Magnesium Supplementation Attenuates Pulmonary Hypertension via Regulation of Magnesium Transporters

Pulmonary hypertension (PH) is characterized by profound vascular remodeling and altered Ca 2+ homeostasis in pulmonary arterial smooth muscle cells (PASMCs). Magnesium ion (Mg 2+ ), a natural Ca 2+ antagonist and a cofactor for numerous enzymes, is crucial for regulating diverse cellular functions, but its roles in PH remains unclear. Here, we examined the roles of Mg 2+ and its transporters in PH development. Chronic hypoxia and monocrotaline induced significant PH in adult male rats. It was associated with a reduction of [Mg 2+ ] i in PASMCs, a significant increase in gene expressions of Cnnm2 , Hip14 , Hip14l , Magt1 , Mmgt1 , Mrs2 , Nipa1 , Nipa2 , Slc41a1 , Slc41a2 and Trpm7 ; upregulation of SLC41A1, SLC41A2, CNNM2, and TRPM7 proteins; and downregulation of SLC41A3 mRNA and protein. Mg 2+ supplement attenuated pulmonary arterial pressure, right heart hypertrophy, and medial wall thickening of pulmonary arteries, and reversed the changes in the expression of Mg 2+ transporters. Incubation of PASMCs with a high concentration of Mg 2+ markedly inhibited PASMC proliferation and migration, and increased apoptosis, whereas a low level of Mg 2+ produced the opposite effects. siRNA targeting Slc41a1/2, Cnnm2, and Trpm7 attenuated PASMC proliferation and migration, but promoted apoptosis; and Slc41a3 overexpression also caused similar effects. Moreover, siRNA targeting Slc41a1 or high [Mg 2+ ] incubation inhibited hypoxia-induced upregulation and nuclear translocation of NFATc3 in PASMCs. The results, for the first time, provide the supportive evidence that Mg 2+ transporters participate in the development of PH by modulating PASMC proliferation, migration, and apoptosis; and Mg 2+ supplementation attenuates PH through regulation of Mg 2+ transporters involving the NFATc3 signaling pathway.

The Effects of a Novel Magnesium Complex on the Intestinal Magnesium Transporters in HFD Rats

Objectives Magnesium (Mg) is absorbed mainly in the intestine and regulates many physiological processes and signaling pathways. TRPM6, a member of the transient receptor potential melastatin-related (TRPM) protein family, is essential for maintaining the organismal Mg2 + balance in the intestine. This study was done to compare the effects of a new form of magnesium, Mg-N21, to magnesium oxide (MgO) on the expression of intestinal Mg transporters in rats Methods Forty-two male Wistar rats (age: 8-week) were randomly divided into the following groups (n = 7 per group): 1) Control; 2) MgO; 3) Mg-N21; 4) HFD (high fat diet); 5) HFD + MgO; 6) HFD + Mg-N21. Magnesium was dosed at 500 milligrams of elemental Mg/kg diet. All rats were supplemented for 8 weeks. Results HFD intake showed a trend toward decreased ileum TRPM6 expression in rats. However, Mg treatment increased ileum TRPM6 expression in HFD rats. TRPM7 expression was not significantly changed. In addition, claudins (Cldn-12 and −15) expression decreased in the ileum of rats fed a HFD. The expressions of ileum claudins were enhanced in Mg-treated rats. The effectiveness of Mg as Mg-21 was more pronounced than Mg as MgO, which can be associated with higher bioavailability. Conclusions Results of the present study show that Mg-N21 is more protective than magnesium oxide on the Mg transporters in rats fed HFD. Funding Sources JDS Therapeutics, LLC Turkish Academy of Sciences.

Bilateral hamstring origin calcification: rare presentation of Gitelman syndrome

This case report is the first case to our knowledge of intratendinous or peritendinous calcification reported in Gitelman syndrome (GS) patients. GS represents the clinical manifestations of inactivation of the Slc12a3 genes encoding the thiazide-sensitive sodium chloride cotransporter and the Trpm6-Mg genes encoding the magnesium transporters in the distal convoluted tubule. Hence, the biochemical findings resemble those with thiazide diuretics such as hypokalaemia, hypomagnesaemia, hypocalciuria, metabolic alkalosis and low normal blood pressure. Serum calcium and phosphate levels are usually unaffected in GS unless associated with hyperparathyroidism or other hypercalcaemic aetiologies. We report a 69-year-old male patient with a history of GS who presented with bilateral ischial tuberosity tenderness. Further investigations confirmed the calcification of bilateral hamstring origin. Chondrocalcinosis is a known association of GS; however, extra-articular calcification is rare. Literature review illustrates sclerochoroidal calcification as the only reported soft tissue calcification apart from chondrocalcinosis.

Magnesium Supplement and the 15q11.2 BP1–BP2 Microdeletion (Burnside–Butler) Syndrome: A Potential Treatment?

The 15q11.2 BP1–BP2 microdeletion (Burnside–Butler) syndrome is an emerging disorder that encompasses four genes (NIPA1, NIPA2, CYFIP1, and TUBGCP5). When disturbed, these four genes can lead to cognitive impairment, language and/or motor delay, psychiatric/behavioral problems (attention-deficit hyperactivity, autism, dyslexia, schizophrenia/paranoid psychosis), ataxia, seizures, poor coordination, congenital anomalies, and abnormal brain imaging. This microdeletion was reported as the most common cytogenetic finding when using ultra-high- resolution chromosomal microarrays in patients presenting for genetic services due to autism with or without additional clinical features. Additionally, those individuals with Prader–Willi or Angelman syndromes having the larger typical 15q11–q13 type I deletion which includes the 15q11.2 BP1–BP2 region containing the four genes, show higher clinical severity than those having the smaller 15q11–q13 deletion where these four genes are intact. Two of the four genes (i.e., NIPA1 and NIPA2) are expressed in the brain and encode magnesium transporters. Magnesium is required in over 300 enzyme systems that are critical for multiple cellular functions, energy expenditure, protein synthesis, DNA transcription, and muscle and nerve function. Low levels of magnesium are found in those with seizures, depression, and acute or chronic brain diseases. Anecdotally, parents have administered magnesium supplements to their children with the 15q11.2 BP1–BP2 microdeletion and have observed improvement in behavior and clinical presentation. These observations require more attention from the medical community and should include controlled studies to determine if magnesium supplements could be a treatment option for this microdeletion syndrome and also for a subset of individuals with Prader–Willi and Angelman syndromes.

The rise and fall of novel renal magnesium transporters

Body Mg2+ balance is finely regulated in the distal convoluted tubule (DCT), where a tight interplay among transcellular reabsorption, mitochondrial exchange, and basolateral extrusion takes place. In the last decades, several research groups have aimed to identify the molecular players in these processes. A multitude of proteins have been proposed to function as Mg2+ transporter in eukaryotes based on phylogenetic analysis, differential gene expression, and overexpression studies. However, functional evidence for many of these proteins is lacking. The aim of this review is, therefore, to critically reconsider all putative Mg2+ transporters and put their presumed function in context of the renal handling of Mg2+. Sufficient experimental evidence exists to acknowledge transient receptor potential melastatin (TRPM) 6 and TRPM7, solute carrier family 41 (SLC41) A1 and SLC41A3, and mitochondrial RNA splicing 2 (MRS2) as Mg2+ transporters. TRPM6/7 facilitate Mg2+ influx, SLC41A1 mediates Mg2+ extrusion, and MRS2 and SLC41A3 are implicated in mitochondrial Mg2+ homeostasis. These proteins are highly expressed in the DCT. The function of cyclin M (CNNM) proteins is still under debate. For the other proposed Mg2+ transporters including Mg2+ transporter subtype 1 (MagT1), nonimprinted in Prader-Willi/Angelman syndrome (NIPA), membrane Mg2+ transport (MMgT), Huntingtin-interacting protein 14 (HIP14), and ATP13A4, functional evidence is limited, or functions alternative to Mg2+ transport have been suggested. Additional characterization of their Mg2+ transport proficiency should be provided before further claims about their role as Mg2+ transporter can be made.