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      Magnesium and Human Health: Perspectives and Research Directions

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          Abstract

          Magnesium is the fourth most abundant cation in the body. It has several functions in the human body including its role as a cofactor for more than 300 enzymatic reactions. Several studies have shown that hypomagnesemia is a common electrolyte derangement in clinical setting especially in patients admitted to intensive care unit where it has been found to be associated with increase mortality and hospital stay. Hypomagnesemia can be caused by a wide range of inherited and acquired diseases. It can also be a side effect of several medications. Many studies have reported that reduced levels of magnesium are associated with a wide range of chronic diseases. Magnesium can play important therapeutic and preventive role in several conditions such as diabetes, osteoporosis, bronchial asthma, preeclampsia, migraine, and cardiovascular diseases. This review is aimed at comprehensively collating the current available published evidence and clinical correlates of magnesium disorders.

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            Voltage-dependent block by Mg2+ of NMDA responses in spinal cord neurones

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              TRPM7 Provides an Ion Channel Mechanism for Cellular Entry of Trace Metal Ions

              Trace metal ions such as Zn2+, Fe2+, Cu2+, Mn2+, and Co2+ are required cofactors for many essential cellular enzymes, yet little is known about the mechanisms through which they enter into cells. We have shown previously that the widely expressed ion channel TRPM7 (LTRPC7, ChaK1, TRP-PLIK) functions as a Ca2+- and Mg2+-permeable cation channel, whose activity is regulated by intracellular Mg2+ and Mg2+·ATP and have designated native TRPM7-mediated currents as magnesium-nucleotide–regulated metal ion currents (MagNuM). Here we report that heterologously overexpressed TRPM7 in HEK-293 cells conducts a range of essential and toxic divalent metal ions with strong preference for Zn2+ and Ni2+, which both permeate TRPM7 up to four times better than Ca2+. Similarly, native MagNuM currents are also able to support Zn2+ entry. Furthermore, TRPM7 allows other essential metals such as Mn2+ and Co2+ to permeate, and permits significant entry of nonphysiologic or toxic metals such as Cd2+, Ba2+, and Sr2+. Equimolar replacement studies substituting 10 mM Ca2+ with the respective divalent ions reveal a unique permeation profile for TRPM7 with a permeability sequence of Zn2+ ≈ Ni2+ >> Ba2+ > Co2+ > Mg2+ ≥ Mn2+ ≥ Sr2+ ≥ Cd2+ ≥ Ca2+, while trivalent ions such as La3+ and Gd3+ are not measurably permeable. With the exception of Mg2+, which exerts strong negative feedback from the intracellular side of the pore, this sequence is faithfully maintained when isotonic solutions of these divalent cations are used. Fura-2 quenching experiments with Mn2+, Co2+, or Ni2+ suggest that these can be transported by TRPM7 in the presence of physiological levels of Ca2+ and Mg2+, suggesting that TRPM7 represents a novel ion-channel mechanism for cellular metal ion entry into vertebrate cells.
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                Author and article information

                Contributors
                Journal
                Int J Endocrinol
                Int J Endocrinol
                IJE
                International Journal of Endocrinology
                Hindawi
                1687-8337
                1687-8345
                2018
                16 April 2018
                : 2018
                : 9041694
                Affiliations
                1Division of Medicine, Royal Darwin Hospital, Darwin, NT, Australia
                2Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman
                3Menzies School of Health Research, Darwin, NT, Australia
                4Northern Territory Medical Program, Flinders University School of Medicine, Darwin, NT, Australia
                5Department of Endocrinology, Metabolism and Diabetes, Karolinska University Hospital, Stockholm, Sweden
                6Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
                Author notes

                Academic Editor: Michael Horowitz

                Author information
                http://orcid.org/0000-0003-2077-7186
                http://orcid.org/0000-0002-5622-6987
                Article
                10.1155/2018/9041694
                5926493
                29849626
                b856eec4-77a1-47f1-84c2-d8074e594912
                Copyright © 2018 Abdullah M. Al Alawi et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 October 2017
                : 22 February 2018
                : 5 March 2018
                Categories
                Review Article

                Endocrinology & Diabetes
                Endocrinology & Diabetes

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