and taurine is uncertain yet.


2<br />

Mental benefits <strong>of</strong> estrogen replacement therapy (ERT) in postmenopausal<br />

women; risks <strong>of</strong> cognitive loss and dementia intensified by ignoring<br />

importance <strong>of</strong> magnesium<br />

Mildred S. Seelig, Burton M. Altura, and Bella T. Altura. Department <strong>of</strong> Physiology<br />

and Pharmacology, State University <strong>of</strong> New York, Downstate Medical Center,<br />

Brooklyn 11203, USA. mgseelig@comcast.net<br />

Better cognition and lower incidence <strong>of</strong> Alzheimer’s dementia among<br />

postmenopausal women receiving ERT than in those not so treated, is explicable by<br />

ERT’s normalization <strong>of</strong> brain activation patterns in some women performing verbal<br />

and figural memory tasks. Memory, learning, encoding, retrieval, reasoning, and<br />

other higher cognitive functions were superior among many women receiving<br />

estrogen. Cessation <strong>of</strong> estrogen secretion is associated with losses in those<br />

capacities. Estrogen acts on transmitter mechanisms in the brain, increasing<br />

monoamine and neuropeptide receptors and binding sites in areas that control<br />

emotion, behavior, and cognition. It helps to preserve and regenerate neuronal<br />

elements, protects against inflammatory reactions and apoptosis, and contributes<br />

anti-oxidant activity within the brain, partially by increasing brain magnesium.<br />

Estrogen deficiency reduces cerebral blood flow (CBF), which is corrected by ERT,<br />

and by physiologic levels <strong>of</strong> progesterone, which enhance cerebral artery<br />

magnesium uptake. Poor CBF can decrease clearance <strong>of</strong> beta-amyloid, a pathogenic<br />

factor in Alzheimer’s disease. <strong>Magnesium</strong>’s anticonstrictive effect is mediated by<br />

several mechanisms. It is a natural calcium blocker, it increases prostacyclin<br />

secretion, and it modulates nitric oxide synthesis and release. It also has<br />

neuroprotective effects that have improved recovery in brain-traumatized animals<br />

and that are being applied in stroke victims. Brain trauma or ischemia lower<br />

magnesium brain levels, resulting in malfunction <strong>of</strong> key enzymes involved in energy<br />

and nucleic acid metabolism, and in protein synthesis. <strong>Magnesium</strong> stabilizes<br />

phospholipid components <strong>of</strong> cell membranes, protects against cellular disruption, and<br />

counteracts initiation <strong>of</strong> secondary neurochemical changes and altered<br />

neurotransmitter release, and free radical production.


3<br />

The influence <strong>of</strong> some antipsychotic drugs on erythrocyte and plasmatic<br />

magnesium level and <strong>of</strong> other bivalent cations<br />

M. Nechifor 1 , C. Vaideanu 1 , I. Palamaru 2 , C. Borza 3 , I. Mindreci 4 , 1.Department <strong>of</strong><br />

Pharmacology; 2.Institute <strong>of</strong> Hygiene Public Health; 3.Department <strong>of</strong> Psychiatry; 4.<br />

Department <strong>of</strong> Biophysics, Iasi, Romania. nechifor@umfiasi.ro<br />

The aim <strong>of</strong> the study was to investigate the influence <strong>of</strong> haloperidol (4-10 mg/day)<br />

and risperidone (Rispolept) (4-6 mg/day) on the plasmatic concentrations <strong>of</strong><br />

magnesium, calcium, copper and zinc, and on the erythrocyte magnesium level. We<br />

determined the cations levels before the hospitalized adult patients received any<br />

therapy and after 3 weeks <strong>of</strong> therapy. Our data indicate a lower erythrocyte<br />

magnesium in schizophrenics before treatment compared to the level found in<br />

controls (4,82±0,02 mg/dl in schizophrenic patients before treatment versus<br />

5,82±0,11 mg/dl in control group, p


4<br />

Effects <strong>of</strong> magnesium on blood-brain barrier breakdown and brain edema in<br />

septic rats<br />

Tulin Erdem M.D., Damla Aktan M.D., Ayse Erturer M.D., Mukadder Orhan M.D.,<br />

Nahit Cakar M.D, Figen Esen M.D. University Of Istanbul Medical Faculty,<br />

Department Of Anesthesiology And Intensive, Care Istanbul, Turkey.<br />

Erdentn@yahoo.com<br />

INTRODUCTION: Encephalopathy is a common complication <strong>of</strong> sepsis whose<br />

severity correlates with mortality. Its now accepted that changes in the blood-brain<br />

barrier (BBB) permeability plays a critical role in the pathophysiology <strong>of</strong> septic<br />

encephalopathy. In this study, we determined the BBB permeability and brain edema<br />

formation after abdominal sepsis produced by intraperitoneal implantation <strong>of</strong> a fibrin<br />

thrombin cloth containing Escherichia coli, and effects <strong>of</strong> magnesium administration<br />

on blood-brain barrier (BBB) and brain edema in septic rats.<br />

METHODS: Experimental sepsis was induced in Sprague-Dawley rats by fibrinthrombin<br />

cloth infected with 1,8x109 cfu/ml by McFarland standart 6 E.coli, injected<br />

into the peritoneal cavity. The animals were randomly assigned to receive an<br />

intramuscular bolus <strong>of</strong> either 270 mg/kg magnesium sulphate (G-5, n=22) or equal<br />

volume <strong>of</strong> saline (G-2, n=22) 30 minutes after the induction <strong>of</strong> sepsis or 270 mg/kg<br />

magnesium sulphate (G-4, n=23) 30 minutes before the induction <strong>of</strong> sepsis.<br />

Nonseptic animals received saline (G-1, n=15) or magnesium sulphate (G-3, n=14)<br />

with an identical protocol. BBB permeability was evaluated quantitatively 24 hours<br />

after the induction <strong>of</strong> sepsis by spectrophotometric assay <strong>of</strong> Evans Blue dye (EBD)<br />

extravasations. Specific gravity as an indicator <strong>of</strong> brain edema was measured 24<br />

hours after the induction <strong>of</strong> sepsis.<br />

RESULTS: Extravasation <strong>of</strong> EBD was evident in both hemispheres in three sepsis<br />

groups (in group G-2, in group G-4, and in group G-5). Evans Blue dye content <strong>of</strong><br />

both hemispheres revealed a significant decrease in magnesium treated sepsis<br />

group compared to saline treated sepsis group (in group G-4, and in group G-5)<br />

(p0,05).<br />

CONCLUSION: The present results indicate that BBB permeability defect occurs<br />

after an intraperitoneal infected fibrin-thrombin cloth delivered model <strong>of</strong> sepsis and<br />

magnesium seems to attenuate this defect


5<br />

<strong>Magnesium</strong>-Vit B6 intake reduces central nervous hyperexcitability in children<br />

*Mousain-Bosc M., **Roche M., °Rapin J.R., **Bali J.P. Departments <strong>of</strong> *Pediatry<br />

and<br />

**Biochemistry, CHU Nimes, 30029 NIMES CEDEX, France, °Department <strong>of</strong><br />

Pharmacology, Faculty <strong>of</strong> Medecine, University <strong>of</strong> Bourgogne, DIJON, France.<br />

jean.pierre.bali@chu-nimes.fr<br />

It has long been shown that Mg2+ depletion in mice causes hyperexcitability with<br />

convulsive seizures; these effects were reversed by treatment with association <strong>of</strong><br />

magnesium-vit B6. Besides metabolic disorders, some genetic alterations could be<br />

suspected in this pathology in which intracellular Mg2+ transport and storage may be<br />

reduced without change in serum Mg2+ concentrations. In order to evaluate the<br />

incidence <strong>of</strong> Mg2+/vitamin B6 regimen in the behaviour <strong>of</strong> hyperexcitable children,<br />

we investigated on 52 children [0-15 years] and their family. To assess intracellular<br />

Mg2+, we measured intra-erythrocyte Mg2+ levels (ERC-Mg). In our hands,<br />

reference values for normal subjects were in the range [2.46 - 2.72 mmol/L]. In these<br />

children, ERC-Mg values were lowered in 30/52 cases (2.041+/-0.279 mmol/L) and<br />

Mg2+/vit B6 treatment (100 mg/day) for some weeks (3 to 24) restored normal ERC-<br />

Mg values (2.329+/-0.386 mmol/L). In all patients, symptoms <strong>of</strong> hyperexcitability<br />

(physical aggressivity, instability, scholar attention, hypertony, spasm, myoclony)<br />

were reduced after 1 to 6 months <strong>of</strong> treatment. In addition, it must be noted that other<br />

members <strong>of</strong> the same family shared similar symptoms with low ERC-Mg values and<br />

Mg2+/vit B6 treatment also improved their clinical state. The case <strong>of</strong> two typical<br />

families will be described. In conclusion, it can be postulated from this open study<br />

that hyperexcitable children showed low ERC-Mg with normal serum Mg2+ values;<br />

Mg2+/vit B6 intake restores normal ERC-Mg levels and improves the abnormal<br />

behaviour <strong>of</strong> these children.


6<br />

Effect <strong>of</strong> magnesium on neural activities in rat cortex and hippocampus in vitro<br />

Keiichi Torimitsu, Nahoko Kasai, Yasuhiko Jimbo, Yuriko Furukawa, NTT Basic<br />

Research Laboratories, Atsugi, Kanagawa, Japan. torimitu@will.brl.ntt.co.jp<br />

Effect <strong>of</strong> magnesium on neural activities was investigated in rat cortex and<br />

hippocampus in vitro. Measurements have been carried out for dissociated cell<br />

cultures and slice preparations under low magnesium conditions. Electrical bursts,<br />

calcium transients and glutamate release were investigated. 64-channel ITO<br />

microelectrode array (electrode size: 10-20 µm square) and fluorescent<br />

potentiometry with flow-cytometer were used for electrical measurement. Fluo-4 was<br />

used for intracellular calcium measurement with two photon laser microscope.<br />

Transient changes <strong>of</strong> glutamate release were investigated using an enzyme-based<br />

electrochemical detection method. The method includes glutamate oxidase,<br />

horseradish peroxidase and electron transfer mediator with the microelectrode array<br />

described above. Embryonic cortical neurons (E18) were dissociated with papain and<br />

cultured for 2-3 weeks in the medium containing DMEM and heat-inactivated serum.<br />

Hippocampal slices were obtained from a P8 Wistar rat and cultivated on a porous<br />

membrane for 7days. Spontaneous activities <strong>of</strong> the neurons were activated by a low<br />

magnesium medium (LMGM). The LMGM induced a transient increase in glutamate<br />

release and frequency modulation <strong>of</strong> intracellular Ca transients. Spatial distribution <strong>of</strong><br />

their activities was measured and imaged. In hippocampal slices, the responses<br />

were differed among the area. Synaptic activities seem to be modulated by the<br />

extracellular magnesium concentrations. Role <strong>of</strong> NMDA receptor and the mechanism<br />

<strong>of</strong> magnesium modulation <strong>of</strong> synaptic activity have been considered. ATP<br />

involvement in the synaptic modulation will also be discussed.


7<br />

<strong>Magnesium</strong> gluconate <strong>of</strong>fers no more protection than magnesium sulphate<br />

following diffuse traumatic brain injury in rats<br />

Renee J. Turner, Katherine W. DaSilva, Christine O’Connor, Corinna van den Heuvel<br />

and Robert Vink. Department <strong>of</strong> Pathology, University <strong>of</strong> Adelaide, Adelaide, SA,<br />

Australia Robert.Vink@adelaide.edu.au<br />

Previous studies have demonstrated that magnesium salts, including the sulphate<br />

and chloride forms, are neuroprotective following traumatic brain injury (TBI) 1 .<br />

Recently, studies in cardiac ischaemia/reperfusion injury have demonstrated that the<br />

gluconate salt <strong>of</strong> magnesium may provide superior protection against oxidative<br />

damage and postischaemic dysfunction than MgSO4 2 . We have therefore compared<br />

the efficacy <strong>of</strong> both MgSO4 and magnesium gluconate (MgGl2) on outcome following<br />

diffuse TBI in rats. Adult male Sprague-Dawley rats were injured using the 2-metre<br />

impact acceleration model <strong>of</strong> diffuse TBI as previously described 1 . At 30 min after<br />

injury, animals were administered with either 250µmoles/kg i.v. MgSO4, MgGl2, or<br />

equal volume saline vehicle. Thereafter, animals were assessed for motor and<br />

cognitive outcome using the rotarod and Barnes maze, respectively. Treatment with<br />

either magnesium salt significantly improved functional outcome as compared to<br />

vehicle treated controls. There were no significant differences between the<br />

magnesium treated groups. We conclude that MgSO4 and MgGl2 are equally<br />

neuroprotective following TBI. Our results suggest that MgGl2 may only be more<br />

effective in conditions that produce ischaemia, where high concentrations <strong>of</strong> reactive<br />

oxygen species are generated.<br />

1. Heath, D.L. and Vink, R. (1999) J. Pharmacol. Exp. Ther. 288: 1311-1316.<br />

2. Murthi, S.B., Wise, R,M., Weglicki, W.B., Komarov, A.M. and Kramer, J.H.<br />

(2003) Mol. Cell. Biochem. 45: 141-148.


8<br />

<strong>Magnesium</strong> transport genes in yeast and plants<br />

Richard Gardner, Jong-min Lee, Keith Richards, Salam Salih, Paul Donaldson*, Van<br />

Kelly, Revel Drummond, 'Ana Tutone, School <strong>of</strong> Biological Sciences (or *Faculty <strong>of</strong><br />

Medical and Health Sciences), University <strong>of</strong> Auckland, Private Bag 92019, Auckland,<br />

New Zealand. r.gardner@auckland.ac.nz<br />

The magnesium uptake system in yeast consists <strong>of</strong> two homologous genes, ALR1<br />

and ALR2 (named because overexpression confers aluminium resistance). The ALR<br />

genes encode proteins homologous to the bacterial CorA family <strong>of</strong> magnesium<br />

transporters. Mutagenesis <strong>of</strong> ALR1 has shown that the region <strong>of</strong> the protein<br />

containing the three putative transmembrane domains is essential for its function, in<br />

accord with results from the bacterial CorA gene. Initial electrophysiological analysis<br />

<strong>of</strong> ALR1 suggests that it acts as a channel and that it mediates both inward and<br />

outward movement <strong>of</strong> magnesium ions. Mg-dependent inward currents are transient<br />

and operate only at high negative membrane potential. We previously showed that<br />

aluminium ions (Al3+) block uptake <strong>of</strong> cations by ALR1, and suggested that this may<br />

be the mechanism by which this environmental toxin inhibits growth <strong>of</strong> yeast cells.<br />

Comparison <strong>of</strong> aluminium treatment and magnesium starvation <strong>of</strong> yeast has provided<br />

experimental support for this idea. Recently a gene family <strong>of</strong> ten CorA homologues<br />

have been identified in the higher plant Arabidopsis thaliana. Initial evidence<br />

suggests that the different proteins may be localised to different cellular<br />

compartments.


9<br />

Molecular biology <strong>of</strong> magnesium transport proteins<br />

Matin Piskacek*, Jochen Stadler*, Martin Kolisek*, Gabor Zsurka*, Julian<br />

Weghuber*, Monika Schweigel**, Rudolf J. Schweyen*. * Vienna Biocenter, Institute<br />

<strong>of</strong> Microbiology and Genetics, University <strong>of</strong> Vienna, Dr. Bohrgasse, A-1030 Vienna,<br />

Austria; ** Free University Berlin, Institute <strong>of</strong> Veterinary-Physiology, Oertzenweg 19b,<br />

D-14163 Berlin, Germany. rudolf.schweyen@univie.ac.at<br />

We have recently characterized a mitochondrial protein (named Mrs2p) as<br />

constituting the major mitochondrial Mg2+ transport protein in the yeast<br />

Saccharomyces cerevisiae. Combined physiology and molecular studies suggest<br />

that it forms a channel in the inner mitochondrial membrane mediating high capacity<br />

Mg2+ influx, driven by the inside negative membrane potential. This protein is a<br />

distant homologue <strong>of</strong> the bacterial CorA Mg2+ transport protein and it has well<br />

conserved homologues in all eukaryotes. The human genome encodes a single Mrs2<br />

homologue. Work is in progress to characterize its role in Mg2+ influx into<br />

mitochondrial DNA by using cell cultures overexpressing hsMrs2p and cell cultures<br />

with knock-down <strong>of</strong> its mRNA.


10<br />

Mg2+ transport proteins <strong>of</strong> the yeast plasma membrane and cytoplasmic<br />

homeostasis factors<br />

Jochen Stadler, Anton Graschopf, Stefan Köstler, Rudolf J, Schweyen. Max Perutz<br />

Laboratories, Department <strong>of</strong> Microbiology and Genetics / University <strong>of</strong> Vienna,<br />

Campus Vienna Biocenter Dr. Bohrgasse 9, A-1030 Vienna, Austria.<br />

rudolf.schweyen@univie.ac.at<br />

The major Mg2+ influx into yeast cells is mediated by Alr1p, an integral protein <strong>of</strong> the<br />

plasma membrane. Alr1p is a distant relative <strong>of</strong> the bacterial CorAp and<br />

mitochondrial Mrs2p Mg2+ transport proteins. Like these proteins, Alr1p appears to<br />

form oligomeric complexes in the plasma membrane, which probably constitute<br />

Mg2+ channels. Regulation <strong>of</strong> Mg2+ fluxes into the cell is mediated by transcriptional<br />

control <strong>of</strong> the ALR1 gene and, more importantly, by Alr1p endocytosis and<br />

degradation in the vacuole. A novel factor, Cos16p, has been identified as being an<br />

integral protein <strong>of</strong> the endoplasmic reticulum (ER) and essential for tolerance <strong>of</strong><br />

yeast cells to elevated extracellular Mg2+ concentrations. Unlike Alr1p, which occurs<br />

in lower eukaryotes only, Cos16p is well conserved from yeast to man. Its<br />

overexpression or absence in yeast cells causes a decrease or increase,<br />

respectively <strong>of</strong> total cellular Mg2+ concentrations. We speculate on the involvement<br />

<strong>of</strong> Cos16p in the Mg2+ exchange between the endoplasmic reticulum and the<br />

cytoplasm. As revealed from whole genome expression pr<strong>of</strong>iling, Mg2+ starvation <strong>of</strong><br />

yeast cells elicits a highly significant upshift <strong>of</strong> gene activities by the calcineurin<br />

pathway, similar to Ca2+ overload. Work is in progress to learn which regulatory<br />

mechanisms are involved in this response.


11<br />

The pathogenesis <strong>of</strong> Machado-Josephs Disease; a high manganese / low<br />

magnesium induced CAG expansion mutation in susceptible genotypes?<br />

Mark Purdey. High Barn Farm, Elworthy, Taunton, Somerset, Ta43px, UK.<br />

Tsepurdey@aol.com<br />

The origins <strong>of</strong> the progressive spinocerebellar ataxic disorder ‘Machado Josephs<br />

Disease’ (MJD) has been solely attributed to an autosomal dominant inheritance <strong>of</strong><br />

an expansion mutation in the CAG repeat in chromosome 14q32.1; a mutation that<br />

has purportedly been disseminated widely since the Middle Ages into Azorean,<br />

Dutch and Makassan communities by an international trading community <strong>of</strong><br />

Sephardic Jews based in NE-central Portugal. However, the majority <strong>of</strong> the families<br />

implicated in the increasing number <strong>of</strong> familial MJD clusters being observed around<br />

the world - in Aboriginal, African, Asian and Yemeni families - cannot be connected<br />

back to the Portuguese originators. An analytical study <strong>of</strong> the isolated ecosystems<br />

supporting both the Portuguese and non-Portuguese MJD affected communities<br />

demonstrate a common abnormal hallmark <strong>of</strong> high manganese / low magnesium<br />

status; suggesting that this aberrant mineral ratio inactivates the Mn / Mg catalysed<br />

endonuclease 1 enzyme in the biosystems <strong>of</strong> those residing in these ecosystems.<br />

Endonuclease activity is crucial for protecting against the expansion / contraction <strong>of</strong><br />

the trinucleotide repeats in the genes that encode for proteins such as Ataxin 3 - the<br />

mutant protein that is central to the pathogenesis <strong>of</strong> MJD. It is proposed that MJD,<br />

and, possibly the other more common expansion mutation diseases such as<br />

Friedrich's Ataxia / Huntingdon's Chorea, are multifactorial diseases caused by a<br />

hitherto unrecognised autosomal dominant inherited failure to regulate Mn / Mg<br />

metabolism in populations dependent upon high Mn / Low Mg ecosystems. Mg<br />

supplementation <strong>of</strong> the 'at risk' populations during the 'in utero' developmental stages<br />

could be all that is required to maintain healthy endonuclease turn over, thereby<br />

protecting MJD susceptible genotypes against this fatal, progressive<br />

neurodegenerative disease.


12<br />

Interest <strong>of</strong> stable isotopes use in the evaluation <strong>of</strong> Mg metabolism<br />

Charles Coudray, Christine Feillet-Coudray, André Mazur and Yves Rayssiguier,<br />

INRA, Clermont-Ferrand/Theix France. coudray@clermont.inra.fr<br />

<strong>Magnesium</strong> (Mg) is a biologically essential mineral and Mg deficiency is known to<br />

lead to severe biochemical and symptomatic disorders. Radioactive isotopes and,<br />

more recently stable isotopes, have been used as research tools to determine<br />

intestinal Mg absorption in man and animal under different nutritional and<br />

physiological conditions. Mg isotopes are given orally or orally plus intravenously and<br />

determined in feces and/or in plasma and urine to calculate intestinal Mg absorption<br />

and possibly endogenous Mg excretion. Mg isotopes have been used to assess Mg<br />

exchangeable pools under nutritional and physio-pathological conditions. Mg<br />

isotopes are given intravenously and determined in plasma and urine to calculate the<br />

size and the half-life <strong>of</strong> the different Mg exchangeable pools. Mg isotopes have been<br />

also used to study the mechanisms <strong>of</strong> Mg cellular exchanges. For that, erythrocytes<br />

or other types <strong>of</strong> cells is loaded with Mg isotope or incubated in isotope-rich medium<br />

to study the flux <strong>of</strong> Mg and its mechanisms. More recently, new in vitro tests have<br />

been developed to study the avidity <strong>of</strong> cells for Mg in different nutritional and genetic<br />

conditions. Whole blood is incubated with Mg isotopes and isotopic blood cell<br />

enrichment is measured which reflects the need <strong>of</strong> cell to Mg and thus its initial<br />

status. The present paper is a report concerning the use <strong>of</strong> Mg stable isotopes and<br />

their advantages in these different fields <strong>of</strong> Mg absorption and metabolism. Available<br />

studies demonstrated clearly that stable isotopes are a useful research tool for<br />

determining intestinal Mg absorption and a precious research tool for Mg cellular<br />

exchanges and exchangeable Mg pools exploration to evaluate Mg status.


13<br />

Effects <strong>of</strong> intracellular concentrations <strong>of</strong> Na+ and Mg2+ on Mg2+ transport in<br />

rat ventricular myocytes<br />

Masato Konishi, Michiko Tashiro and Pulat Tursun. Department <strong>of</strong> Physiology, Tokyo<br />

Medical University, Shinjuku-ku Tokyo, Japan. mkonishi@tokyo-med.ac.jp<br />

To study cellular Mg2+ transport, cytoplasmic Mg2+ concentration ([Mg2+]i) <strong>of</strong> rat<br />

ventricular myocytes was measured with a fluorescent indicator furaptra (mag-fura-2)<br />

under Ca2+-free conditions at 25°C. After [Mg2+]i was increased in the solution<br />

containing 24-93 mM Mg2+, the reduction <strong>of</strong> extracellular Mg2+ to 1 mM caused a<br />

rapid decrease in [Mg2+]i only in the presence <strong>of</strong> extracellular Na+ (extracellular<br />

Na+-dependent Mg2+ efflux). The rate <strong>of</strong> decrease in [Mg2+]i (d[Mg2+]i) was<br />

significantly greater at the higher initial levels <strong>of</strong> [Mg2+]i, and was nearly zero at the<br />

basal levels; the efflux was half activated at 1.4 mM [Mg2+]i with a maximum<br />

d[Mg2+]i <strong>of</strong> 0.0022 mM/s. We then studied intracellular Na+-dependence <strong>of</strong> the Mg<br />

efflux by comparing d[Mg2+]i under different levels <strong>of</strong> intracellular Na+ concentration<br />

([Na+]i). After 1 mM ouabain treatment in the solution containing 106 mM Na+ for 3<br />

hours, average [Na+]i estimated with a fluorescent indicator SBFI was increased<br />

from 12 mM to 48 mM (Na+-loaded cells). On the other hand, low extracellular Na+<br />

concentration (1.3 mM) caused a decrease in [Na+]i to about 0 mM in 3 hours (Na+depleted<br />

cells). The average d[Mg2+]i was significantly smaller in the Na+-loaded<br />

cells. In some experiments, the myocytes were voltage clamped at -80 mV using the<br />

perforated patch-clamp technique with amphotericin B. We found that the increase<br />

in pipette Na+ concentration from 0 mM to 130 mM significantly decreased d[Mg2+]i.<br />

The results are consistent with the Mg2+ efflux activity driven by the [Na+] gradient<br />

across cell membrane, or the Na+-Mg2+ exchange.


14<br />

Depletion <strong>of</strong> intracellular Mg2+ via Na+-independent passive Mg2+ pathways<br />

Shinsuke Nakayama, Hideki Nomura, Lorraine M. Smith, Joseph F. Clark*, Tadayuki<br />

Uetani# & Tatsuaki Matsubara, #Department <strong>of</strong> Cell Physiology, and #Department <strong>of</strong><br />

Metabolic Diseases, Nagoya University Graduate School <strong>of</strong> Medicine, Aichi, Nagoya<br />

466-8550, Japan, and *Department <strong>of</strong> Neurology, University <strong>of</strong> Cincinnati Medical<br />

Center, Cincinnati OH 45267-0525, USA. h44673a@nucc.cc.nagoya-u.ac.jp<br />

Epidemiological studies suggest that magnesium deficiency is correlated to many<br />

important diseases, e.g. diabetes mellitus, hypertension, cardiovascular and<br />

cerebrovascular diseases. We employed 31P-nuclear magnetic resonance in the<br />

guinea-pig taenia caeci, which is a smooth-muscle-rich tissue and can be used a<br />

good model for studying regulatory mechanisms for the intracellular free Mg2+<br />

concentration ([Mg2+]i). [Mg2+]i was estimated from the chemical shifts <strong>of</strong> the ATP<br />

peaks. Simultaneous removal <strong>of</strong> Mg2+ and Ca2+ from the extracellular medium,<br />

rapidly decreased [Mg2+]i (by ~30-fold after 100 min) even when extracellular Na+<br />

was replaced with K+. This suggests the presence <strong>of</strong> Na+-independent Mg2+<br />

pathways (i.e. Mg2+ pathways other than Na+-Mg2+ exchange) blocked by divalent<br />

cations. In contrast to K+ substitution, when extracellular Na+ was substituted with<br />

large monovalent cations, such as NMDG (N-methyl-D-glucamine) or choline,<br />

simultaneous removal <strong>of</strong> divalent cations decreased [Mg2+]i only very slowly. In Li+<br />

substitution for Na+, changes in the chemical shifts <strong>of</strong> the ATP peaks were also<br />

small. Application <strong>of</strong> calibration curves for a Li+-rich solution however reveled a<br />

significant [Mg2+]i fall comparable to that in the K+ substitution. The properties <strong>of</strong><br />

LTRPC7, newly identified as a Mg2+- and Ca2+-permeable divalent cation channel,<br />

can account for the depletion <strong>of</strong> intracellular Mg2+ seen in this study under Na+-free<br />

conditions.


15<br />

Set point shift <strong>of</strong> the intracellular Mg2+ concentration with amiloride and KB-<br />

R7943 in vascular smooth muscle<br />

Uetani Tadayukik, Yukihisa Hamaguchi, Yasushi Tatematsu, Shinsuke Nakayama.<br />

Department <strong>of</strong> Cell Physiology, Nagoya University Graduate School <strong>of</strong> Medicine,<br />

Nagoya, Japan. h44673a@nucc.cc.nagoya-u.ac.jp<br />

It has been suggested that intracellular free magnesium concentration ([Mg2+]i) is<br />

regulated by Na+-Mg2+ exchange. It is interesting to examine the effect <strong>of</strong> amiloride<br />

which inhibits many Na+-dependent transporters, in terms <strong>of</strong> [Mg2+]i regulation in<br />

vascular smooth muscle. We measured the intracellular free Mg2+ concentration<br />

([Mg2+]i) using 31P NMR in pig carotid artery smooth muscle. In normal solution,<br />

application <strong>of</strong> amiloride (1 mM) decreased [Mg2+]i by~12% after 100 min.<br />

Subsequent washout tended to further decrease [Mg2+]i. In contrast, application <strong>of</strong><br />

amiloride significantly increased [Mg2+]i (by~13% after 100 min) under Ca2+-free<br />

conditions, where passive Mg2+ influx is facilitated. The treatments had little effect<br />

on intracellular ATP and pH (pHi). Essentially the same results were reproduced with<br />

KB-R7943, a selective blocker <strong>of</strong> reverse mode Na+-Ca2+ exchange. Application <strong>of</strong><br />

dimethyl amiloride (0.1 mM) in the presence <strong>of</strong> Ca2+ hardly changed [Mg2+]i,<br />

although it inhibited Na+-H+ exchange at the same concentration. Removal <strong>of</strong><br />

extracellular Na+ caused a marginal increase in [Mg2+]i after 100~200 min, as seen<br />

in intestinal smooth muscle in which Na+-Mg2+ exchange is known to be the primary<br />

mechanism <strong>of</strong> maintaining a low [Mg2+]i against electro-chemical equilibrium. In<br />

Na+-free solution (containing Ca2+), amiloride did not increase, but rather increased<br />

[Mg2+]i. The results suggest that Na+-Mg2+ exchange play a crucial role in<br />

determining [Mg2+]i in vascular smooth muscle cells. We supposed that the<br />

decrease in [Mg2+]I caused by amiloride is associated with inhibition <strong>of</strong> Mg2+<br />

uptake. It has been suggested that KB-R7943 inhibits not only Na+/Ca2+ exchange<br />

but also Na+/ Mg2+ exchange.


16<br />

<strong>Magnesium</strong> and the inflammatory response: potential physiological and<br />

clinical implications<br />

Rayssiguier Yves, Mazur André. INRA, UMMM Theix, St Genes Champanelle,<br />

France. yves.rayssiguier@clermont.inra.fr<br />

Inflammation is a biological response <strong>of</strong> the immune system to a variety <strong>of</strong><br />

aggressions but a damaging effect occurs when the initial response becomes<br />

amplified and then dysregulated. Excessive response may be, for instance, involved<br />

in diseases such as atherosclerosis, diabetes, cerebral and myocardial ischemia,<br />

septic shock syndrome, severe trauma or skeletal fragility. Experimental magnesium<br />

deficiency in the rat induces after few days a clinically inflammatory syndrome<br />

characterized by PMN and macrophage activation, release <strong>of</strong> inflammatory cytokines<br />

and acute phase proteins, and excessive production <strong>of</strong> free radicals. Mg-deficient<br />

females have a greater degree <strong>of</strong> protection against inflammation and oxidative<br />

damage than Mg-deficient males suggesting that different physiological background<br />

created by the female sex steroid hormones may <strong>of</strong>fer some protection against these<br />

conditions. The effect <strong>of</strong> various Mg concentrations on ROS production was<br />

investigated in vitro. Increasing concentration <strong>of</strong> Mg was shown to decrease PMN<br />

respiratory burst. Similar observations were made using rat and human PMN.<br />

Moreover, in vitro cytokine production by whole blood from human volunteers was<br />

decreased by high Mg concentration. Thus, increasing external Mg concentration<br />

decreases inflammatory response while a reduction in the extracellular Mg<br />

concentration results in cell activation. Because Mg acts as a natural Ca antagonist,<br />

the molecular basis for inflammatory response in Mg deficiency is probably the result<br />

<strong>of</strong> modulation <strong>of</strong> intracellular Ca concentration. This review will summarize recent<br />

findings supporting the role <strong>of</strong> inflammatory processes in Mg deficiency and will<br />

discuss why Mg is therapeutically effective.


17<br />

<strong>Magnesium</strong> Sulfate- a role in the management <strong>of</strong> Irukandji Syndrome?<br />

Michael Corkeron, Intensive Care Unit, The Townsville Hospital, Townsville, Qld,<br />

4814 Australia. Michael_Corkeron@health.qld.gov.au<br />

Irukandji Syndrome is characterised by pain, a hyperadrenergic state and not<br />

infrequently, markers <strong>of</strong> myocardial injury. It affects approximately 100 individuals per<br />

year in Northern Australia and its severity ranges from troublesome to lifethreatening;<br />

two individuals are known to have died from complications <strong>of</strong> severe<br />

hypertension. Treatment is symptomatic, and <strong>of</strong>ten less than satisfactory for victims<br />

and their carers.<br />

The culprit organisms are known to be carybdeid jellyfish; the best known <strong>of</strong> these is<br />

Carukia barnesi, though several species are thought to be implicated. The<br />

mechanisms <strong>of</strong> venom action in irukandji syndrome are incompletely understood and<br />

there remains considerable debate as to these. In a piglet model noradrenaline levels<br />

increase several hundredfold after experimental envenoming by C. barnesi tentacle<br />

extract.<br />

<strong>Magnesium</strong> sulfate has been used in a number <strong>of</strong> patients with Irukandji Syndrome<br />

during 2003, either as monotherapy or in conjunction with other agents. Experience<br />

with this treatment and future research directions in this area are described.


18<br />

The effect <strong>of</strong> magnesium deficiency on primary tumour growth and the<br />

effectiveness <strong>of</strong> antitumour treatment in transplantable murine cancers<br />

Anna Nasulewicz 1,2 , Joanna Wietrzyk 1 , Yves Rayssiguier 2 , André Mazur 2 , Adam<br />

Opolski 1 , 1 Institute <strong>of</strong> Immunology and Experimental Therapy, Polish Academy <strong>of</strong><br />

Sciences, 12, R. Weigla St., 53-114 Wroclaw, Poland, 2 CRNH d'Auvergne, Unité<br />

Maladies Métaboliques et Micronutriments, INRA, Theix, 63122 St Genès<br />

Champanelle, France. nasulewicz@iitd.pan.wroc.pl<br />

The aim <strong>of</strong> this work was to examine the relationship between Mg status and tumour<br />

growth in mice. The results show a significant retardation <strong>of</strong> primary tumour growth in<br />

mice receiving Mg-deficient diet by: 60% for Lewis lung carcinoma (LLC), 57% for<br />

colon adenocarcinoma (C38), 75% for mammary carcinoma (16/C) and 30% for<br />

melanoma (B16) comparing to the control diet fed group. Mg depletion followed by<br />

repletion leads to the significant increase <strong>of</strong> primary LLC tumour burden (142% <strong>of</strong> the<br />

control tumour weight). Even if long-term Mg deficiency results in marked decrease<br />

<strong>of</strong> Mg concentration in plasma, Mg concentration in tumour cells is weakly affected.<br />

Mg depletion leads to changes in gene expression in LLC cancer cells. The study <strong>of</strong><br />

differential gene expression by cDNA array has shown that several genes are<br />

regulated by Mg deficiency (up-regulated: vitamin D 24-hydroxylase, glycoprotein V,<br />

titin and gelsolin; down-regulated: APC, fyn, JNK 3, metalloproteinase 9, laminin<br />

subunit, integrin and FGFR1). Moreover, we have shown that Mg depletion enhances<br />

the efficacy <strong>of</strong> antitumour treatment. The life span <strong>of</strong> P388 leukaemia-bearing mice,<br />

kept on Mg-deficient diet and treated with doxorubicin, was higher then those <strong>of</strong><br />

identically treated animals, which were fed control diet (133% vs. 99% as compared<br />

to the control untreated group kept on Mg-sufficient diet).


19<br />

Investigation <strong>of</strong> intracellular magnesium mobilization pathways in PC12 cells<br />

by simultaneous Mg-Ca fluorescent imaging<br />

Takeshi Kubota 1 , Hirokazu Komatsu 4 , Yutaka Shindo 2 , Kentaro Tokuno 2 , Yoshiichiro<br />

Kitamura 1 , Hiroto Ogawa 3 , Koji Suzuki 4 , and Kotaro Oka 1 , 1 Center for Life Science<br />

and Technology, Keio University, Yokohama, Japan, 2 Department <strong>of</strong> System Design<br />

Engineering, Keio University, Yokohama, Japan, 3 Department <strong>of</strong> Biology, Saitama<br />

Medical School, Saitama, Japan, 4 Department <strong>of</strong> Applied Chemistry, Keio University,<br />

Yokohama, Japan. kubota@bpni.bio.keio.ac.jp<br />

Intracellular Mg2+ concentration shows dynamic change in response to various<br />

extracellular stimuli in excitable cells, and it suggests that the concentration change<br />

plays important roles in intracellular signal transduction. To clarify the role <strong>of</strong><br />

intracellular Mg2+ and Ca2+ during stimulation, we examined the correlation <strong>of</strong> these<br />

divalent cations in PC12 cells by fluorescent imaging techniques. At first, we<br />

developed a novel fluorescent Mg indicator KMG-104 (Ex = 504 nm, Em = 523 nm).<br />

The dissociation constant (Kd) <strong>of</strong> KMG-104 is 3 mM, near to the intracellular Mg2+<br />

concentration (about 1 mM), and not affected by Ca2+ disturbance. PC12 cells were<br />

double-stained by KMG-104 and a Ca2+ indicator, Fura-Red, and the fluorescences<br />

exited at 480 nm from these dyes were acquired simultaneously with a W-View<br />

optical system with a 535/55 BP (KMG-104) and a 600 LP (Fura-Red) filters,<br />

respectively. When the cells were stimulated with a mitochondrial uncoupler, FCCP<br />

(3 µM), both Mg2+ and Ca2+ increased. After washing the FCCP, Mg2+<br />

concentration returned to the basal level, but Ca2+ concentration did not recover. To<br />

investigate the correlation <strong>of</strong> Ca2+ and Mg2+ mobilization directly, intracellular Ca2+<br />

concentration was increased by photolysis <strong>of</strong> caged-Ca2+. Transient increase <strong>of</strong><br />

Ca2+ caused no Mg2+ concentration change. From these results, we presume Mg2+<br />

mobilization pathway does not correspond with Ca2+ cascades. A plausible source<br />

<strong>of</strong> Mg2+ mobilization is Mg2+ release from intracellular Mg-ATP complex by ATP<br />

consumptions.


20<br />

<strong>Magnesium</strong> attenuates post-traumatic depression/anxiety following diffuse<br />

traumatic brain injury in rats<br />

Lisa Fromm 1 , Deanne L. Heath 1 , Robert Vink 2 and Alan J. Nimmo 1 . 1 School <strong>of</strong><br />

Pharmacy and Molecular Sciences, James Cook University, Townsville, QLD;<br />

2 Department <strong>of</strong> Pathology, University <strong>of</strong> Adelaide, Adelaide SA, AUSTRALIA.<br />

Alan.Nimmo@jcu.edu.au<br />

<strong>Magnesium</strong> has been shown to decline after traumatic brain injury (TBI), and this<br />

decline is thought to be associated with the ensuing neuronal cell death and<br />

subsequent functional impairment. While the effects <strong>of</strong> magnesium on motor and<br />

cognitive deficits have been well studied following TBI, few studies have addressed<br />

post-traumatic depression as an outcome parameter, despite it being a major clinical<br />

problem with an incidence <strong>of</strong> between 6 and 77%. This study investigated the<br />

incidence <strong>of</strong> post-traumatic depression/anxiety in an animal model <strong>of</strong> diffuse TBI, and<br />

also explored the use <strong>of</strong> magnesium sulphate as an interventional treatment. Diffuse<br />

TBI was induced in anaesthetised, adult, male Sprague-Dawley rats (n=32) using the<br />

2 m impact-acceleration model <strong>of</strong> injury. At 30 min after injury, half <strong>of</strong> the animals<br />

received 250µmol/kg i.v. MgSO4 while the other half served as non-treated controls.<br />

Before and for 6 weeks after injury, the open-field, spontaneous activity test was<br />

used to determine post-traumatic depression/anxiety relative to pre-injury. In this<br />

test, animals are placed in a 1 metre square box with 100 squares marked on the<br />

base. The number <strong>of</strong> squares entered in a 5-min period is recorded. Incidence <strong>of</strong><br />

post-traumatic depression/anxiety was defined as the number <strong>of</strong> animals<br />

demonstrating a reduction in spontaneous activity to less than 100 squares in 5 min.<br />

Prior to injury, rats typically entered a mean <strong>of</strong> 201 ± 12 (SEM) squares over a 5 min<br />

observation period. At 1 week after injury, non-treated animals had a mean score <strong>of</strong><br />

62 ± 13. The incidence <strong>of</strong> post-traumatic depression/anxiety in these animals was<br />

61%, which is similar to that observed clinically. In contrast, animals treated with<br />

MgSO4 had a mean activity score <strong>of</strong> 144 ± 23 at 1 week after TBI and an incidence <strong>of</strong><br />

depression/anxiety <strong>of</strong> less that 30%. The significant difference between groups<br />

persisted for the entire 6-week observation period. The improvement in posttraumatic<br />

depression/anxiety conferred by magnesium adds further weight to<br />

available evidence <strong>of</strong> magnesium’s benefit as a neuroprotective agent after TBI.


21<br />

The CorA-Mrs2 superfamily <strong>of</strong> Mg2+ transport proteins in bacteria and<br />

mitochondria<br />

Elisabeth Froschauer 1 , Martin Kolisek 1 , Martin Piskacek 1 , Gabor Zsurka 1 , Julian<br />

Weghuber 1 , Monika Schweigel 2 , Rudolf J. Schweyen 1 . 1 Max Perutz Laboratories,<br />

Department <strong>of</strong> Microbiology and Genetics / University <strong>of</strong> Vienna, Campus Vienna<br />

Biocenter Dr. Bohrgasse 9, A-1030 Vienna, Austria; 2 Free University Berlin,<br />

Institute <strong>of</strong> Veterinary-Physiology, Oertzenweg 19b, D-14163 Berlin, Germany.<br />

rudolf.schweyen@univie.ac.at<br />

The CorA proteins <strong>of</strong> bacteria and the Mrs2 proteins <strong>of</strong> mitochondria are<br />

characterized by the presence <strong>of</strong> two adjacent transmembrane domains. The only<br />

sequence conserved among them (Y/F-G-M-N) is a short motif at the end <strong>of</strong> one <strong>of</strong><br />

these domains. Functional homology <strong>of</strong> these proteins is evident from the fact that<br />

mitochondrial defects <strong>of</strong> Mrs2p lacking yeast cells (mrs2D mutants) are cured by the<br />

expression <strong>of</strong> either the bacterial CorA protein or the human Mrs2 protein. Growth <strong>of</strong><br />

CorA mutant bacterial cells are Mg2+ -dependent, mrs2D yeast cells show<br />

unconditional mitochondrial defects, but stay viable, while human mrs2D cells are<br />

unviable.<br />

Similarity between CorA and Mrs2 proteins further extends to the Mg2+ fluxes across<br />

membranes. By use <strong>of</strong> the fluorescent, Mg2+ -sensitive dye mag-fura 2 we have<br />

recently determined Mg2+ fluxes across bacterial plasma membranes as well as<br />

across yeast and human mitochondrial membranes. The CorA and Mrs2 proteins<br />

mediate rapid, high- capacity influx into bacterial cells and into isolated mitochondria,<br />

respectively. Addition <strong>of</strong> 10 mM Mg2+ to isolated mitochondria can result in an<br />

increase <strong>of</strong> intramitochondrial free Mg2+ by as much as 50% per second, with a<br />

pronounced saturation at about 5 mM in yeast mitochondria. The driving force for<br />

Mg2+ influx by both, CorA and Mrs2 proteins is the high (inside negative) membrane<br />

potential <strong>of</strong> mitochondria and bacteria. Mg2+ influx studies suggest the presence <strong>of</strong><br />

Mg2+ channels in the bacterial and mitochondrial membranes. This notion is<br />

supported by cross-linking studies in yeast and human mitochondrial membranes,<br />

revealing the presence <strong>of</strong> homo-oligomeric Mrs2 protein complexes.


22<br />

Effects <strong>of</strong> Oral <strong>Magnesium</strong> Therapy on Exercise Tolerance, Exercise-Induced<br />

Chest Pain, and Quality <strong>of</strong> Life in Patients with Coronary Artery Disease<br />

Michael Shechter, MD, MA 1,2, C. Noel Bairey Merz, MD 2, Hermann-Georg<br />

Stuehlinger, MD 3, Joerg Slany, MD 4, Otmar Pachinger, MD 5, Burton Silver,<br />

PhD6, and Babeth Rabinowitz, MD 1 From 1 The Heart Institute, Sheba Medical<br />

Center, Tel Hashomer and Tel Aviv University, Israel, 2 Preventive & Rehabilitative<br />

Cardiac Center, Division <strong>of</strong> Cardiology, Department <strong>of</strong> Medicine, Cedars-Sinai<br />

Medical Center and the UCLA School <strong>of</strong> Medicine, Los Angeles, California, USA, 3<br />

Department <strong>of</strong> Emergency Medicine, General Hospital, Vienna, 4 2nd Department<br />

<strong>of</strong> Medicine, KA Rudolfstiftung, Vienna, and 5 Department <strong>of</strong> Cardiology, University<br />

Hospital, Innsbruck, Austria, 6 IntraCellular Diagnostics, Inc., Foster City,<br />

California, USA. shechtes@netvision.net.il<br />

Previous work has demonstrated that magnesium supplementation improves<br />

endothelial function in patients with coronary artery disease (CAD). However the<br />

impact on clinical outcomes, such as exercise-induced chest pain, exercise<br />

tolerance and quality <strong>of</strong> life, has not been established. In a multi-center, multinational,<br />

prospective, randomized, double-blind and placebo-controlled trial, 187<br />

CAD patients (151 men, 36 women, mean ± SD age 63 ± 10 years, age range 42<br />

to 83 years), were randomized to receive either oral magnesium 15 mmol twice<br />

daily (Magnosolv Granulat, total magnesium 365 mg provided as magnesium<br />

citrate, Asta Medica, Vienna, Austria) (n=94) or placebo (n=93) for 6 months.<br />

Symptom-limited exercise testing (Bruce protocol) and quality <strong>of</strong> life questionnaires<br />

were the outcomes measured. Intracellular magnesium levels ([Mg]i) were<br />

assessed in a sub-study <strong>of</strong> 106 consecutive patients from sublingual cells by x-ray<br />

dispersion (EXATM) (normal mean ± SD values 37.9 ± 4.0 mEq/L). <strong>Magnesium</strong><br />

therapy significantly increased [Mg]i in the sub-study at 6 months compared to<br />

placebo (35.5 ± 3.7 versus 32.6 ± 2.9 mEq/L, p=0.0151). <strong>Magnesium</strong> treatment<br />

significantly increased exercise duration time compared to placebo (8.7 ± 2.1<br />

versus 7.8 ± 2.9 minutes, p=0.0075). At 6 months, exercise induced chest pain<br />

was notably less in patients who had received magnesium compared to placebo<br />

(8% versus 21%, p=0.0237), causing severe enough angina to terminate the test in<br />

7% <strong>of</strong> those receiving magnesium, in contrast to 17% <strong>of</strong> placebo group. Quality <strong>of</strong><br />

life parameters had significantly improved in the magnesium group. These findings<br />

suggest that oral magnesium supplementation in CAD patients for 6 months,<br />

results in a significant improvement in exercise tolerance, exercise-induced chest<br />

pain, and quality <strong>of</strong> life, suggesting a potential mechanism whereby magnesium<br />

could beneficially alter outcomes in CAD patients.


23<br />

A prospective non-randomized, open-labeled pilot study investigating the use<br />

<strong>of</strong> magnesium in patients undergoing non-acute percutaneous coronary<br />

intervention with stent implantation<br />

Vladimir Rukshin, M.D., Raul Santos, M.D., Mitch Gheorghiu, M.D., Prediman K.<br />

Shah, M.D., Saibal Kar, M.D., Sriram Padmanabhan, M.D., Babak Azarbal, M.D.,<br />

Vivian T. Tsang, B.S., Raj Makkar, M.D., Bruce Samuels, M.D., Norman Lepor, M.D.,<br />

Ivor Geft, M.D., Steve Tabak, M.D., Mehran Khorsandhi, M.D., Neil Buchbinder,<br />

M.D., Neil Eigler, M.D., Bojan Cercek, M.D., Keta Hodgson, R.N., and Sanjay Kaul,<br />

M.D.<br />

From the Vascular Physiology and Thrombosis Research Laboratory <strong>of</strong> the<br />

Atherosclerosis Research Center, the Burns and Allen Research Institute, the<br />

Division <strong>of</strong> Cardiology and the Department <strong>of</strong> Medicine, Cedars-Sinai Medical Center<br />

and UCLA School <strong>of</strong> Medicine, Los Angeles, California, USA. kaul@cshs.org<br />

BACKGROUND - <strong>Magnesium</strong> has recently been shown to inhibit acute stent<br />

thrombosis in animal models. This study tested the feasibility <strong>of</strong> magnesium<br />

administration in patients undergoing non-acute percutaneous coronary intervention<br />

(PCI) with stent implantation.<br />

METHODS - Twenty-one patients undergoing non-emergent PCI were enrolled and<br />

received intravenous MgSO4 (2g bolus over 20 minutes pre-PCI followed by 14g<br />

over 12 hours infusion). Endpoints: safety outcomes - hypotension, bradycardia,<br />

bleeding complications and heart block within first 24 hours; angiographic outcomes -<br />

acute thrombotic occlusion and need for platelet GP IIb/IIIa inhibitor (GPI) bailout;<br />

and clinical outcomes - death, myocardial infarction (MI), recurrent ischemia and<br />

need for urgent revascularization at 48 hours and 30 days.<br />

RESULTS - No significant effects on heart rate or blood pressure, major bleeding<br />

complication or new ECG changes were observed. Angiographic thrombus was<br />

visualized in 2 cases, and coronary artery dissection in 1 case post-stent<br />

deployment. None <strong>of</strong> these cases required the use <strong>of</strong> GPI for bailout. Death, MI,<br />

recurrent ischemia and need for urgent revascularization were not observed. Serum<br />

magnesium level increased from 2.1+0.3 at baseline to 3.5+0.8 mg/dL at the end <strong>of</strong><br />

infusion (P


24<br />

Optimal administration dosage <strong>of</strong> magnesium sulfate for torsades de pointes<br />

in children with long QT syndrome<br />

Kenji Hoshino, Kiyoshi Ogawa, Takashi Hishitani, Yoshikatsu Etoh*. Department <strong>of</strong><br />

Pediatric Cardiology, Saitama Children's Medical Center, Iwatsuki City, Saitama,<br />

Japan, * Department <strong>of</strong> Pediatrics, the Jikei University School <strong>of</strong> Medicine.<br />

a0182608@pref.saitama.jp<br />

BACKGROUND: Administration <strong>of</strong> magnesium sulfate (MgSO4) is a very effective<br />

and safe treatment for torsades de pointes (TdP) associated with acquired long QT<br />

syndrome (LQTS) in adults. We discussed the efficacy <strong>of</strong> MgSO4 for TdP in children<br />

with congenital and acquired LQTS. We also discussed the optimal administration<br />

dosage and serum magnesium (SMg) concentration during MgSO4 therapy.<br />

METHODS: We studied 7 consecutive LQTS children undergoing MgSO4 therapy for<br />

TdP. Of the 7 children, five were congenital LQTS and two were acquired LQTS. A<br />

bolus injection <strong>of</strong> MgSO4 was given intravenously until the TdP was completely<br />

abolished or the maximum bolus dosage (12mg/kg) over 1 to 2 minutes. Continuous<br />

infusion <strong>of</strong> MgSO4 was given over 1 to 7 days.<br />

RESULTS: Of the 7 patients, six responded completely to the initial bolus. The bolus<br />

dosage was 5.9±3.8mg/kg (range, 2.3-12mg/kg) in these six, and the other remaining<br />

one (neonate with congenital LQTS) required a total <strong>of</strong> 30mg/kg until the complete<br />

abolishment. The continuous infusion was given at rates <strong>of</strong> 0.3 to 1.0mg/kg/hr and<br />

patients did not show recurrence <strong>of</strong> TdP. The SMg concentration was 3.9±0.9mg/dl<br />

(2.9-5.4mg/dl) immediately after bolus injection. The mean corrected QT (QTc)<br />

interval before and after bolus injection did not show significant difference.<br />

CONCLUSIONS: Intravenous infusion <strong>of</strong> MgSO4 was effective for TdP in children<br />

with LQTS, and MgSO4 abolished TdP without shortening QTc interval. The optimal<br />

bolus dosage, infusion rates and SMg concentration were 3 to 12mg/kg, 0.5 to<br />

1.0mg/kg/hr and 3 to 5mg/dl, respectively.


25<br />

Effects <strong>of</strong> Mg2+ on cardiac excitation-contraction coupling<br />

Michailova AP, Belik, ME, and McCulloch, AD. Department <strong>of</strong> Bioengineering,<br />

University <strong>of</strong> California, San Diego, USA. amihaylo@bioeng.ucsd.edu<br />

<strong>Magnesium</strong> regulates a large number <strong>of</strong> cellular processes. Small changes in<br />

intracellular free Mg2+ ([Mg2+]i) may have important effects on cardiac excitability<br />

and contractility. For this reason, we used our ionic-metabolic model (1) - that<br />

incorporates equations for Ca2+ and Mg2+ buffering and transport by ATP and ADP<br />

and equations for MgATP regulation <strong>of</strong> ion transporters (Na+-K+ pump, sarcolemmal<br />

and sarcoplasmic Ca2+ pumps) – to investigate the effects <strong>of</strong> [Mg2+]i on cardiac<br />

excitation-contraction coupling. Model results indicate that variations in cytosolic<br />

Mg2+ level might sensitively affect diastolic and systolic Ca2+, sarcoplasmic Ca2+<br />

content, Ca2+ influx through L-type channels, efficiency <strong>of</strong> the Na+/Ca2+ exchanger<br />

and action potential shape. The analysis suggests that the most important reason for<br />

the observed effects is a modified normal function <strong>of</strong> sarcoplasmic Ca2+-ATPase<br />

pump by altered diastolic MgATP levels. The model is able to reproduce qualitatively<br />

a sequence <strong>of</strong> events that correspond well with experimental observations during<br />

cardiac excitation-contraction coupling in mammalian ventricular myocytes (2).<br />

1. Michailova AP, and McCulloch AD. (2001) Model Study <strong>of</strong> ATP and ADP<br />

Buffering, Transport <strong>of</strong> Ca2+ and Mg2+, and Regulation <strong>of</strong> Ion Pumps in<br />

Ventricular Myocyte. Biophysical Journal 81:614-629.<br />

2. Agus ZA, Kelepouris, E, Dukes I, and Morad M. (1989) Cytosolic magnesium<br />

modulates calcium channel activity in mammalian ventricular cells. American<br />

Journal Physiology 256:C425-C455.


26<br />

Intracellular magnesium assay correlations with: oral & transdermal<br />

absorption, endothelial function, exercise tolerance, and chronic disease<br />

depletion.<br />

Burton B. Silver#, C. Norman Shealy*, Michael Shechter*^, Mark C.P Haigney**,<br />

Allison J. Stewart ##, Kim Brower*. ** The Department <strong>of</strong> Medicine, Division <strong>of</strong><br />

Cardiology, Uniformed Services University <strong>of</strong> the Health Sciences, 4301 Jones<br />

Bridge Rd. Bethesda, MD, # IntraCellular Diagnostics, Inc. 553 Pilgrim Dr (B) Foster<br />

City, CA, *^Division <strong>of</strong> Cardiology, Dept Medicine, Cedars-Sinai Medical Center, Los<br />

Angeles, CA, * Holos Institutes <strong>of</strong> Health, Springfield, MO, ## Dept <strong>of</strong> Veterinary<br />

Med., Ohio St U. Columbus. OH, USA. DocBurt@aol.com<br />

Energy dispersive X-ray microanalysis (EXAtm) for non-invasive intracellular<br />

measurement <strong>of</strong> magnesium has been proven to be a valuable tool in multiple<br />

aspects <strong>of</strong> normal as well as pathological magnesium metabolism. Over the last 20<br />

years data has accumulated using this unique method, which is now available to<br />

accurately evaluate tissue Mg levels. While serum levels <strong>of</strong> Mg give little information<br />

about a patients overall status with respect to this essential mineral, utilizing<br />

intracellular analysis it has been determined that Mg levels are significantly reduced<br />

in multiple patho-physiological states. Description <strong>of</strong> the methodology and<br />

experimental data will focus on intracellular [Mg2+]i determinations obtained from<br />

subjects repleted with Mg or with syndromes related to Mg deficiency. Intracellular<br />

analysis studies (EXAtm) <strong>of</strong> tissue magnesium levels include:<br />

• Effects <strong>of</strong> oral and transdermal Mg on tissue levels in CAD patients.<br />

• Effects <strong>of</strong> intracellular Mg on exercise and endothelial function.<br />

• Intracellular magnesium’s role in dysrhythmias, heart failure, and infarction<br />

patients.<br />

• Correlations <strong>of</strong> intracellular Mg with cardiac tissue.<br />

• Depletion studies <strong>of</strong> intracellular Mg in human subjects and large animals.<br />

RATIONALE: <strong>Magnesium</strong>’s role in intracellular metabolism is second only in<br />

potassium as the most common intracellular cation in human physiology. Multiple<br />

normal functions, as well as pathological syndromes, are affected by the cellular<br />

levels and availability <strong>of</strong> the magnesium stores within tissues. Logically, measuring<br />

magnesium accurately and easily within tissues is <strong>of</strong> immense use to the<br />

understanding and treatment <strong>of</strong> a host <strong>of</strong> diseases in the human condition.<br />

Applications <strong>of</strong> intracellular magnesium analysis will be reported from investigational<br />

data incorporating this unique method.


27<br />

Intracellular magnesium in furosemide treated patients with congestive heart<br />

failure suffering from diabetes mellitus and/or renal dysfunction<br />

I. Alon, D. Almoznino-Sarafian, S. Berman, O. Gorelik, M. Shteinshnaider, D.Modai,<br />

N. Cohen, Department Of Internal Medicine "F" And Nephrology Division, Assaf<br />

Har<strong>of</strong>eh Medical Center, Zerifin, Beer Yaakov, Israel. Internal6@Asaf.Health.Gov.Il<br />

Hypomagnesemia and especially intracellular Mg depletion are frequent in<br />

congestive heart failure (CHF). In many such patients furosemide treatment and<br />

comorbidity with diabetes mellitus (DM) and/or renal dysfunction (RD) are common.<br />

DM and furosemide may aggravate hypomagnesemia, while renal dysfunction may<br />

cause hypermagnesemia. Since normal serum Mg concentration may coexist with<br />

intracellular Mg aberrations, we studied peripheral blood mononuclear cell Mg<br />

content in four relevant normomagnesemic patient subgroups. Patients: Included<br />

were 71 (33 males, 39 females, age 72.3±9.7 years) furosemide treated patients with<br />

symptomatic CHF, classified as follows: A. 12 patients without DM or RD; B. 21 with<br />

DM; C. 14 with RD; D. 24 with DM and RD.<br />

RESULTS: Whole group Intracellular Mg content was 1.66±0.29 mg/mg cell protein.<br />

Individual values in the 4 subgroups A; B; C and D were 1.69±0.37; 1.81±0.26;<br />

1.59±0.29; 1.57±0.22 respectively. When compared with DM subgroup, respective Pvalues<br />

for subgroups RD, RD+DM and no DM/RD were 0.04, 0.002 and 0.6 (N.S).<br />

Thus, only RD is associated with a significantly lower Mg content, and overrides the<br />

tendency, albeit not reaching statistical significance, <strong>of</strong> DM for elevated values.<br />

CONCLUSIONS: Within a group <strong>of</strong> normomagnesemic furosemide treated CHF<br />

patients, intracellular Mg content differed in various subgroups in parallel with<br />

comorbidities. RD as opposed to DM is associated with lower Mg content.<br />

Assessment <strong>of</strong> intracellular Mg in relevant patient subgroups is essential for<br />

evaluation <strong>of</strong> risks and preventive measures.


28<br />

Long-Term Outcome <strong>of</strong> Intravenous <strong>Magnesium</strong> Therapy in Thrombolysisineligible<br />

Acute Myocardial Infarction Patients<br />

Michael Shechter, MD, MA; Hanoch Hod, MD; Babeth Rabinowitz, MD; Valentina<br />

Boyko, MS; Pierre Chouraqui, MD From the Heart Institute, Sheba Medical Center,<br />

Tel-Hashomer, and Sackler School <strong>of</strong> Medicine, Tel-Aviv University, Israel.<br />

shechtes@netvision.net.il<br />

Background. The use <strong>of</strong> magnesium in treating acute myocardial infarction (AMI)<br />

remains controversial. We previously reported that, compared to placebo, 48-hour<br />

intravenous magnesium sulfate (22 g) given to 194 consecutive thrombolysisineligible<br />

AMI patients, significantly reduced in-hospital mortality rate with an odds<br />

ratio <strong>of</strong> 0.21 (0.07-0.64) (p=0.01).<br />

Methods and Results. The aim <strong>of</strong> our current study was to analyze long-term<br />

survival and cardiac function <strong>of</strong> the same study population. Rest radionuclide<br />

ventriculography tests for left ventricular ejection fraction (LVEF) were assessed in<br />

surviving patients up to completion <strong>of</strong> follow-up. All-cause mortality was significantly<br />

lower after a mean 4.8-year follow-up (18 vs 33 patients, p


29<br />

In vitro application <strong>of</strong> endotoxin to thoracic aortas from magnesium-deficient<br />

rats enhances vascular hyporeactivity to phenylephrine<br />

A. Miyamoto, K. Moriki, S. Ishiguro and A. Nishio, Department <strong>of</strong> Veterinary<br />

Pharmacology, Faculty <strong>of</strong> Agriculture, Kagoshima University, Kagoshima, Japan.<br />

miyamoto@vet.agri.kagoshima-u.ac.jp<br />

Endotoxin-induced vascular hyporeactivity to phenylephrine (PE) is well described in<br />

rat aortas, but has not been investigated in those from magnesium (Mg)-deficient rats<br />

in vitro. Segments <strong>of</strong> thoracic aorta from control and Mg-deficient rats were incubated<br />

in culture medium for 6 h in the presence or absence <strong>of</strong> bacterial lipopolysaccharide<br />

(LPS; 0.001-10ug/ml). Contractions to PE were measured with or without a nitric<br />

oxide synthase (NOS) inhibitor (1400W;1,5,10uM), a guanylyl cyclase inhibitor<br />

(ODQ;1,5,10uM), or a potassium channel inhibitor (TEA;1,10mM). LPS induced<br />

hyporeactivity in a concentration-dependent manner under relatively low<br />

concentrations (0.001-0.1ug/ml), however, there was no significant difference among<br />

0.1, 1 and 10ug/ml. LPS-induced hyporeactivity was not significantly affected by<br />

endothelium-denudation. The hyporeactivity was enhanced in thoracic aortas from<br />

Mg-deficient rats by LPS (0.01, 0.1 and 1ug/ml). LPS (1ug/ml)-induced hyporeactivity<br />

was reversed with 1400W, ODQ or TEA in both aortas in a concentration-dependent<br />

manner, however the degree <strong>of</strong> reversal was weaker in Mg-deficient rat aorta than in<br />

control rat one. Inducible NOS (iNOS) mRNA level was increased by LPS (0.1ug/ml),<br />

and the increment was significantly high in Mg-deficient rat thoracic aorta. From<br />

these results it is clearly demonstrated that LPS-induced vascular hyporeactivity to<br />

PE is enhanced in thoracic aorta from Mg-deficient rats, and suggested that LPSinduced<br />

NO production might contribute to the enhancement via stimulation <strong>of</strong> NOcyclic<br />

GMP-potassium channel pathway.


30<br />

Case for subcutaneous magnesium product for space missions<br />

William J. Rowe M.D. Former Assist. Clin. Pr<strong>of</strong>. Med. Medical College <strong>of</strong> Ohio at<br />

Toledo, USA. rowerun@aol.com<br />

Space flight (SF) cardiovascular (CV) complications are caused by microgravity,<br />

hypokinesia, and radiation, particularly beyond earth orbit, with all 3 conducive to<br />

oxidative stress. Pharmaceuticals, except for emergencies, appear in general<br />

contraindicated, because <strong>of</strong> unpredictable side effects related to malabsorption (M)<br />

and potential hepatic and renal impairment. <strong>Magnesium</strong> (Mg) depletion and<br />

elevations <strong>of</strong> cytokines (interleukin 6) occur on SF, conducive to self-sustaining<br />

vascular inflammation mechanisms. There are potential endothelial injuries (EI) and<br />

reductions <strong>of</strong> cyclic GMP (a second messenger <strong>of</strong> nitric oxide) (NO) and elevated<br />

urinary excretion <strong>of</strong> C-peptide (insulin resistance)(IR). Recently vascular endothelial<br />

growth factor (VEGF) reductions have been shown, which may be a result <strong>of</strong> SF -<br />

related thrombocytopenia since platelets (P) are the major source <strong>of</strong> VEGF and P<br />

may be derived partially from NO. Both VEGF and Mg are vital for angiogenesis,<br />

endothelial function and reendothelialization. Insulin is necessary for VEGF<br />

expression. To prevent SF-related CV complications in the presence <strong>of</strong> IR and M and<br />

with the potential for renal insufficiency, closely monitored subcutaneous (SC) Mg<br />

must be administered. The dosage can be monitored by sublingual intracellular Mg<br />

assays. A SC Mg reservoir device should be developed, which can be replenished<br />

before extra- vehicular activities (EVA) and which must be reliable despite vigorous<br />

movements during EVA, lasting up to 8 hours. This could also be protective against<br />

decompression sickness and EVA-related 100% oxygen requirements prior and<br />

during this activity, both <strong>of</strong> which predispose to EI. CONCLUSIONS To prevent CV<br />

complications with EI and because <strong>of</strong> SF-related pharmaceutical constraints and M, it<br />

is vitally important to develop a SC Mg product and a reliable device for its delivery,<br />

with close monitoring <strong>of</strong> the dosage.


31<br />

Relation <strong>of</strong> hypertension and atherosclerosis: 1H- and 31P-NMR spectroscopy<br />

<strong>of</strong> free Mg, plasma membrane and circulating lipids in hypertension<br />

Lawrence M. Resnick 1 , Raj K. Gupta 2 . 1 New York Presbyterian Hospital / Cornell U.<br />

NY, NY, USA and 2 Albert Einstein College <strong>of</strong> Medicine, Bronx, N.Y.<br />

LMResnick@aol.com<br />

To study the linkage between lipids and ions in hypertension we utilized 1H- and<br />

31P-NMR spectroscopy to measure RBC intracellular free Mg (Mgi), compared with<br />

the degree <strong>of</strong> fatty acid unsaturation (DB/CH3), delta-5-unstaurated fatty acids (delta-<br />

5/CH3, including arachidonate, DHA, EPA), fatty acid chain length (CL), and relative<br />

cholesterol content (Chol/PC) in lipids extracted from RBC membranes and plasma<br />

<strong>of</strong> normal (Nl), untreated (EH) and treated (EH-Rx) essential hypertensive subjects.<br />

Compared to Nl, EH had lower Mgi (168 vs 202 mcM, p=0.01), and greater chol/PC<br />

content (p=0.03), with lower fatty acid CL (p=0.05), delta-5/CH3 (p=0.02) and<br />

DB/CH3 in membranes (p=0.006) and plasma (p=0.008). DB/CH3 (r=0.795, p=0.001)<br />

and chol/PC (r=0.566, p=0.04) in plasma vs membrane fractions were closely<br />

related. Altogether, Mgi was directly related to CL (r=0.711, p=0.002) and DB/CH3<br />

(r=0.54, p=0.02), and inversely related to chol/PC (r=-0.563, p=0.01). Clinically, DBP<br />

was inversely related to Mgi (r=-0.622, p=0.002) and DB/CH3 (plasma-r=0.735,<br />

p=0.005; membranes r=-0.8, p=0.001); and positively related to chol/PC (plasmar=0.689,<br />

p=0.02). These data demonstrate significant linkage <strong>of</strong> deficient Mgi with<br />

shorter, more saturated fatty acids and increased cholesterol content in EH. These<br />

data suggest how altered lipid metabolism may influence Mg, an established<br />

determinant <strong>of</strong> arterial stiffness and blood pressure, and thus also the relation <strong>of</strong><br />

atherosclerosis and hypertension.


32<br />

Functional effects <strong>of</strong> magnesium and statin pharmaceuticals compared<br />

Andrea Rosan<strong>of</strong>f and Mildred S. Seelig, M.D., Independent Scholar, Pahoa, Hawaii,<br />

USA. nutrient@gte.net<br />

Mg2+-ATP controls the rate-limiting enzyme in the cholesterol biosynthesis sequence<br />

targeted by the statin pharmaceuticals. In cholesterol biosynthesis, a series <strong>of</strong><br />

enzymatic reactions convert HMG-CoA to cholesterol. The rate-limiting reaction <strong>of</strong><br />

this pathway is the enzymatic conversion <strong>of</strong> HMG CoA to mevalonate via HMG CoA<br />

Reductase (Reductase). Statin drugs inhibit Reductase and lower LDL cholesterol<br />

levels by 35 to 65%. <strong>Magnesium</strong> supplementation can lower total cholesterol by 6 -<br />

23%, and LDL-cholesterol 10 - 18%. Statins also reduce total, cardiac and stroke<br />

mortality as well as incidence <strong>of</strong> heart attacks, angina and other nonfatal cardiac<br />

events. These pleiotropic effects derive from statins' reduction <strong>of</strong> mevalonate<br />

production. Reduced mevalonate production by statins inhibits proliferation,<br />

inflammation and migration <strong>of</strong> vascular smooth muscle cells and macrophages by<br />

decreasing interleukin-6 and inducible nitric oxide synthase, effects that are<br />

completely blocked by exogenous mevalonate. As a result, mevalonate reduction by<br />

statin drugs promote plaque stabilization and regression, reduce inflammation and<br />

coagulation, and improve endothelial and anti-oxidant function in smooth muscle<br />

cells. Statins reduce incidence <strong>of</strong> coronary events by 24-34%, stroke by 10-31%.<br />

Mg2+-ATP deactivates Reductase. With a cellular magnesium deficiency, active<br />

Reductase is less apt to be deactivated, and more cholesterol and more mevalonate<br />

synthesized. <strong>Magnesium</strong> is a co-factor for other lipid enzymes, such as LCAT.<br />

<strong>Magnesium</strong> supplements raise HDL-cholesterol by 4 - 11% and lower triglycerides by<br />

10 - 31%, actions not as reliably effected by statin, which only act on Reductase.<br />

<strong>Magnesium</strong> supplements achieve all beneficial corrections <strong>of</strong> dyslipidemia without<br />

adverse side-effects. Statin drugs mainly lower LDL- cholesterol, and in 2%<br />

adversely affect muscle and/or liver. Statins inhibit the enzyme responsible for<br />

mevalonate and cholesterol production while normal cellular magnesium levels<br />

regulate this pathway important for biosynthesis <strong>of</strong> CoQ10, bile salts, steroidal<br />

hormones and other substances. <strong>Magnesium</strong> at optimal cellular concentration is well<br />

accepted as a natural calcium channel blocker. More recent work shows that<br />

magnesium also acts as a statin.


33<br />

Role <strong>of</strong> magnesium in pathogenesis <strong>of</strong> essential hypertension<br />

G. Sur and Oana Maftei. 2 nd Pediatric Clinic Cluj-Napoca, Romania<br />

University <strong>of</strong> Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, Romania.<br />

oana_maftei@yahoo.com<br />

<strong>Magnesium</strong> seems to be involved in the pathogenesis <strong>of</strong> essential hypertension by<br />

decreasing the sympathetic reactivity, cardiac excitability and vascular tone,<br />

contractility and reactivity. The authors <strong>of</strong> this study proposed to assess the<br />

reduction <strong>of</strong> blood pressure values after magnesium supplementation in children with<br />

essential hypertension. We made a retrospective study on 17 children <strong>of</strong> 10 years to<br />

18 years diagnosed with essential hypertension in 2 nd Pediatric Clinic <strong>of</strong> Cluj-Napoca,<br />

across 2 years (January, 2001 – December, 2002). In these children we excluded all<br />

the causes <strong>of</strong> a secondary hypertension. There were 8 children (47%) with a deficit<br />

<strong>of</strong> magnesium. We administered magnesium (Magnerot 15 mmol/24 hours), to all the<br />

children with essential hypertension, for 2 months, in association with a saltrestrictive<br />

diet and physical exercises. To those patients without hypomagnesiemia,<br />

we gave just half <strong>of</strong> the dose <strong>of</strong> magnesium. Most patients with primary hypertension<br />

were adolescents (there were 9 patients over 15 years). Their blood pressure values<br />

were just 5-10 mmHg over the normal values for their age, but because their familial<br />

history was positive for hypertension, we recommended magnesium, diet and sport.<br />

There were 7 girls (41%) and 10 boys (59%) with hypertension. Eight <strong>of</strong> these<br />

children had hypomagnesiemia (3 girls and 5 boys). After 10 days <strong>of</strong> magnesium<br />

supplementation, diet and sport, both systolic and diastolic blood pressure values<br />

decreased by 10mmHg, palpitations disappeared, sleep became still. The<br />

improvement <strong>of</strong> the patients’ status and the decline <strong>of</strong> blood pressure values were<br />

more evident in those patients with hypomagnesiemia. The role <strong>of</strong> magnesium<br />

supplementation in patients with high blood pressure is beneficial in most cases. But<br />

it is also important to follow a salt-restrictive diet and to practice physical exercise.


34<br />

Cardiovascular and skeletal benefits <strong>of</strong> estrogen replacement therapy in<br />

healthy postmenopausal women; risks intensified by ignoring importance <strong>of</strong><br />

magnesium<br />

Mildred S. Seelig, Burton M. Altura, and Bella T. Altura. Department <strong>of</strong> Physiology<br />

and Pharmacology, State University <strong>of</strong> New York, Downstate Medical Center,<br />

Brooklyn 11203, USA. mgseelig@comcast.net<br />

Numerous controlled clinical investigations have found that estrogen replacement<br />

therapy (ERT) alone or combined with progestogen: hormone replacement therapy<br />

(HRT), protects postmenopausal women against cardiovascular disease (CVD) and<br />

osteoporosis, to which they are much more prone than are young women. The<br />

Women’s Health Initiative (WHI) <strong>of</strong> the NIH, planned to run for six years (to obtain<br />

statistically significant benefits to risks data) was ended early because there were<br />

more coronary events, strokes and other embolic phenomena, as well as invasive<br />

breast cancers in HRT women than in controls (about eight more each). Women<br />

receiving HRT had several fewer hip fractures than did those taking placebo.<br />

Paradoxical effects <strong>of</strong> female sex hormones on CVD are partially ascribable to the<br />

cardioprotective effects <strong>of</strong> estrogen, yet adverse microvascular actions, but more to<br />

their effects on magnesium distribution - lowering its levels in blood, but increasing<br />

that in s<strong>of</strong>t tissues. <strong>Magnesium</strong> exerts beneficial effects by increasing resistance to<br />

arrhythmias and coronary arterial constriction, and exerting antioxidant activities -<br />

partly by reducing formation <strong>of</strong> reactive oxygen species. At optimal levels magnesium<br />

inhibits the coagulation cascade and platelet aggregation/ adhesion. Decreased<br />

plasma magnesium contributes to coronary vasospasm and intensifies estrogen’s<br />

induction <strong>of</strong> thrombotic events, which has complicated former use <strong>of</strong> high dose<br />

estrogen in men with prostatic cancer, and to achieve womens’ cardioprotection in<br />

men with coronary disease. <strong>Magnesium</strong>’s protection against oral estrogencontraceptive<br />

induction <strong>of</strong> thromboses was first noted in 1970. Estrogen and<br />

progesterone have recently been shown to affect magnesium and calcium differently,<br />

depending on hormonal levels. Estrogen’s shift <strong>of</strong> magnesium from blood to bone<br />

matrix is contributory to its anti-osteoporotic effect. Osteoporosis is a risk in patients<br />

with alcoholism or diabetes, which are associated with severe Mg depletion.


35<br />

Osteoblastic cell growth as a function <strong>of</strong> Ca 2+ /Mg 2+ ratio<br />

O. Theodorakopoulou 1 , D. Deligianni 2 and J. Anastassopoulou 1, 1 National Technical<br />

University <strong>of</strong> Athens, Chemical Engineering School, Radiation Chemistry and<br />

Biospectroscopy, Zografou Campus, 15780 Zografou, 2 University <strong>of</strong> Patras,<br />

Department <strong>of</strong> Mechanical & Aeronautical Engineering, 26500 Patras, Greece.<br />

theophan@central.ntua.gr<br />

<strong>Magnesium</strong> ions play a crucial role in living cells and are involved in almost all living<br />

processes. <strong>Magnesium</strong> ions exist in aqueous solutions and in biological systems as<br />

hydrated hexaaquated cations Mg(H2O)6 2+ . <strong>Magnesium</strong> ions stabilize the structure <strong>of</strong><br />

DNA in a conformation, which depends on Mg 2+ concentration 1 . Increasing the<br />

concentration <strong>of</strong> magnesium ions in DNA inverts the B- form to Z-DNA 2,3 . Both cell<br />

growth and carcinogenesis are magnesium concentration dependent. <strong>Magnesium</strong><br />

deficiency antagonizes tumor implication and inhibits growth <strong>of</strong> tumors in rats 4 . This<br />

could be due to a disturbance in magnesium homeostasis in carcinogenesis. It was<br />

found that hypomagnesemia is associated with disturbance in Ca 2+ -homeostasis 4 .<br />

Thus, in this work we used human osteoblastic bone marrow cells to examine the<br />

influence <strong>of</strong> the magnesium and calcium ratios to the bone growth. The process <strong>of</strong><br />

the cells was compared with unmodified control cell. The cells were monitored for<br />

differences in their proliferation, morphology and viability. It was found that the<br />

survival time was highest for a ratio [Ca 2+ /Mg 2+ ]=3:1. The results on the mortality <strong>of</strong><br />

the cells as a function <strong>of</strong> the ratio Ca 2+ /Mg 2+ will be presented and discussed in the<br />

meeting.<br />

References<br />

1. J. Anastassopoulou and T. Theophanides, <strong>Magnesium</strong> - DNA interactions<br />

and the possible relation <strong>of</strong> magnesium to carcinogenesis. Irradiation and free<br />

radicals Oncology and Heamatology, 42, 79-91, 2002<br />

2. T. Theophanides and H.A. Tajmir-Riahi, “Flexibility <strong>of</strong> DNA and RNA upon<br />

binding to different Metal Cations. An Investigation <strong>of</strong> the B to A to Z<br />

Conformational Transition by Fourier Transform Infrared Spectroscopy” J.<br />

Biomolecular Structure and Dynamics Vo 2, 995-1004 (1985).<br />

3. J. Anastassopoulou and T. Theophanides, Free radicals and magnesium<br />

concentration effects on DNA structure, in Advances in <strong>Magnesium</strong>:<br />

Pharmacology, Metabolism and Nutrition,Ed. J.F. Escanero, John Lybbey,<br />

Chapt 5, 1-5, In press.<br />

4. KS Kasprzak, Effects <strong>of</strong> calcium, magnesium zinc and iron on nickel<br />

carcinogenesis: Inhibition versus enhancement, in Cytotoxic, Mutagenic and<br />

carcinogenic potential <strong>of</strong> heavy metals related to human environment,<br />

Dordrecht: Kluwer Academic Publishers, 93-106 (1997).


36<br />

Bone mineral density, serum albumin and serum magnesium<br />

Noboru Saito, Naoto Tabata, Toshiaki Setoguchi, Saburou Saito, Harumi Sayama 1),<br />

Toshiko Kannagi 1) Dept. <strong>of</strong> Internal Medicine and Lifestyle-related diseases,<br />

Miyazaki Medical Center Hospital, Miyazaki, Japan, 1) Cardiovascular Division,<br />

Kyoto Prevention Medical Center, Kyoto, Japan. hit.yama@d6.dion.ne.jp<br />

This study aimed to investigate how bone mineral density (BMD) was related to<br />

serum albumin or magnesium (Mg).<br />

1) In this study 217 subjects (159 men, 58 women) aged mean 57.7 years were<br />

recruited, who were ambulant and diagnosed about diabetic type through 75gOGTT.<br />

BMD was measured by DXA method using lumbar vertebra and expressed as<br />

percentages against young adult mean (YAM).<br />

2) 122 inpatients (36 men, 86 women) aged mean 80.1 years were adopted, who<br />

suffered from cerebrovascular diseases, hypertension and so on. BMD <strong>of</strong> forearm<br />

bone was measured by DXA method.<br />

In these above cases fasting blood sample was obtained early in the morning for<br />

biochemical data. Serum Mg was measured with colorimetry <strong>of</strong> xylidil blue method.<br />

1) When the percentages <strong>of</strong> BMD against YAM became low, serum albumin and Mg<br />

decreased significantly in male subjects, and body mass index (BMI) decreased in<br />

both sexes. During observation period <strong>of</strong> mean 22.7 months BMD and serum<br />

albumin increased significantly.<br />

2) In almost elderly inpatients, BMI, serum albumin and Mg decreased significantly,<br />

when the percentage <strong>of</strong> BMD became low.<br />

From these findings it was concluded that BMD could be related to serum albumin<br />

and Mg.


37<br />

<strong>Magnesium</strong>, magnesium deficiency and interaction with aminoglycoside and<br />

quinolone antibiotics<br />

Pr<strong>of</strong>. Dr. Juergen Vormann, Institute for Prevention and Nutrition, Ismaning/Munich,<br />

Germany. vormann@ipev.de<br />

The interaction with magnesium respectively magnesium deficiency is <strong>of</strong><br />

considerable interest in the use <strong>of</strong> various antibiotics. The most important side effects<br />

<strong>of</strong> aminoglycoside antibiotics are oto- and nephrotoxicity, occurring in over 2% <strong>of</strong><br />

patients. In animal experiments it could be shown that magnesium deficiency<br />

increased the ototoxic effects <strong>of</strong> gentamicin significantly. Aminoglycoside antibiotics<br />

themselves induce magnesium deficiency by increasing renal magnesium wastage.<br />

Quinolone antibiotics have the potential to cause joint cartilage damage in juvenile<br />

animals. Due to these arthropathogenic effects use <strong>of</strong> these antibiotics is<br />

contraindicated in children. Lesions resembling those observed after quinolone<br />

treatment can also be induced by feeding immature rats a magnesium deficient diet<br />

alone. Chondrotoxicity and tendopathy is additionally increased by combining<br />

magnesium deficiency and quinolone treatment. On the other hand supplementation<br />

with magnesium diminishes quinolone-induced arthropaty in growing rats. In murine<br />

limb bud cultures quinolones impaired limb development; an effect that was<br />

enhanced by culture in magnesium-deficient medium. The toxicity <strong>of</strong> quinolones is<br />

probably caused by forming stable chelate complexes with magnesium ions, leading<br />

to a relative magnesium deficit in the weakly perfused connective tissues <strong>of</strong> the<br />

musculoskeletal system.


38<br />

<strong>Magnesium</strong> in sports<br />

Frank C. Mooren, MD, Institute <strong>of</strong> Sports Medicine, Muenster University-Hospital,<br />

Muenster, Germany. mooren@uni-muenster.de<br />

Although the regulation <strong>of</strong> magnesium (Mg2+) during exercise has attracted<br />

scientist's interest for many years our view is still far from being complete. Two<br />

reasons are largely responsible for this situation. First, most studies have focused on<br />

the magnesium concentration in the extracellular compartment only. Secondly, most<br />

<strong>of</strong> the currently available data on the regulation <strong>of</strong> Mg2+ during exercise are<br />

unfortunately based on determination <strong>of</strong> total magnesium and did not include<br />

measurements <strong>of</strong> ionized Mg2+ levels. Nevertheless data available so far clearly<br />

demonstrate that exercise results in alterations <strong>of</strong> Mg2+ homeostasis, which seems<br />

to depend on type, duration and intensity <strong>of</strong> exercise. After short-term, high-intensity<br />

exercise the majority <strong>of</strong> studies indicated an increase <strong>of</strong> extracellular Mg2+, which<br />

seemed to be caused predominantly by an exercise induced decrease in plasma<br />

volume. The exercise-induced changes in ionized extracellular magnesium were<br />

measured so far only in one study. After anaerobic exercise an increase in ionized<br />

Mg2+ was found, which we could confirm in our studies. After prolonged submaximal<br />

exercise most studies reported a hypomagnesaemia. It seems unlikely that sweat<br />

Mg2+ losses and/or enhanced renal Mg2+ excretion account for this decrease in<br />

plasma Mg2+. Indeed, during moderate exercise a slightly decreased urine excretion<br />

<strong>of</strong> Mg2+ was reported. Some authors suggested that during prolonged exercise a<br />

shift <strong>of</strong> Mg2+ into the cellular compartment occurs. In contrast, longitudinal and<br />

cross-sectional studies suggest that intensive training may be followed by Mg2+<br />

depletion and that athletes are prone to Mg2+ deficiency.


39<br />

Cytosolic free [Mg2+] in the human calf muscle in different metabolic<br />

conditions<br />

Associate Pr<strong>of</strong>essor Stefano Iotti, University <strong>of</strong> Bologna, Bologna, Italy.<br />

iotti@med.unibo.it<br />

Accurate knowledge <strong>of</strong> intracellular [Mg2+] is crucial for a deeper understanding <strong>of</strong><br />

cellular bioenergetics, and detecting changes <strong>of</strong> [Mg2+] that may alter critical<br />

regulatory mechanisms causing abnormal metabolism. In the skeletal muscle,<br />

variations <strong>of</strong> pH, phosphocreatine and inorganic phosphate concentrations influence<br />

the complex multi-equilibrium system <strong>of</strong> the molecular species binding magnesium.<br />

As a consequence [Mg2+] can change considerably in different metabolic conditions<br />

such as rest, exercise and recovery. We compared the [Mg2+] assessed in vivo in<br />

the human calf muscle by 31P MRS and calculated by a computer simulation in<br />

different metabolic conditions. We studied 42 controls by a G.E. 1.5 T Signa System.<br />

[Mg2+] was assessed from the chemical shift <strong>of</strong> beta-ATP (1). Computer simulation<br />

was performed, by HYSS (HYperquad Simulation and Speciation) (2). We found by<br />

31P-MRS a mean resting [Mg2+] <strong>of</strong> 0.32 mM. This value was used to calculate by<br />

HYSS the total amount <strong>of</strong> magnesium in the muscle cells, which was 7 mM. The in<br />

vivo assessment showed that during exercise and recovery [Mg2+] remarkably<br />

changed, due to the predominant effect <strong>of</strong> pH. The plot <strong>of</strong> [Mg2+] as a function <strong>of</strong> pH<br />

showed an exponential pattern with a sharp increase <strong>of</strong> [Mg2+] below pH 6.5.<br />

Simulation by HYSS showed a much smaller increase <strong>of</strong> free [Mg2+] in the same pH<br />

region. Results show that our model well describes the in vivo [Mg2+] <strong>of</strong> muscle cells<br />

under different metabolic conditions, suggesting the existence <strong>of</strong> more Mg-binding<br />

sites releasing Mg2+ at low pH.<br />

1 Iotti S. et al. MRI 18, 607, 2000<br />

2 Gans P. et al. Talanta 43, 1739, 1996


40<br />

A functional biological marker is needed for diagnosing magnesium deficiency<br />

Kay B. Franz, Department <strong>of</strong> Nutrition, Dietetics and Food Science, Brigham Young<br />

University, Provo, Utah 84602, USA. kay_franz@byu.edu<br />

Functional biological markers (FBM) are now available for many nutrients and are<br />

used as nutritional status markers. Examples include ferritin for iron stores, serum<br />

transferrin receptor for early iron deficiency, methylmalonic acid for vitamin B-12<br />

deficiency, and selenium-dependent glutathione peroxidase for selenium deficiency.<br />

At this time we do not have FBM for Mg beyond the measurement <strong>of</strong> total or ionized<br />

Mg in serum, plasma, cellular components, urine or Mg retention from a load test.<br />

FBM for Mg would reflect changes in biochemical processes where Mg is involved.<br />

Sources <strong>of</strong> FBM are products or precursors <strong>of</strong> enzymatic processes that can be<br />

measured in serum and plasma or the activity <strong>of</strong> a Mg-requiring enzyme in a blood<br />

cell. FBM for Mg need to be identified and evaluated in both animals and humans,<br />

with a determination <strong>of</strong> possible factors that may affect the reaction and the FBM<br />

concentration. Some fundamental processes and possible FBM for Mg include the<br />

following: pumps in the plasma membrane, Na/K ATPase; platelet activity and<br />

thrombus, thromboxane B2; acute phase protein, C-reactive protein; and endothelial<br />

damage, endothelin-1. Other possible FBM need to be identified. Activity <strong>of</strong><br />

erythrocyte Na/K ATPase is decreased in Mg deficiency, while the serum/plasma<br />

concentrations <strong>of</strong> thromboxane B2, C-reactive protein, and endothelin-1 have been<br />

manipulated by Mg deficiency or Mg supplementation. Measurement <strong>of</strong> Na/K<br />

ATPase is laborious, while kits are available for each <strong>of</strong> the other three. These<br />

possible FBM need to be carefully considered.


41<br />

The relation <strong>of</strong> birth weight to intracellular magnesium <strong>of</strong> cord-blood platelets<br />

Junji Takaya, Fumiko Kotera and Yohnosuke Kobayashi, Department <strong>of</strong> Pediatrics,<br />

Kansai Medical University, Moriguchi, Osaka, Japan. takaya@takii.kmu.ac.jp<br />

<strong>Magnesium</strong> (Mg2+), the second most abundant intracellular cation, is a critical<br />

c<strong>of</strong>actor in numerous enzymatic reactions. Diabetic patients and obese subjects are<br />

reported to have an intracellular Mg2+ ([Mg2+]i) deficiency. Many epidemiological<br />

studies have disclosed that restricted fetal growth has been associated with an<br />

increased risk <strong>of</strong> insulin resistance in adult life. Our purpose was to determine the<br />

correlation between birth weight and [Mg2+]i. The study group consisted <strong>of</strong> 58 infants<br />

with gestational ages ranging from 36-41 weeks, and birth weights ranging from<br />

1,798-4,030 g. The subjects were 13 infants with intrauterine growth retardation<br />

(IUGR) and 45 infants with normal birth weight. By using a fluorescent probe, magfura-2,<br />

we examined the basal and insulin-stimulated [Mg2+]i <strong>of</strong> platelets in the cord<br />

blood. The mean basal [Mg2+]i, but not plasma magnesium, was lower in IUGR than<br />

in the control group ( 335±162 umol/L vs. 487±184 umol/L, p


42<br />

Balance <strong>of</strong> Mg positively correlates with that <strong>of</strong> Ca<br />

Mamoru Nishimuta(1), Naoko Kodama(1,2), Eiko Morikunii(1), Yayoi H. Yoshioka(1),<br />

Hidemaro Takeyama(1,3), Hideaki Yamada(1,4), Hideaki Kitajima(1,5) and<br />

Kazumasa Suzuki(1), (1)The National Institute <strong>of</strong> Health and Nutrition (Tokyo) Japan,<br />

(2)Medical University <strong>of</strong> Yamanashi, (3)Nagoya City University, (4)Mimasaka<br />

Women's University, (5)Taisho Pharmaceutical Co. Ltd. nisimuta@nih.go.jp<br />

From 1986 to 2000, 109 volunteers (23 males, 86 females), ranging from 18 to 28<br />

years old, took part in mineral balance studies after written informed consent was<br />

obtained. The duration <strong>of</strong> the study periods ranged from 5 to 15 days, with 2-4 days<br />

<strong>of</strong> adaptation. Foodstuffs used in each study were selected from those commercially<br />

available. The minerals present in diet, feces, urine and sweat were measured by<br />

atomic absorption spectrophotometer (Ca, Mg) or spectrophotometer (P). The dietary<br />

intakes <strong>of</strong> Ca, Mg and P ranged from 4.83-23.58, 2.44-7.83, and 13.46-45.69<br />

mg/kgBW/d, respectively. Dietary intake (Intake) <strong>of</strong> Ca was positively correlated to<br />

apparent absorption (A. A.) (r2=0.425), which was also correlated with urine<br />

excretion (Urine) (r2=0.327) and balance (Bal) (r2=0.382). Intake <strong>of</strong> Ca was slightly<br />

but significantly correlated with Bal (r2=0.036, p=0.048). Intake <strong>of</strong> Mg was positively<br />

correlated to A. A. (r2=0.451), which was also correlated with Urine (r2=0.486) and<br />

Bal (r2=0.349). However, intake <strong>of</strong> Mg was not correlated with Bal. Intake <strong>of</strong> P was<br />

positively correlated with A. A. (r2=0.959), which was also correlated with both Urine<br />

(r2=0.908) and Bal (r2=0.135). Intake <strong>of</strong> P was slightly but significantly correlated<br />

with Bal (r2=0.103, p=0.0013). Values <strong>of</strong> Intakes <strong>of</strong> Ca, Mg and P when balance is<br />

equal to zero were 11.752, 4.395 and 22.584 mg/kgBW/d, respectively. Intakes <strong>of</strong><br />

Mg and P correlated negatively with their respective A. A. rates (%)(r2=0.120 for Mg,<br />

r2=0.109 for P). Balance <strong>of</strong> Ca was positively correlated with that <strong>of</strong> Mg, (r2=0.541).


43<br />

Developed determination method <strong>of</strong> ultra-trace elements and ultra-trace<br />

element levels in plasma <strong>of</strong> rat fed low magnesium diet<br />

Mieko Kimura, *Kazuto Honda, Atsuko Takeda, Masayo Imanishi, Takahisa Takeda,<br />

Takeda Research Institute <strong>of</strong> Life Science, Kyoto 600-8813 Japan, *Perkin-Elmer<br />

Japan Co. Ltd., Suita Osaka 564-0051 Japan. mkimura@mbox.kyoto-inet.or.jp<br />

The mineral concentrations in plasma are unchangeable, for the most part, by<br />

homeostatic mechanisms and not always reflected in the nutritional status. For that<br />

reason, nutritional assessment is difficult and another biological value is sometimes a<br />

good indication. Recently, determination <strong>of</strong> ultra-trace element concentration has<br />

become possible by improvements in the function <strong>of</strong> the measuring instrument. A<br />

determination method for trace and ultra-trace element in the rat plasma without pretreatment<br />

using an inductively coupled plasma mass spectrometry (ICP-MS Elan-<br />

6000, Perkin Elmer,Co.,USA) was developed and basic data <strong>of</strong> trace element<br />

concentration was studied for the first time. To investigate 10 trace and ultra-trace<br />

elements status in low magnesium, 12 male Wistar young rats (3-weeks-old) were<br />

divided into two groups and fed a normal diet or low magnesium diet for 4 weeks.<br />

The plasma was diluted by ultra pure water (TAMAPURE-AA:Tama Chemical<br />

Co.,Japan). Ten ultra-trace element (As: 75, Se:82, Rb:85, Sr:87, Mo:95, Ba:137,<br />

Ta:181, Ir:193, Au:197, Pb:208) concentrations in the plasma were measured with<br />

ICP-MS Elan 6000. As, Rb, Sr, Ta, Ir and Au concentrations were significantly high in<br />

the plasma <strong>of</strong> low magnesium rats compared to those in the normal rats. Essentiality<br />

for mammals was certified for Se, Rb, Mo, As and Pb, and not yet for Sr, Ba, Au, Ir<br />

and Ta. This result proved that ultra-trace element concentrations in plasma was<br />

changeable by nutritional conditions and possibilities to be finding new physiological<br />

function and to be prove essentiality for mammal in these elements were suggested.


44<br />

<strong>Magnesium</strong> and cancer in clinical practice (update).<br />

Amid Reba*, MD, FACN, François Goldwasser**. MD, PhD. Hospital Cochin<br />

Universite Paris V, 27 rue du faubourg St Jacques 75014 Paris France.<br />

AMIDREBA@AOL.COM<br />

The regulation <strong>of</strong> the cell cycle control and the apoptosis, <strong>of</strong> the DNA repair, depends<br />

on many enzymatic reactions which are modulated by magnesium. As a<br />

consequence, the relations between magnesium and cancer were the topic <strong>of</strong><br />

numerous studies. In vitro, its role on cell proliferation is negligible and depends on<br />

the model investigated and on the experimental conditions. However, the Mg has a<br />

protective effect on some DNA lesions, and can have carcinogenic inhibition in some<br />

models. Otherwise, from animal studies, low magnesium diets do not inhibit growth<br />

<strong>of</strong> tumor xenograft. Hypomagnesemia may become symptomatic in cancers.<br />

Cytotoxic chemotherapy frequently induces hypomagnesemia and renal magnesium<br />

loss through its renal tubular toxicity. The clinical studies show that it can be<br />

dangerous if no corrective measures <strong>of</strong> this hypomagnesemia are initiated. Mg<br />

supplementation could compensate or prevent the effects <strong>of</strong> anticancer<br />

chemotherapy. In conclusion, the relationship between magnesium and neoplastic<br />

disease is rather complex and not directly applicable in clinic. On the other hand, it is<br />

demonstrated that the correction <strong>of</strong> hypomagnesemia is a therapeutic measure<br />

susceptible to improve the treatment safety and the patients comfort.


45<br />

Regulation <strong>of</strong> intracellular magnesium content during cellular proliferation<br />

S. Fasanella, A. Torsello, B. Tedesco, A. Cittadini and F.I. Wolf. Institute <strong>of</strong> General<br />

Pathology and Giovanni XXIII Cancer Research Center, Catholic University <strong>of</strong><br />

Sacred Heart School <strong>of</strong> Medicine, Rome Italy. fwolf@rm.unicatt.it<br />

It is well known for decades that magnesium (Mg) availability is required for<br />

proliferation, but the underlying regulatory mechanism has not been described in<br />

detail. In order to investigate this important event, we measured intracellular Mg<br />

content during cell growth in culture under different conditions. To this aim we used<br />

immortalized mammary<br />

epithelial cells (HC11) chronically grown in non-physiological high and low<br />

Mg concentrations (45 mM high Mg and 0.025 mM low Mg). We observed that<br />

during the exponential growth <strong>of</strong> the cells in culture, Mg content increased<br />

by about 6 fold in control and high Mg media. In low Mg medium, the increase <strong>of</strong><br />

intracellular Mg, even though smaller, was also statistically significant. The increase<br />

<strong>of</strong> intracellular Mg did not depend on adenine nucleotide pools but rather paralleled<br />

DNA duplication. Intracellular Mg content <strong>of</strong> cells grown in non-physiological Mg<br />

concentrations were balanced by membrane potential and pH: hyperpolarization<br />

associated with unfavourable transmembrane chemical Mg gradient and reduced pH<br />

associated with high transmembrane chemical Mg gradient. These data suggest that<br />

intracellular Mg content is modulated by Mg-requiring metabolic activities, such as<br />

DNA duplication, and also by the balance <strong>of</strong> different ionic species. We also<br />

investigated how Mg moves through plasma membranes in the presence <strong>of</strong> modified<br />

electrochemical<br />

gradients by measuring uptake <strong>of</strong> the stable isotope 25Mg. At present, our<br />

data do not rule out the role <strong>of</strong> specific transport mechanisms.


46<br />

<strong>Magnesium</strong>, insulin resistance and body composition in healthly<br />

posmenopausal women<br />

Laires, M.J. 1 ; Moreira, H. 2 ; Monteiro, C.P. 1 ; Sardinha, L. 3 ; Veiga, L. 1 ; Gonçalves, A. 3 ;<br />

Bicho, M. 4 1- Laboratório de Bioquímica, Faculdade de Motricidade Humana, U.T.L. 2-<br />

Universidade de Trás-os-Montes e Alto Douro 3- Laboratório de Exercício e Saúde,<br />

Faculdade de Motricidade Humana, U.T.L. 4- Laboratório de Genética, Faculdade de<br />

Medicina de Lisboa, U.L. mjlaires@fmh.utl.pt<br />

This study aims to associate body composition, magnesium levels and insulin<br />

resistance. In 76 Caucasian sedentary postmenopausal healthy women (50-77<br />

years) were evaluated: red blood cell's (RBC-Mg) and plasma (P-Mg) magnesium,<br />

glucose, insulin, body mass index (BMI), body fat percent (BF%), abdominal fat (AF)<br />

and fat free mass (FFM). Glucose intolerance was derived from fasting glucose and<br />

insulin by the formula for the HOmeostasis Model Assessment (HOMA). Women<br />

were divided according to BMI>25 (obese-GO) and BMI


47<br />

Clinical efficacy <strong>of</strong> magnesium supplementation in patients with type 2<br />

diabetes<br />

K. Yokota, *M. Kato, **H. Li, M. Shiraishi, T. Hayakawa, **T. Kikuta, ***F. Lister,<br />

****H. Akiyama, S. Kageyama and N. Tajima, Jikei University School Of Medicine,<br />

Minato-Ku, Tokyo, Japan, *Kato Medical Clinic, **Matier Co.,Ltd., ****Srl Co.,Ltd.<br />

Tokyo, Japan. ***WA Salt Supply, Australia. Yokota@jikei.ac.jp<br />

Aims, Subjects and Methods. The effects <strong>of</strong> magnesium (Mg) supplementation on<br />

type 2 diabetes were examined. Nine type 2 diabetic patients (mean age: 51.6 yrs)<br />

with stable glycaemic control were enrolled. Water from a salt lake with a high Mg<br />

content (7.1%) (MAG21) was used for supplementation after dilution with distilled<br />

water to 100 mg/100 ml, and 300 ml/day was taken for 30 days.<br />

Results. The serum Mg concentration, urinary Mg concentration, and urinary Mg<br />

excretion rate increased significantly after supplementation. Fasting immunoreactive<br />

insulin decreased significantly, as did HOMA-R (both p


48<br />

Post-cholecystectomy syndrome and magnesium deficiency<br />

P. J. Porr, J. Szántay, M. Rusu, 3rd Medical Clinic, Cluj-Napoca, Romania.<br />

pjporr@umfcluj.ro<br />

In 20-30% <strong>of</strong> cholecystectomized patients a biliary syndrome reappears after some<br />

weeks or months, called post-cholecystectomy syndrome (PCES). The etiology <strong>of</strong><br />

this is in certain cases an anatomic one (choledochal lithiasis or stricture, obstructive<br />

papillitis, pancreatic duct stenosis a.o.), but there are a lot <strong>of</strong> cases in which all<br />

organic causes are excluded. The aim <strong>of</strong> this study was to analyze the correlation<br />

between these functional disturbances and a magnesium deficiency (MD). We<br />

analyzed 52 patients with PCES and MD, in which organic lesions <strong>of</strong> the remaining<br />

bile ducts were excluded by imaging and endoscopic methods. MD was confirmed by<br />

serum and erythrocytic low Mg levels. 82,6% <strong>of</strong> patients were women. The<br />

substitution therapy was performed with Tiomag (Mg gluconate and methionine), B6<br />

vitamin and Ca lactate for 6 weeks or more. In 50 patients the symptomatology <strong>of</strong><br />

PCES disappeared after this treatment. In 14 cases some symptoms appeared again<br />

after a few weeks - months, but after repetition <strong>of</strong> the same therapy they disappeared<br />

definitively. Our results demonstrate the dependence <strong>of</strong> PCES functional<br />

manifestations on MD, especially the recurrence <strong>of</strong> symptoms, subsided again after<br />

the Mg substitution therapy was resumed.


49<br />

Effect <strong>of</strong> magnesium diets in ischemic stroke rats<br />

Céline Demougeotº, Sylvie Bobillier Chaumont*, Claude Mossiatº, Christine Marieº<br />

and Alain Berthelot*. º Laboratoire de Pharmacodynamie et Physiologie<br />

Pharmaceutique, UFR SMP Dijon; * Laboratoire de Physiologie Pharmacologie<br />

Nutrition Préventive Expérimentale, UFR SMP Besançon. alain.berthelot@univfcomte.fr<br />

In order to study the impact <strong>of</strong> magnesium (Mg) dietary intake on the vulnerability <strong>of</strong><br />

the brain to ischemia, the photothrombotic ischemic stroke model was induced in rats<br />

fed with low (0.015 %), normal (0.08 %) or high (0.32 %) Mg diet for 5-6 weeks.<br />

Infarct volume and plasma total Mg level were measured 4h and 24h after irradiation.<br />

As compared to normal dietary Mg intake, low Mg diet was associated with<br />

decreased plasma Mg level at 4h and 24h and increased infarct volume at 24h-postirradiation.<br />

Conversely, whereas high Mg diet increased plasma Mg level at 4h and<br />

24h without accompanying hyperglycemia and hypotension, it failed to reduce infarct<br />

volume. Variations in Mg dietary intake Mg level were not associated with<br />

modification <strong>of</strong> plasma antioxidant capacity. However, plasma Mg level correlated<br />

with plasma antioxidant capacity, at least in the early phase <strong>of</strong> ischemia (4h postirradiation).<br />

Our data demonstrate that brains from rats fed with low Mg diet are more<br />

susceptible to permanent focal ischemia. They may have important implications for<br />

future clinical stroke trials.


50<br />

A substance P antagonist increases brain intracellular free magnesium<br />

concentration after diffuse traumatic brain injury in rats<br />

Robert Vink, Maria I. Cruz*, James J. Donkin, Alan J. Nimmo† and Ibolja Cernak*<br />

Department <strong>of</strong> Pathology, University <strong>of</strong> Adelaide, Adelaide SA, Australia;<br />

*Department <strong>of</strong> Neuroscience, Georgetown University, Washington DC, USA;<br />

†School <strong>of</strong> Pharmacy and Molecular Sciences, James Cook University, Townsville<br />

QLD, Australia. ifc@georgetown.edu<br />

<strong>Magnesium</strong> deficiency has been shown to increase substance P release and induce<br />

a pro-inflammatory response that can be attenuated with the administration <strong>of</strong> a<br />

substance P antagonist 1 . Neurogenic inflammation has also been implicated in<br />

traumatic brain injury (TBI), a condition where brain intracellular free magnesium<br />

(Mgf) decline is known to occur and has been correlated with functional outcome 2 .<br />

We therefore examined whether a substance P antagonist restores brain intracellular<br />

free magnesium concentration following TBI. Male, adult Sprague-Dawley rats were<br />

injured using the Cernak rodent model <strong>of</strong> diffuse TBI 3 . At 30 min after injury, animals<br />

were administered either 0.25 mg/kg i.v. n-acetyl tryptophan or equal volume saline.<br />

Prior to and 4 h after induction <strong>of</strong> injury, phosphorus magnetic resonance spectra<br />

were acquired using a 7-tesla magnet interfaced with a Bruker spectroscopy console.<br />

Mgf was calculated from the chemical shift <strong>of</strong> the beta ATP. Prior to injury, Mgf was<br />

0.51 ± 0.05 mM (SEM). By 4 hr after injury, Mgf had significantly declined to 0.27 ±<br />

0.02 mM in saline treated animals. In contrast, animals treated with n-acety<br />

tryptophan had a Mgf <strong>of</strong> 0.47 ± 0.06 mM at 4 h after injury, which was not significantly<br />

different from preinjury values. There were no significant differences in pH between<br />

the treatment groups. We conclude that any beneficial effect <strong>of</strong> a substance P<br />

antagonist on functional outcome following TBI may be related to the improvement in<br />

brain magnesium homeostasis induced by the compound.<br />

1. Kramer, J.H., Phillips, T.M. and Weglicki, W.B. (1997). J. Mol. Cell. Cardiol. 29:<br />

97-110.<br />

2. Vink, R. and Cernak, I. (2000). Front. Biosci. 5: 656-665.<br />

3. Cernak, I., Vink, R., Cruz, M.I. and Faden, A.I. (2002). J. Neurotrauma 19: 1397.


51<br />

Amiloride increases neuronal damage after traumatic brain injury in rats<br />

Renee J. Turner, Corinna van den Heuvel and Robert Vink. Department <strong>of</strong><br />

Pathology, University <strong>of</strong> Adelaide, Adelaide, SA, Australia.<br />

Robert.Vink@adelaide.edu.au<br />

It is well known that traumatic brain injury (TBI) decreases brain free magnesium<br />

concentration, while administration <strong>of</strong> magnesium salts after TBI restores the<br />

concentration and improves functional outcome 1 . In the presence <strong>of</strong> haemorrhage,<br />

administration <strong>of</strong> exogenous magnesium salts exacerbates the injury process and<br />

worsens outcome 2 . An alternative to administration <strong>of</strong> magnesium after injury may<br />

be to prevent cellular loss <strong>of</strong> magnesium with the use <strong>of</strong> amiloride, which inhibits<br />

Na/Mg exchange. In the present study, male, adult Sprague-Dawley rats were<br />

injured using the impact acceleration model <strong>of</strong> diffuse TBI 2 and administered either<br />

100µmoles/kg i.v. amiloride or equal volume 50% DMSO/saline at 30 min after injury.<br />

Amiloride did not improve functional outcome (motor or cognitive outcome) after TBI<br />

relative to vehicle treated controls. Histologically, treatment with amiloride<br />

significantly increased hippocampal caspase-3 expression (apoptosis), axonal<br />

swellings in the medulla, and the degree <strong>of</strong> neuronal dark cell change (cell stress) in<br />

the cortex. Phosphorus NMR demonstrated that amiloride did not increase free<br />

magnesium concentration after TBI. We conclude that amiloride is ineffective in<br />

preventing magnesium loss after TBI when administered at 30 min after trauma.<br />

Moreover, by administering amiloride after the TBI related magnesium decline has<br />

already been initiated, it may exacerbate injury by, in part, inhibiting Na/Mg antiport<br />

and preventing entry <strong>of</strong> magnesium back into the cell, but also by inhibiting other Na<br />

linked transporters.<br />

1. Vink, R. and Cernak, I. (2000). Front. Biosci. 5: 656-665.<br />

2. Heath, D.L. and Vink, R. (2001) J. Neurotrauma 18: 465-469.


52<br />

Prop<strong>of</strong>ol attenuates the neuroprotective effects <strong>of</strong> magnesium in experimental<br />

traumatic brain injury<br />

Tulin Erdem*, Damla Aktan*, Mehmet Kaya**, S.Murat Imer***, Nahit Cakar*, Lutfi<br />

Telci*, Figen Esen*. *University <strong>of</strong> Istanbul, Istanbul Medical Faculty Department <strong>of</strong><br />

Anesthesiology & Reanimation, Istanbul-Turkey; **University <strong>of</strong> Istanbul, Istanbul<br />

Medical Faculty Department <strong>of</strong> Physiology, Istanbul-Turkey *** University <strong>of</strong> Istanbul,<br />

Istanbul Medical Faculty Department <strong>of</strong> Neurosurgery, Istanbul-Turkey.<br />

erdentn@yahoo.com<br />

OBJECTIVES: Prop<strong>of</strong>ol is a popular nonbarbiturate anesthetic agent. Its<br />

neuroprotective effects are controversial. The neuroprotective effects <strong>of</strong> magnesium<br />

salts have been documented. We aimed to examine the neuroprotective effects <strong>of</strong><br />

prop<strong>of</strong>ol alone and with magnesium on brain edema and blood-brain barrier (BBB)<br />

breakdown after experimental traumatic brain injury (TBI) in rats.<br />

METHODS: Experimental closed head trauma was induced on Spraque-Dawley rats<br />

by allowing 450-gm weight falling from a 2-m height onto a metallic disc fixed to the<br />

intact skull. Rats were assigned into four groups to receive intraperitoneally 1 ml/kg<br />

saline in the control group (C, n=10), 10 mg/kg prop<strong>of</strong>ol in the prop<strong>of</strong>ol group (P,<br />

n=10), 750 µmol/kg magnesium sulphate (MgSO4) in the magnesium group (M,<br />

n=10), 10 mg/kg prop<strong>of</strong>ol and 750 µmol/kg MgSO4 in the magnesium-prop<strong>of</strong>ol group<br />

(PM, n= 10) 30 minutes after TBI. Brain water content (BWC) and specific gravity<br />

(SG), as indicators <strong>of</strong> brain edema were measured 24 hours after TBI. BBB<br />

breakdown was evaluated quantitavely 24 hours after TBI by fluorometric assay <strong>of</strong><br />

Evans blue dye (EBD) extravasations.<br />

RESULTS: The increase in BWC, the reduction in SG and EBD content in the group<br />

P was statistically significant when compared to the group C. In the group PM, BWC<br />

was significantly higher and SG was significantly lower than group M. EBD content in<br />

the brain tissue was also significantly increased in the group PM when compared to<br />

group M.<br />

CONCLUSIONS: These experimental data have shown that although prop<strong>of</strong>ol has<br />

neuroprotective effects on TBI, it is not as effective as magnesium, and it attenuates<br />

the neuroprotective effects <strong>of</strong> magnesium sulphate on secondary injury factors<br />

following traumatic brain injury.


53<br />

Simultaneous monitoring <strong>of</strong> extracellular magnesium and zinc in gerbil cortex<br />

during focal cerebral ischemia by microdialysis-graphite furnace atomic<br />

absorption spectroscopy<br />

Pr<strong>of</strong>essor FU-Chou Cheng, Department <strong>of</strong> Medical Research, Taichung Veterans<br />

General Hospital, Taichung, Taiwan. vc1035@sinamail.com<br />

The aim <strong>of</strong> this study was to develop a microdialysis-graphite furnace atomic<br />

absorption spectroscopy (MD-GFAAS) method for monitoring dynamic changes <strong>of</strong><br />

extracellular magnesium and zinc in the cortex <strong>of</strong> gerbils subjected to focal cerebral<br />

ischemia. Focal cerebral ischemia was produced in anesthetized gerbils by occlusion<br />

<strong>of</strong> the right common carotid artery and the right middle cerebral artery for 1 h<br />

followed by a 3-h reperfusion. Two microdialysis probes were inserted into both sides<br />

<strong>of</strong> the cortex to simultaneously collect dialysates during cerebral ischemia and<br />

reperfusion. Dynamic changes in these analytes, on ipsilateral and contralateral<br />

sides <strong>of</strong> the brain, were assayed by MD-GFAAS. Optimal conditions and analytical<br />

precision <strong>of</strong> GFAAS were studied in the present assay. The present study<br />

demonstrated significant decreases in magnesium (50 % <strong>of</strong> baseline) and a transient<br />

increases in zinc (195 % <strong>of</strong> baseline) on the ipsilateral side <strong>of</strong> cortex during cerebral<br />

ischemia in the control group. <strong>Magnesium</strong> and zinc levels gradually returned to<br />

baseline after reperfusion.


54<br />

Determination <strong>of</strong> extracellular magnesium in brains <strong>of</strong> gerbils subjected to<br />

cerebral ischemia by an on-line microdialysis and graphite furnace atomic<br />

absorption spectrometry<br />

Jen-Bin Lee. Department <strong>of</strong> Applied Chemistry, Providence University, Taichung,<br />

Taiwan. pian<strong>of</strong>is@seed.net.tw<br />

An in vivo microdialysis system was constructed for the determination <strong>of</strong> extracellular<br />

magnesium levels in gerbil brain dialysates. The microdialysis hyphenated system,<br />

consisting a microdialysis sampling device and a graphite furnace atomic absorption<br />

spectrometer, was developed. The linearity <strong>of</strong> magnesium concentrations ranged<br />

from 0.50 to 5.0 ppb with a detection limit <strong>of</strong> 0.03 ppb in the present assay. Each<br />

assay was completed within 3 min. The intra- and inter-assay precision was within 5<br />

%. A microdialysis probe was inserted into the right cortex <strong>of</strong> a gerbil subjected to a<br />

focal cerebral ischemia. The focal cerebral ischemia was induced by an occlusion <strong>of</strong><br />

the right middle cerebral artery and the right common carotid artery for 60 min<br />

followed by additional 180 min reperfusion. Dynamic changes <strong>of</strong> brain magnesium<br />

levels were demonstrated during cerebral ischemic and reperfusion periods. During<br />

cerebral ischemia, magnesium levels decreased significantly to about 50 % <strong>of</strong><br />

baseline in the cortex and returned to the baseline within 3 h <strong>of</strong> reperfusion.


55<br />

Microdialysis coupled with graphite furnace atomic absorption spectrometry in<br />

the determination <strong>of</strong> blood magnesium levels in gerbils subjected to cerebral<br />

ischemia/reperfusion<br />

Ming-Cheng Lin, Department <strong>of</strong> Medical Technology, Chung-Tai Institute <strong>of</strong> Health<br />

Sciences and Technology, Taichung, Taiwan. vickyliu@sunrise.hkc.edu.tw<br />

Microdialysis coupled with graphite furnace atomic absorption spectrometry system<br />

was developed and employed for the dynamic monitoring <strong>of</strong> blood magnesium levels<br />

in gerbils subjected to focal cerebral ischemia. A transient focal cerebral ischemia<br />

was induced by the occlusion <strong>of</strong> the right middle cerebral artery and the common<br />

carotid artery for 60 min followed by 60 min <strong>of</strong> reperfusion. Blood samples were<br />

collected via a femoral vein during and after the ischemic event. Blood samples were<br />

pretreated and diluted with the appropriate amount <strong>of</strong> water then injected onto the<br />

graphite furnace atomic absorption spectrometer via an autosampler for the analysis<br />

<strong>of</strong> magnesium. The linearity <strong>of</strong> the magnesium concentrations ranged from 0.50 to<br />

3.00 ppb and a detection limit <strong>of</strong> 0.03 ppb was obtained. The typical intra- and interassay<br />

variation was less than 3%. <strong>Magnesium</strong> concentrations decreased during<br />

cerebral ischemia and returned to baseline after 60 min <strong>of</strong> reperfusion.


56<br />

Contribution <strong>of</strong> the Na+-Mg2+ exchanger on insulin-induced modulation <strong>of</strong> the<br />

intracellular Mg2+ concentration in rat hearts<br />

Yasushi Tatematsu, Department <strong>of</strong> Cardiology, Nagoya University Graduate School<br />

<strong>of</strong> Medicine, Nagoya, Japan; Shinsuke Nakayama, Department <strong>of</strong> Cell Physiology,<br />

Nagoya University Graduate School <strong>of</strong> Medicine, Nagoya, Japan; Tetsuya Amano,<br />

Kenji Imai, Manabu Kokubo, Tadayuki Uetani, Takaaki Yamada, Yukihisa<br />

Hamaguchi, Toyoaki Murohara, Department <strong>of</strong> Cardiology, Nagoya University<br />

Graduate School <strong>of</strong> Medicine, Nagoya, Japan; Tatsuaki Matsubara, Department <strong>of</strong><br />

Internal Medicine, Aichi-Gakuin University, Nagoya, Japan. tatemat@med.nagoyau.ac.jp<br />

In cardiac muscle, numerous intracellular mechanisms are known to be under the<br />

influence <strong>of</strong> the Mg2+. It is recognized that insulin slowly increases intracellular Mg2+<br />

concentration ([Mg2+]i) in cardiomyocytes. On the other hand, Na+-Mg2+ exchange<br />

is generally considered to play a central role in regulating [Mg2+]i in many types <strong>of</strong><br />

cells. However there is little information concerning correlation between insulin action<br />

and Na+-Mg2+ exchange. In the present study, we therefore examined the effects <strong>of</strong><br />

amiloride and imipramine on insulin-induced [Mg2+]i rise in isolated rat hearts, using<br />

31P-nuclear magnetic resonance. [Mg2+]i was estimated from the separation <strong>of</strong> the<br />

chemical shifts <strong>of</strong> the beta and alpha ATP peaks, using the dissociation constant <strong>of</strong><br />

MgATP 87 microM. [Mg2+]i was 1.00±0.08 mM after exposure to insulin (1mU/ml)<br />

for 100 min in the absence <strong>of</strong> extracellular Mg2+. [Mg2+]i was significantly increased<br />

to 1.21±0.03 mM in the presence <strong>of</strong> extracellular Mg2+ (1.2mM). When 1mM<br />

amiloride, a poorly selective blocker for many Na+-coupled transporters, was<br />

simultaneously applied with insulin, [Mg2+]i hardly changed for 100 min (in normal<br />

solution containing 1.2mM Mg2+). Furthermore, simultaneous application <strong>of</strong> 10 mM<br />

imipramine, a selective inhibitor for Na+-Mg2+ exchange, also prevented the insulininduced<br />

[Mg2+]i increase as seen with amiloride. These results suggest that Na+-<br />

Mg2+ exchange may play an important role in the insulin modulation <strong>of</strong> [Mg2+]i.


57<br />

A study on spontaneously obese rats (Minko rat) with abnormal lipid<br />

metabolism -strength and mineral concentrations in bone<br />

Ryuji Takeda 1,2), Takashi Nakamura 1), Masayo Imanishi 2), Madoka Ishida 2),<br />

Fumiko Yano 3), Takahisa Takeda 2), Mieko Kimura 2), 1) Graduate School <strong>of</strong><br />

Medicine, Kyoto University, Kyoto 606-8501 Japan, 2) Takeda Research Institute <strong>of</strong><br />

Life Science, Kyoto 600-8813, 3) School <strong>of</strong> Biology-Oriented Science and<br />

Technology, Kinki University, Wakayama 646-6493. kimura@takedahp.or.jp<br />

Osteoporosis is a major public health problem in many countries, including Japan.<br />

Although bone densitometry is <strong>of</strong>ten used as an indicator to evaluate bone fragility,<br />

bone mineral density isn't always reflected in bone strength. It is well known that<br />

there are many factors that affect bone strength. The cholesterol synthetic pathway<br />

may also be important in bone metabolism. In the present study, the relationship<br />

between strength and mineral concentration in bone <strong>of</strong> spontaneously obese male<br />

and female rats named "Minko rat" with abnormal lipid metabolism is studied. The<br />

bone stiffness was tested by the three-point bending method using a mechanical<br />

testing machine (Model TK-252C: Muromachi-Kikai Co. Ltd., Tokyo Japan), and Mg,<br />

Ca, P, Na, S, K, Zn, Sr and Fe concentrations were determined by inductively<br />

coupled plasma-atomic emission spectrometry (ICP-AES: Perking-Elmer Co. Ltd.,<br />

USA) in femur <strong>of</strong> 39 weeks old rats. Mechanical studies in bone indicated that the<br />

stiffness <strong>of</strong> male rats was significantly higher compared to that <strong>of</strong> female rats. On the<br />

other hand, magnesium, calcium, phosphorus, sodium, potassium, zinc, strontium<br />

and iron concentrations in male rats were significantly lower compared to that <strong>of</strong><br />

female rats, while sulfur and potassium concentrations in male rats were significantly<br />

higher compared to that <strong>of</strong> female rats. These results suggested that bone strength<br />

isn't determined only by mineral concentrations such as magnesium, calcium and<br />

phosphorus. On the other hand, we report that bone strength <strong>of</strong> "Minko rats" was<br />

significantly higher compared with control rats, but there was no significant difference<br />

<strong>of</strong> calcium and phosphorus concentrations between the two groups <strong>of</strong> rats.


58<br />

Modulation <strong>of</strong> tyrosine kinases and phosphatases by Mg2+ ions in human red<br />

blood cells<br />

Alexander Barbul1, Yehudit Zipser1, Nechama S. Kosower2 and Rafi Korenstein1.<br />

1 Department <strong>of</strong> Physiology and Pharmacology, and 2 Israel Department <strong>of</strong> Human<br />

Genetics and Molecular Medicine, Sackler Faculty <strong>of</strong> Medicine, Tel-Aviv University,<br />

69978 Tel-Aviv, Israel. abarbul@post.tau.ac.il<br />

The anion exchange band 3 protein is the main substrate for phosphorylation by<br />

protein tyrosine kinases (PTKs) in red blood cells (RBC). Dephosphorylation <strong>of</strong> band<br />

3 is carried out by phosphotyrosine phosphatase (PTP). Under normal conditions,<br />

little if any band 3 phosphotyrosine is present in the RBC, due to higher activity <strong>of</strong><br />

PTP versus PTK. We previously showed that band 3 tyrosine phosphorylation was<br />

induced upon elevation <strong>of</strong> Mg2+ concentration during deoxygenation or Mg2+loading<br />

<strong>of</strong> intact human RBC. This effect was much more pronounced upon addition<br />

<strong>of</strong> the PTP inhibitor vanadate. We have now found that Mg2+-induced band 3<br />

phosphorylation is inhibited by the specific Src family kinase inhibitor PP1. Mg2+<br />

leads to activation and autophosphorylation <strong>of</strong>Src-family kinases p53/56Lyn and<br />

p59Fyn, which in turn phosphorylate and activate p72Syk tyrosine kinase. Though all<br />

three kinases appear to be associated with band 3, only p72Syk exhibits a very<br />

efficient direct phosphorylation <strong>of</strong> the cytoplasmic domain <strong>of</strong>. On the other hand,<br />

band 3-associated PTP is also found to be activated by Mg2+. Moreover, the addition<br />

<strong>of</strong> Mg2+ to RBC membranes where PTP was dissociated from \band 3 by Ca2+treatment,<br />

causes re association <strong>of</strong> PTP and band 3 and dephosphorylation <strong>of</strong><br />

band3. Thus, the Mg2+ ion seems to be a significant regulator <strong>of</strong> phosphotyrosine<br />

levels in human RBC with important consequences for RBC physiological functions<br />

and metabolism.


59<br />

Is determination <strong>of</strong> Mg pool size useful to assess Mg status<br />

C. Feillet-Coudray, C. Coudray, E. Gueux, A. Mazur and Y. Rayssjguier. INRA, St<br />

Genès Champanelle, France. coudray@clermont.inra.fr<br />

<strong>Magnesium</strong> (Mg) is a biologically essential mineral and Mg deficiency is known to<br />

lead to severe biochemical and symptomatic disorders. However, a sensitive and<br />

valid marker to assess Mg status in humans is still unavailable. We hypothesised that<br />

determination <strong>of</strong> exchangeable pools <strong>of</strong> Mg could be used to estimate tissue Mg<br />

status and turnover. In that aim, studies were conducted in animals and in human. In<br />

animal study, Mg pool sizes were determined in control rats, marginally Mg-deficient<br />

rats and severely Mg-deficient rats. Rats received an intravenous injection <strong>of</strong> 25Mg,<br />

and the plasma 25Mg disappearance curve was followed for several days.<br />

Tracer/tracee data were analysed with a SAAM II program, using a compartmental<br />

model based on the model <strong>of</strong> Avioli and Berman (1966). This model considered 3<br />

exchangeable Mg pools with varied rates <strong>of</strong> turnover (pools 1 and 2. with a relatively<br />

fast turnover. and pool 3). We observed that the size <strong>of</strong> exchangeable pools <strong>of</strong> Mg<br />

decreased in proportion to Mg deficiency. We thus conclude that Mg pool size<br />

measurement can constitute a good marker <strong>of</strong> Mg status in rats. To validate this<br />

concept in human, exploration <strong>of</strong> Mg pool size was performed in 10 healthy women<br />

before and after 8 weeks <strong>of</strong> Mg supplementation (366mg Mg/d). All subjects had an<br />

intravenous catheter inserted into the right arm, and 25Mg was perfused over 30 min.<br />

Each subject had also an intravenous catheter inserted into the left arm for blood<br />

sampling at T-30 to T-600 min. On the following days blood sampling was also<br />

performed after an overnight fast (Dl to D7). Total 24-h urinary Mg excretion was<br />

measured for 2 days, on the day before and the day <strong>of</strong> the isotopic loading test. We<br />

observed that Mg pool size was not affected by the Mg supplementation while urinary<br />

Mg excretion was significantly increased. Full Mg stores prior to Mg supplementation<br />

may explain such results. In conclusion, Mg pool size measurement may be a<br />

promising indictor <strong>of</strong> Mg status. Further studies are necessary to determine whether<br />

Mg pool size responds to Mg supplementation in Mg-deficient subjects.


60<br />

Effects <strong>of</strong> reduced magnesium availability and mild oxidative stress on aging<br />

<strong>of</strong> WI-38 human diploid fibroblasts.<br />

B.Tedesco, S. Fasanella, A.Torsello, A.Cittadini and F.I. Wolf. Institute <strong>of</strong> General<br />

Pathology and Giovanni XXIII Cancer Research Center, Catholic University School <strong>of</strong><br />

Medicine, Rome Italy. fwolf@rm.unicatt.it<br />

Reduced <strong>Magnesium</strong> (Mg) availability due to reduced intake (diet) or increased loss,<br />

is <strong>of</strong>ten found in the elderly. Hypomagnesiemia exacerbates cardiovascular diseases<br />

and diabetes, two major diseases primarily affecting aged people. From a<br />

biochemical viewpoint Mg influences several functions involved in the aging process,<br />

among which proliferation rate and oxidative reactions which can cause important<br />

impairment <strong>of</strong><br />

protein, lipids and DNA functions. In particular, DNA damage is involved in the<br />

inhibition <strong>of</strong> cell proliferation associated with cell senescence. We have shown that<br />

acute and chronic decrease <strong>of</strong> extra-cellular magnesium reduces proliferation rate <strong>of</strong><br />

different cells in culture. We have also shown that a mild chronic oxidative stress<br />

(5mM H2O2) accelerates aging <strong>of</strong> WI-38 diploid human fibroblasts. In this work we<br />

wanted to investigate the effects <strong>of</strong> the association <strong>of</strong> reduced Mg availability and<br />

oxidative stress<br />

on the aging <strong>of</strong> WI-38 fibroblasts. Results indicate that decreased Mg availability<br />

(from 0.8 mM to 0.4 mM in extracellular medium) slowed down the proliferation rate<br />

<strong>of</strong> WI-38 cells. The combination <strong>of</strong> decreased Mg availability and mild chronic<br />

oxidative stress resulted in a reduction <strong>of</strong> oxidative DNA damage, suggesting that in<br />

this conditions, cell are more resistant to the detrimental effects <strong>of</strong> oxidative stress.<br />

These results can be explained in the light <strong>of</strong> the different cellular response to acute<br />

or chronic hypomagnesiemia, and underline the importance <strong>of</strong> cell/organism<br />

adaptation to sub-physiological Mg availability.


61<br />

Food intake and magnesium intake affect true absorption and endogenous<br />

fecal excretion <strong>of</strong> magnesium in rats<br />

Hideyuki Ohmori, Tohru Matsui and Hideo Yano. Division <strong>of</strong> Applied Biosciences,<br />

Graduate School <strong>of</strong> Agriculture, Kyoto University, Kyoto, Japan.<br />

yanoh@kais.kyoto-u.ac.jp<br />

True Mg absorption and fecal endogenous Mg excretion were studied in rats given<br />

different amounts <strong>of</strong> Mg (5, 10, 20 mg/d) in different amounts <strong>of</strong> diets (10 and 20 g/d)<br />

except for 20 mg Mg in 10 g diet. Rats were subcutaneously infused 25Mg by an<br />

osmotic pump and true absorption and fecal endogenous excretion <strong>of</strong> Mg were<br />

determined after the isotopic enrichments became almost stable in urine and feces.<br />

Feed intake did not affect the amount <strong>of</strong> Mg absorbed but the amount <strong>of</strong> Mg<br />

absorption increased with Mg intake irrespective <strong>of</strong> feed intake. Although Mg<br />

absorption rate (percentage <strong>of</strong> Mg intake) did not differ between rats given 5 mg Mg<br />

and 10 mg Mg in 20 g diets, rats given 20 mg Mg showed lower absorption rate than<br />

rats given 5 mg Mg. Fecal endogenous excretion <strong>of</strong> Mg increased with dietary Mg<br />

level and increased with feed intake. Urinary loss <strong>of</strong> Mg was approximately 4.5 to 7fold<br />

more than the endogenous fecal loss <strong>of</strong> Mg. These results suggest that the<br />

efficiency <strong>of</strong> Mg absorption decreases with dietary Mg level and the endogenous Mg<br />

excretion into feces depends on Mg and feed intakes. However, the endogenous<br />

fecal excretion <strong>of</strong> Mg does not largely contribute to Mg metabolism in rats.


62<br />

Serum magnesium levels and dependency/disability in hospitalised elderly<br />

patients<br />

M Barbagallo, LJ Dominguez, A Ferlisi, A Galioto, A Pineo, C Aglialoro. Gruppo<br />

Italiano di Farmacovigilanza nell'Anziano, Institute <strong>of</strong> Internal Medicine and<br />

Geriatrics, University <strong>of</strong> Palermo, Sicily, Italy. mabar@unipa.it<br />

<strong>Magnesium</strong> deficiency has been linked to age-related chronic conditions such as<br />

hypertension, diabetes and cognitive impairment. Since all these conditions may<br />

favour the development <strong>of</strong> dependency and disability, we explore the association<br />

between serum magnesium levels and disability-related conditions in the elderly. We<br />

performed a cross-sectional case-control study in the GIFA (Gruppo Italiano di<br />

Farmacovigilanza nell'Anziano) participants, carried out in 81 hospitals throughout<br />

Italy. A total <strong>of</strong> 5197 elderly subjects (aged 65 to 100 years) with serum magnesium<br />

measurements available were studied. We included in the analysis the following<br />

variables: age, gender, body mass index, blood pressure measurements,<br />

hypertension, diabetes mellitus, laboratory parameters, educational level,<br />

comorbidity, number <strong>of</strong> drugs used, cognitive impairment (evaluated with Hodkinson<br />

Abbreviated Mental Test), and activity <strong>of</strong> daily living (ADL) scale. In the univariate<br />

analysis serum magnesium showed a significant trend for negative association with<br />

age, diabetic status, systolic blood pressure, serum calcium, cognitive impairment,<br />

self-sufficiency, atrial fibrillation, osteoporosis and depression (p


63<br />

Absorption and effect <strong>of</strong> the magnesium content <strong>of</strong> a mineral water in the<br />

human body<br />

Sándor A. Kiss, Tamás Forster, Ágnes Dongó, 1 Hungarian <strong>Magnesium</strong> Society,<br />

2 Univ. Szeged, 2 nd Dept. Of Medicine And Cardiology Center, Szeged, Hungary<br />

The kinetics <strong>of</strong> magnesium absorption in the human body has been investigated by<br />

MAGNESIA mineral water (204 mg Mg/L) on healthy human subjects, aged (23-60<br />

years) in a self-controlled manner. Serum magnesium, calcium, K (potassium) and<br />

Na (sodium) content, blood haemoglobin, erythrocyte and white blood counts as well<br />

as urinary volume and urine magnesium content were evaluated. Subjects drank 1.5<br />

liter MAGNESIA during 30 minutes, blood tests were taken at 0, 2, 6, 24 and 48<br />

hours, and subsequently 1, 2, 3 and 4 weeks. Serum ion quotient was calculated.<br />

Serum magnesium level increased in all cases, though it returned to the individual<br />

normal value after 48 hours. Subjects drank mineral water intensively only on the first<br />

two days, later on they consumed 1-1 glasses <strong>of</strong> mineral water at a time with a daily<br />

total amount <strong>of</strong> 1-1.5 liter. Urinary volume and its magnesium content significantly<br />

increased. The increase in the magnesium content <strong>of</strong> urine was individually different<br />

referring to the divergent level <strong>of</strong> tissue magnesium deficiency. Our observations are<br />

in accordance with that on plants, i.e. magnesium is absorbed in a short period <strong>of</strong><br />

time in all biological systems. MAGNESIA mineral water was provided by<br />

Karlovarske Mineralni Vody a.s., which merits our gratitude.


64<br />

About the misdiagnostics <strong>of</strong> magnesium deficiency<br />

Dierck-H.Liebscher, Dierck-E.Liebscher. Self-help Organisation on Mineral<br />

Imbalances, Berlin, Germany. dierck-h.liebscher@magnesiumhilfe.de<br />

The experience <strong>of</strong> our self-help organisation shows that the reason why patients with<br />

magnesium deficiency symptoms do not get magnesium therapy is the badly used<br />

lower limit <strong>of</strong> the reference values for the serum concentration <strong>of</strong> the normal<br />

population. This limit is too low for a patient with symptoms so that the prevalence<br />

and importance <strong>of</strong> this disease is not taken into consideration sufficiently. The lower<br />

reference limit <strong>of</strong> the normal population is erroneously regarded as a diagnostic<br />

criterion to exclude the deficiency when more Mg is found, while it only indicates<br />

exclusion <strong>of</strong> normality when less is found. It is a famous error in statistics to use the<br />

confidence limits <strong>of</strong> the normal population as exclusion limits for the affected. We<br />

demonstrate a calculation to estimate the number <strong>of</strong> patients, who are not correctly<br />

diagnosed, as a function <strong>of</strong> the lower limit for the serum value based on data <strong>of</strong><br />

v.Ehrlich (1997). Among 3894 patients, 366 had symptoms belonging to a clinically<br />

relevant magnesium deficiency but only 37 had a serum value <strong>of</strong> lower than the<br />

presently used limit <strong>of</strong> 0.7 mM Mg.<br />

Our conclusions are<br />

- When there is a chance for causal therapy - and magnesium therapy is - then this<br />

therapy must be the first choice.<br />

- When Mg-deficiency symptoms are diagnosed, the serum value must be checked.<br />

- Patients with symptoms and serum values lower than 0.9 mM Mg have to be<br />

involved as suspected Mg-deficient patients.<br />

- When Mg-deficiency symptoms are diagnosed, substitution must start with more<br />

than 600 mg Mg per day.


65<br />

<strong>Magnesium</strong> in asthma attack<br />

Dr. G. Sur, Pr<strong>of</strong>. Dr. N. Miu, Dr. Lucia Burac, Dr. Oana Maftei. Pediatric Clinic II,<br />

University Of Medicine And Pharmacy, Cluj-Napoca, Romania.<br />

oana_maftei@yahoo.com<br />

The purpose <strong>of</strong> this study was to analyze the most efficient therapy for patients with<br />

bronchial asthma and to establish the role <strong>of</strong> magnesium in the treatment <strong>of</strong><br />

bronchial asthma crisis. <strong>Magnesium</strong> has been used as an adjuvant drug in bronchial<br />

asthma crisis therapy, along with the usual therapies established by Bethesda and<br />

Gina programmers. Based on previous studies in the Clinic <strong>of</strong> Pediatrics II before<br />

1989, the authors concluded that i.v. administration <strong>of</strong> Mg with specific medication <strong>of</strong><br />

crisis reduces the period <strong>of</strong> crisis and the hospitalization. We found that earlier i.v.<br />

administration <strong>of</strong> Mg in moderate and severe crisis <strong>of</strong> asthma is beneficial both for<br />

the rapidity <strong>of</strong> response and for the improvement <strong>of</strong> the symptomology. In our study,<br />

we noticed that oral administration <strong>of</strong> Mg has no efficacy, no matter what the dose.<br />

For efficiency in asthma is necessary to administer i.v. doses: 50 mg/kgc in 20<br />

minutes to 2 hours.<br />

Mg is the 4 th most abundant cation in the organism and the second most abundant<br />

intracellular cation. It coordinates the activity <strong>of</strong> many enzymes <strong>of</strong> cellular<br />

metabolism and is an important c<strong>of</strong>actor in oxidative metabolism. The excess <strong>of</strong> Mg<br />

in smooth muscles induces calcium decrease, which is necessary for myosin<br />

phosphorylation. Mg is a competitor <strong>of</strong> calcium for the linked tissue and it may<br />

increase the activity <strong>of</strong> ATP in cellular membranes. Excess intracellular Mg favors the<br />

entrance <strong>of</strong> calcium in endoplasmic reticulum and that's why it doesn't induce<br />

calmodulin activation and the preformed and ne<strong>of</strong>ormed products <strong>of</strong> mastocyte and<br />

basophile. Today it is well known that Mg is a calcium antagonist so that it<br />

decreases the level <strong>of</strong> calcium in smooth muscles and produces relaxation. It also<br />

inhibits acetylcholine in the neuromuscular junction; inhibits histamine; directly<br />

inhibits contraction <strong>of</strong> smooth muscle; produces sedation; activates adenylate<br />

cyclase, which increases ATP, which induces cyclic AMP; and is bronchodilatory. We<br />

studied 58 patients hospitalized in Pediatrics Clinic II for the last 5 years, with<br />

moderate and severe crisis. We administered to these patients Mg 20-50 mg/kg in 20<br />

minutes. We followed the decrease <strong>of</strong> crisis severity, the improvement <strong>of</strong><br />

symptomology and the period <strong>of</strong> hospitalization.<br />

In this study group we found:<br />

1. In bronchial asthma crisis therapy, the magnesium proved its efficacy,<br />

administered only when it is earlier and in efficient doses <strong>of</strong> 50-75 mg/kg in 20<br />

minutes to 2 hours.<br />

2. The magnesium reduces the crises, significantly reduces the period <strong>of</strong><br />

hospitalization and improved the ventilator parameters.<br />

3. If we can't control the level <strong>of</strong> magnesium in blood serum, it is better to not<br />

exceed 75 mg/kg because it can cause adverse effects.<br />

4. We mention that it is very important to administer the magnesium at the same<br />

time as the specific medication for different severity degrees <strong>of</strong> asthma attacks.<br />

We conclude that Mg causes: diminution <strong>of</strong> crisis period; quick improvement <strong>of</strong><br />

ventilation parameters; and diminution <strong>of</strong> hospitalization.


66<br />

Experimentally induced prolonged magnesium deficiency causes osteoporosis<br />

in the rat<br />

Stendig-Lindberg G, Koeller W, Bauer A, Rob PM. Dept Physiol And Pharmacol,<br />

Sackler Faculty Of Med, Tel-Aviv University, Ramat Aviv, Israel And Dept Of<br />

Orthopedics And Dept Of Dialysis, Lubeck University Hospital, Lubeck, Germany.<br />

Lindberg@Post.Tau.Ac.Il<br />

BACKGROUND. Prolonged daily oral magnesium (Mg), given as the only treatment<br />

in postmenopausal osteoporosis, caused significant increase <strong>of</strong> BD.<br />

OBJECTIVES. In order to obtain definitive evidence <strong>of</strong> causality <strong>of</strong> magnesium<br />

deficiency in the etiology <strong>of</strong> osteoporosis, we examined throughout one year, rats<br />

given daily a Mg adequate diet (2000 ppm), Group A, to compare with rats given<br />

daily a Mg deficient diet (200 ppm), Group B.<br />

METHODS. Sixteen Sprague-Dawley female rats, mean wt.110, SD 23 g, were<br />

randomly divided into group A and B. Urine samples were collected every three<br />

months and blood, at the end <strong>of</strong> the trial. After the animals were sacrificed, L3 - L5<br />

vertebrae and the femural regions were examined for bone density (BD) using dual<br />

energy X-ray absorptiometry. The femural bones were examined for bone fragility,<br />

and the tibiae by histomorphometry.<br />

RESULTS. The mean BD <strong>of</strong> L3-L5 vertebral bones and <strong>of</strong> the femural bones was<br />

significantly higher in group A than in group B (p =0.035 and p = 0.045, 1 tail,<br />

respectively). The bending stiffness <strong>of</strong> the femur in Group B was significantly higher<br />

than that in group A (p = 0.024) and the force needed to break the bone was higher<br />

in group A, than in group B. Histomorphometry showed in group B a diminution <strong>of</strong> the<br />

trabecular bone volume, in relation to the tissue volume (BV/TV), an increase in<br />

the degree <strong>of</strong> the trabecular interconnections (TBPf) and focal osteoporosis <strong>of</strong> the<br />

metaphyseal spongious bone.<br />

CONCLUSIONS. Rats kept one year on a Mg deficient diet developed osteoporosis.


67<br />

Modifications <strong>of</strong> the plasmatic and salivary magnesium concentrations and <strong>of</strong><br />

other bivalent cations in patients with suppurations <strong>of</strong> the oro-maxilar area<br />

1 Nechifor Mihai, 2 Gradinaru Irina, 3 Mîndreci Ioan, 2 Tatarciuc Monica, 4<br />

Gogalniceanu Dan, University <strong>of</strong> Medicine and Pharmacy "Gr.T.Popa" Iasi, Romania<br />

1 Clinical Pharmacology Department, 2 Complex Oral Rehabilitation Department,<br />

3 Biophysics Department, 4 Oro-Maxilo-Facial Surgery Department.<br />

nechifor@umfiasi.ro<br />

We surveyed the plasmatic and salivary concentrations for Mg2+, Ca2+, Cu2+, Zn2+<br />

for adults patients, males and females, presenting suppurations <strong>of</strong> the maxilo-facial<br />

area. The registrated data were compared to a reference group, represented by<br />

healthy patients with the same age, sex and dietary habits. We noted that the<br />

patients with suppurations presented a significantly higher concentration <strong>of</strong> the<br />

Mg2+/Ca2+ ratio in comparison to the healthy patients. The plasmatic concentration<br />

for Mg2+, Ca2+ was not significantly different between the two groups. The plasmatic<br />

concentration for Zn2+ is significantly smaller for the patients with suppurations<br />

(1,06±0,12 mg/l) in comparison to the reference group (1,4±0,14 mg/l), p


68<br />

Lyme disease and magnesium deficiency<br />

V. CRISTEA - Department <strong>of</strong> Immunopathology, Medical Clinic III, "Iuliu Hatieganu"<br />

University <strong>of</strong> Medicine and Pharmacy, MONICA CRIAN - Department <strong>of</strong> Immunology,<br />

"Ion Chiricu" Oncological Institute, Cluj-Napoca, Romania<br />

V. CRIAN - ITEM-Paneuro Group. vlaicu@mail.dntcj.ro<br />

During the period April 2001 - January 2003, we had under observation two cases, in<br />

which the presence <strong>of</strong> both IgM and IgG antibodies to Borrelia burgdorferi was<br />

serologically confirmed at high titers. In both cases, clinical manifestations were<br />

similar: shivering, fever, headache, articular and right hypochondrium pain, and<br />

objectively - tachycardia and erythema migrans - these elements being important for<br />

the formulation <strong>of</strong> Lyme disease suspicion. Humoral tests showed: significantly<br />

increased ESR, leukocytosis with PMN predominance, intensely positive PCR (for B.<br />

Burgdorferi DNA) and significant magnesium deficiency (1.20 mEq/L, 1.33 mEq/L,<br />

respectively). A large spectrum <strong>of</strong> antibiotics with both oral and parenteral<br />

administration has been so far used in the treatment <strong>of</strong> Lyme borreliosis. Among the<br />

most frequently used are tetracyclines, betalactamides and cephalosporins. The<br />

decision to initiate antibiotic therapy can be difficult because in the majority <strong>of</strong> the<br />

cases acute infection is self-limited. Asymptomatic patients, in whom laboratory<br />

examinations sustain the diagnosis <strong>of</strong> Lyme disease, should be treated in order to<br />

prevent infection dissemination. Since in the first case antibiotic therapy alone did not<br />

lead to the expected results, magnesium derivatives were also associated. In both<br />

cases, following combined therapy, symptomatology significantly improved at 14<br />

days, and laboratory examinations were restored to normal values after 6-8 weeks -<br />

disappearance <strong>of</strong> IgM to B. Burgdorferi and significantly increased magnesemia<br />

(1.74 mEq/L, 1.72 mEq/L, respectively) We believe that in certain diseases, Mg<br />

deficiency can cause a decrease in immune response. The appearance <strong>of</strong><br />

recurrences, which are frequently reported in the literature, in spite <strong>of</strong> adequate<br />

antibiotic therapy, could represent an argument for this. This is why the use <strong>of</strong> Mg<br />

derivatives in therapy can represent an immunostimulating factor. The peculiarities <strong>of</strong><br />

the cases are the following:<br />

1. Patients had in addition to fever, articular pain and erythema migrans, Mg<br />

deficiency<br />

2. The supplementation <strong>of</strong> therapy with Mg derivatives had an immediate beneficial<br />

effect that was maintained in time.<br />

As a conclusion at this stage, we consider that in the acute phase <strong>of</strong> Lyme borreliosis<br />

there is a significant Mg consumption and the introduction in therapy <strong>of</strong> such<br />

preparations is recommended and beneficial.


69<br />

Effect <strong>of</strong> magnesium on essential oil formation <strong>of</strong> genetically transformed and<br />

non-transformed chamomile cultures<br />

Szokee, É., Máday, E., Kiss, A.S. and Lemberkovics, É. Department Of<br />

Pharmacognosy, Semmelweis University Of Medicine, H – 1085 Budapest, ÜllI Út<br />

26, Hungary. Szokee@Drog.Sote.Hu<br />

The importance <strong>of</strong> chamomile (Chamomilla recutita Rausch.) is widely known in<br />

medicine. The largest group <strong>of</strong> its effective substances form the essential oil<br />

(chamazulene, a-bisabolol, trans-b-farnesene, spathulenol, cis/trans-en-indicycloethers).<br />

The increasing need for high quality drugs cannot be provided by<br />

plant collection in the wilderness. To preserve the genome <strong>of</strong> Szabadkígyós wild type<br />

having high (-)-a-bisabolol content, we used biotechnological methods. The roots <strong>of</strong><br />

organised culture contained b-eudesmol, wich was firstly identified from the intact<br />

roots by us. Our gas-chromatographical and mass-spectroscopical studies showed<br />

that sterile chamomile cultures generated the most important terpenoid and polyin<br />

compounds characteristic <strong>of</strong> the intact plant. We identified berkheyaradulene,<br />

geranyl-isovalerate and cedrol as new components in these cultures. <strong>Magnesium</strong><br />

(370 and 740 mg/l MgSO4) has positive effect on the growth <strong>of</strong> organized cultures<br />

and also on the quality and quantity <strong>of</strong> essential oil production. Another possible<br />

source <strong>of</strong> such variants is available by the genetic transformation <strong>of</strong> organized<br />

cultures by infection with Agrobacterium rhisogenes. Adopting this method we<br />

cultivated chamomile infected by A4-Y clone and investigated the essential oil<br />

production by hairy root cultures cultivated on solid and liquid MS respectively B-5<br />

media. The main component <strong>of</strong> the essential oil <strong>of</strong> hairy root cultures was trans-bfarnesene.<br />

We identified a-selinene as new component in these hairy roots. We<br />

studied the growth rate <strong>of</strong> A4-Y clone on media mentioned above containing different<br />

MgSO4 concentrations (0; 185; 370 and 740 mg/l). The cultures were growing the<br />

most intensively in medium containing 740 mg/l. MgSO4. Essential oil content was<br />

compared obtaining from hairy root cultures <strong>of</strong> different magnesium containing media<br />

and measured by GC and GC-MS methods. <strong>Magnesium</strong> has similar effect on hairy<br />

roots as on organized cultures.


70<br />

<strong>Magnesium</strong> in animal nutrition<br />

Katalin Kovacsne Gaal - Orsolya Safar - Laszlo Gulyas - Petronella Stadler.<br />

University <strong>of</strong> West – Hungary, Faculty <strong>of</strong> Agricultural and Food Sciences, Institute <strong>of</strong><br />

Animal Breeding, 9200 Mosonmagyarovar Var 4, Hungary. safors@freemail.hu<br />

Performance and reproduction <strong>of</strong> animals depends to a great extend on their energy<br />

supply. <strong>Magnesium</strong> plays an important role in the metabolic energy supply.<br />

<strong>Magnesium</strong> supplements remarkably improved the digestibility <strong>of</strong> feed. <strong>Magnesium</strong><br />

citrate and magnesium oxide improved the exploitation coefficients by 0,30% and<br />

0,50% respectively and the improvement was 4,71% in respect <strong>of</strong> crude protein. In<br />

connection to its biological value, the improvement has been more significant<br />

because the feed with 0,15% magnesium citrate was better utilised (83,18%) than<br />

the control feed (70%). <strong>Magnesium</strong> was fed to gilts from the start <strong>of</strong> the heat- and<br />

ovulation sychronisation until the day <strong>of</strong> the first insemination (25 days). The dietary<br />

magnesium citrate surplus in the doses <strong>of</strong> 15 vs. 30mg/kg/body mass/day improved<br />

the conception rate by 11,3 vs. 14,7% and the litter size by 11,9 vs. 12,9%<br />

respectively. In case <strong>of</strong> cows, a supplementation <strong>of</strong> the feed with 20g Bolifor MGP<br />

(animal) day improved the reproduction output and shortened the service period by<br />

7,93%. In the case <strong>of</strong> boars the amount <strong>of</strong> ejaculation grew by 1,48% as a minimum<br />

and 30,9% as a maximum, but the quality <strong>of</strong> semen produced in both experiments<br />

remained unchanged. In further experiments the feed ration <strong>of</strong> broiler chickens was<br />

supplemented either with 0,2% magnesium citrate or 0,2% MgO through a 48-day<br />

experiment. The average live weight <strong>of</strong> the control and experimental groups (Mg<br />

citrate and MgO) were 1,27; 1,32 and 1,38 respectively. We supplemented the diet <strong>of</strong><br />

Tetra SL laying hens either with 0,4% Mg citrate or with 0,4% MgO. Mg citrate<br />

supplementation increased the egg production by 9,68% compared to the nonsupplemented<br />

control group. We aimed to investigate the effects <strong>of</strong> magnesium<br />

supplementation on the parameters <strong>of</strong> producing eggs for breeding, hatching yields<br />

and embryonic development, the mineral content <strong>of</strong> egg shell and intestines <strong>of</strong> chick<br />

embryo. Three magnesium rations were applied in our experiments (Mg1 300, Mg2<br />

400, Mg3 500mg/Mg/day) in the form <strong>of</strong> the product HAMAG LP. Coinciding with the<br />

levels <strong>of</strong> the Mg supplementation the growth <strong>of</strong> the embryo showed a linear increase<br />

at all the four times <strong>of</strong> dissection. Furthermore, we investigated the weight and Ca, P<br />

and Mg content <strong>of</strong> egg shell and that <strong>of</strong> the viscera <strong>of</strong> embryo at the age <strong>of</strong> 14, 16, 18<br />

and 20 days together with brain, liver, heart and tibia. Expressing the size <strong>of</strong> internal<br />

organs in the proportion to the embryo weight we can observe that in the period <strong>of</strong><br />

14-18 days the liver <strong>of</strong> the embryo gained on weight at the same rate as the level <strong>of</strong><br />

magnesium supplementation was increased. Compared to the control no consecutive<br />

gain on weight <strong>of</strong> the other viscera could have been observed in the test groups.<br />

Feeding magnesium above the requirement lowered the calcium content in the egg<br />

shell. Our investigation showed that the calcium content <strong>of</strong> the shell lowered as the<br />

rate <strong>of</strong> magnesium feeding increased in the progress <strong>of</strong> hatching however but the<br />

magnesium content <strong>of</strong> the shell increased. Therefore the reduction <strong>of</strong> calcium<br />

content and the increase <strong>of</strong> magnesium content can be explained by the classical<br />

antagonism between the two elements. The content <strong>of</strong> phosphorous, calcium and<br />

magnesium <strong>of</strong> the viscera organs <strong>of</strong> the embryo did not show any changes following<br />

the magnesium feeding either days <strong>of</strong> the dissection. As a summary we can say that<br />

magnesium feeding benefits the quality <strong>of</strong> breeding eggs, improves hatching yield<br />

but magnesium does not incorporate into the viscera <strong>of</strong> the embryo although brain<br />

and liver may have a function <strong>of</strong> storing organs for magnesium intake above the<br />

requirement.


71<br />

Mg-content <strong>of</strong> Rhizobium nodules in different plants and the importance <strong>of</strong> Mg<br />

in N2-fixation <strong>of</strong> nodules<br />

Kiss S.A. 1 , Stefanovits-Bányai É. 2 , Takács-Hájos M. 3 1 Hungarin <strong>Magnesium</strong> Society,<br />

H-6726 Szeged, F_ str. 73 A/2 Hungary; 2 Szent Istvan University Faculty <strong>of</strong> Food<br />

Science Department <strong>of</strong> Applied Chemistry H-1118 Budapest, Villányi str. 29-31.<br />

Hungary ebanyai@omega.hu; 3 Tessedik S. College Agricultural Water and<br />

Environment Management Department, Szarvas, Hungary. hajos.maria@mvk.tsf.hu<br />

Rhizobium bacteria induce nodules /tumours/ in roots <strong>of</strong> leguminous crops. These<br />

nodules fix N2 from the atmosphere. The N2 fixed in this way is used partly to build up<br />

their own bodies and partly to be transported to the host plant/symbiosis. The<br />

bacteria need materials from the host plant /ATP/ which supply energy. Rhizobium<br />

strains differ in their N2-fixing ability have higher Mg- requirement. Both the enzyme<br />

synthesis and the proteins necessary to form nodules are produced in ribosomes.<br />

This process also needs higher Mg quantities. As the enzymes taking part in N2fixation<br />

have a very short life time /30 sec/ their reproduction needs increased<br />

enzyme synthesis. Trials were carried on in sterile perlite where the two peas<br />

species were growing hidroponically, and in two different soil types (brown forest soil<br />

and meadow silt soil) in field where different leguminous plants were chosen for test<br />

plants: lupin, soybean, broad-bean, lentil and bean inoculated by Rhizobium bacteria.<br />

The Mg-content <strong>of</strong> the nutrient solution was higher than that <strong>of</strong> the control, but in the<br />

soil tests 1 % Mg leaf fertilization was applied after bacterial inoculation. Number,<br />

weight and Mg-content <strong>of</strong> nodules were evaluated using an AAS method compared<br />

with the thick and thin /hair/ roots <strong>of</strong> the given plant. Our results clearly shown Mg<br />

supplying increased the height <strong>of</strong> the plants. Proper Mg supply increased the number<br />

and weight <strong>of</strong> nodules considerably, which preconditions N2-fixation and higher yield<br />

<strong>of</strong> the host plant. Mg nutrition /treatment/ increased the number and Mg-content <strong>of</strong><br />

Rhizobium nodules resulting in increased N2-fixation and yield.

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