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Decreased cell membrane magnesium in some essential hypertension patients
M T Mattingly1, W A Brzezinski, I C Wells
1Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska 68178.
Essential hypertension is linked to altered magnesium levels and binding in blood cells. Reduced magnesium binding to erythrocyte membranes may contribute to hypertension in some patients.
Area of Science:
- Cardiovascular Physiology
- Mineral Metabolism
- Cellular Biology
Background:
- Essential hypertension is a complex condition with multifactorial causes.
- Magnesium plays a crucial role in various physiological processes, including cardiovascular health.
- Alterations in magnesium levels and cellular binding have been implicated in hypertensive states.
Purpose of the Study:
- To investigate magnesium concentrations (total, ultrafilterable, and nonfilterable) in plasma and intracellular compartments of blood in essential hypertensive patients.
- To examine the binding of magnesium to erythrocyte membranes in essential hypertensive patients.
- To explore the relationship between magnesium levels, binding, and blood pressure.
Main Methods:
- Measurement of total ([T-Mg]), ultrafilterable ([UF-Mg]), and nonfilterable ([NF-Mg]) magnesium in plasma and whole blood from hypertensive and normotensive subjects.
- Analysis of magnesium binding to erythrocyte membranes.
- Incubation experiments to assess the effect of normotensive plasma on hypertensive erythrocytes.
Main Results:
- Essential hypertensive patients showed decreased whole blood magnesium due to reduced [UF-Mg] and [NF-MG].
- [UF-Mg] was elevated in plasma but decreased intracellularly, while plasma [NF-Mg] decreased in hypertensives.
- Decreased magnesium binding to erythrocyte membranes was observed in hypertensive patients and correlated with blood pressure.
Conclusions:
- Reduced magnesium binding to erythrocyte membranes may contribute to decreased intracellular [UF-Mg] in essential hypertension.
- The observed alterations in magnesium binding suggest it could be a contributing factor in some cases of essential hypertension.
- Hypertension itself does not appear to cause decreased magnesium binding to cell membranes, as normal binding was seen in some hypertensive individuals.
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